Research Article

Satisfaction with Care in Late Stage Parkinson’s Disease

Table 1

Patients’ demographic and clinical data ().

Total cohortMissing (n)

Gender, n (%)
 Men62 (58%)
 Women45 (42%)
Age (years), median (q1–q3)78 (73–84)
Age at onset (years), median (q1–q3)63 (55–71)
PD duration (years), median (q1–q3)15 (11–19)
Dwelling place, n (%)
 Home67 (63%)
 Nursing home40 (37%)
HY stage, median (q1–q3)4 (4-5)
HY stage, n (%)
 IV79 (74%)
 V28 (26%)
Partner, n (%)
 Yes65 (60%)
 No42 (39%)
Professional home health care in home/nursing home, n (%)
 Yes89 (83%)
 No18 (17%)
Professional health-care contact
 MDS and/or PD nurse (past year), n (%)
  Yes69 (64%)
  No38 (36%)
 PT and/or OT and/or SLT (past 3 months), n (%)
  Yes51 (48%)
  No56 (52%)
 Independence in ADL (Katz ADL index), median (q1–q3)2 (1–4)2
  Dependent (severe functional impairment; ≤2), n (%)59 (56%)
Clinical assessments
 Motor function (UPDRS III), median (q1–q3)40 (29–53)
Nonmotor symptoms (NMSS), median (q1–q3)91 (55–128)2
 Cognitive function (MMSE), median (q1–q3)22 (18–27)4
  Cognitive impairment (proportion ≤ 23), n (%)60 (58%)
 Depressive symptoms (GDS-30), median (q1–q3)11 (8–16)7
  Depression (GDS ≥ 10), n (%)62 (62%)
Health and quality of life related assessments
 Generic health status (EQ-5D), median (q1–q3)0.19 (0.02–0.53)5
  VAS, median (q1–q3)50 (30–60)9
 Individual QoL (SEIQoL-Q), median (q1–q3)55 (43–70)26
 Self-rated health status (NHP), median (q1–q3)
  Emotional reactions22 (11–56)12
  Sleep20 (0–60)8
  Energy67 (33–100)9
  Pain38 (13–75)11
  Physical mobility75 (50–88)9
  Social isolation20 (0–40)9
  NHP index of distress 0–10033 (17–54)12
 Life satisfaction (LiSat-11), median (q1–q3)
 Life as a whole high/low, n (%)22 (23%)/74 (77%)11
  Life as a whole4 (3-4)11
  Vocational situation3 (2–4)14
  Financial situation5 (4-5)12
  Leisure3 (2–4)12
  Contacts with friends/acquaintances4 (3–5)12
  Sexual life1 (1–3)12
  Self-care management3 (2-3)12
  Family life4 (3–5)12
  Partner relationship4 (1–5)14
  Somatic health3 (2–4)12
  Psychological health4 (3–5)12
 Satisfaction with care, n (%)8
  Satisfied58 (59%)
  Not satisfied41 (41%)

q1–q3, first and third quartiles; HY, Hoehn and Yahr Staging Scale (score range I–V, higher = worse); MDS, movement disorder specialist contact during the past year; PD-nurse, Parkinson nurse contact during the past year; physiotherapist/occupational therapist/speech and language therapist, contact during the past three months; Katz ADL, Katz index of independence in activities of daily living (score range 0–6, higher = better); UPDRS, Unified PD Rating Scale, part III = motor examination (score range 0–108, higher = worse); NMSS, Nonmotor Symptoms Scale (0–360, higher = worse); MMSE, Mini-Mental State Examination (score range 0–30, higher = better); GDS-30, Geriatric Depression Scale (score range 0––30, higher = worse), depression = scores ≥ 10. EQ-5D-3L, EuroQol 5 Dimensions Index (score range 0-1, higher = better), VAS, visual analogue scale (score range 0–100, higher = better); SEIQoL-Q, Schedule for the Evaluation of Individual Quality of Life (score range 0–100, higher = better); NHP, the Nottingham Health Profile (score range 0–100 in each section, higher = worse); LiSat-11, Life Satisfaction Questionnaire (each item score range 1–6, higher = better); satisfaction with care (study-specific question), satisfied = patients reporting alternative 1 or 2 on the question satisfaction with care (score range 1–5, higher = worse; 1 = very satisfied, 2 = satisfied, 3 = neutral, 4 = unsatisfied, 5 = very unsatisfied), not satisfied = patients reporting alternative 3, 4 or 5 on the question satisfaction with care. in HY IV 23 (29%) lived in nursing home, in HY V 17 (61%) lived in nursing home.