Research Article

Confirming Parkinson Disease Diagnosis: Patterns of Diagnostic Changes by Movement Disorder Specialists

Table 2

Patient characteristics by direction of change in diagnosis.

Patient characteristics by direction of change in diagnosisPD to parkinsonism (n = 31)Parkinsonism to PD (n = 27)Multiple switches (n = 27)

Age at the first visit (years), m (sd)68.7 (12.5)70.3 (9.4)72.6 (9.0)
Gender, n (column percent)
 Male22 (71.0)18 (66.7)20 (74.1)
 Female9 (29)9 (33.3)7 (25.9)
Race, n (column percent)
 White25 (92.6)22 (91.7)23 (95.8)
 Nonwhite2 (7.4)2 (8.3)1 (4.2)
Marital status, n (column percent)
 Married21 (70.0)20 (74.1)21 (77.8)
 Not married9 (30.0)7 (25.9)6 (22.2)
Education, n (column percent)
 College or more20 (74.1)15 (71.4)17 (70.8)
 Less than college7 (25.9)6 (28.6)7 (29.2)
Income, n (column percent)
 <50 k/year10 (43.5)3 (17.6)5 (22.7)
 50 k+/year13 (56.5)14 (82.4)17 (77.3)
Employment status, n (column percent)
 Not employed15 (50.0)18 (66.7)22 (81.5)
 Employed15 (50.0)9 (33.3)5 (18.5)
Duration of parkinsonism at the first visit (years), m (sd)1.7 (2.9)3.9 (5.7)3.9 (6.0)
Duration of parkinsonism at follow-up (years), m (sd)3.7 (2.7)5.6 (4.1)5.6 (3.8)
First CIRS-G total score, m (sd)5.3 (3.0)6.3 (4.8)7.8 (4.0)
First UPDRS motor score, m (sd)27.6 (10.0)30.6 (14.7)31.7 (12.5)
First UPDRS total score, m (sd)38.7 (14.9)44.5 (21.5)48.1 (17.5)
Change of the clinician, n (column percent)
 No18 (85.7)15 (93.8)17 (81.0)
 Yes3 (14.3)1 (6.3)4 (19.0)
Levodopa at the first visit, n (column percent)
 No19 (61.3)18 (66.7)16 (59.3)
 Yes12 (38.7)9 (33.3)11 (40.7)
Levodopa at the last visit, n (column percent)
 No12 (38.7)15 (55.6)11 (40.7)
 Yes19 (61.3)12 (44.4)16 (59.3)
Dopaminergic Rx at first visit, n (column percent)
 No16 (51.6)14 (51.9)15 (55.6)
 Yes15 (48.4)13 (48.1)12 (44.4)
Dopaminergic Rx at the last visit, n (column percent)
 No10 (32.3)13 (48.1)10 (37.0)
 Yes21 (67.7)14 (51.9)17 (63.0)

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