TY - JOUR
T1 - Cognitive and motor decline in dementia with Lewy bodies and Parkinson's disease dementia
AU - Gonzalez, Maria Camila
AU - Tovar-Rios, Diego Alejandro
AU - Alves, Guido
AU - Dalen, Ingvild
AU - Williams-Gray, Caroline H.
AU - Camacho, Marta
AU - Forsgren, Lars
AU - Bäckström, David
AU - Lawson, Rachael A.
AU - Macleod, Angus D.
AU - Counsell, Carl E.
AU - Paquet, Claire
AU - DeLena, Carlo
AU - D'Antonio, Fabrizia
AU - Pilotto, Andrea
AU - Padovani, Alessandro
AU - Blanc, Frédéric
AU - Falup-Pecurariu, Cristian
AU - Lewis, Simon J. G.
AU - Rejdak, Konrad
AU - Papuc, Ewa
AU - Hort, Jakub
AU - Nedelska, Zuzana
AU - O'Brien, John
AU - Bonanni, Laura
AU - Marquié, Marta
AU - Boada, Mercè
AU - Pytel, Vanesa
AU - Abdelnour, Carla
AU - Alcolea, Daniel
AU - Beyer, Katrin
AU - Tysnes, Ole Bjørn
AU - Aarsland, Dag
AU - Maple-Grødem, Jodi
N1 - Copyright the Author(s) 2023. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.
PY - 2023/6
Y1 - 2023/6
N2 - Background: There is a need to better understand the rate of cognitive and motor decline of Dementia with Lewy bodies (DLB) and Parkinson's disease Dementia (PDD). Objectives: To compare the rate of cognitive and motor decline in patients with DLB and PDD from the E-DLB Consortium and the Parkinson's Incidence Cohorts Collaboration (PICC) Cohorts. Methods: The annual change in MMSE and MDS-UPDRS part III was estimated using linear mixed regression models in patients with at least one follow-up (DLB n = 837 and PDD n = 157). Results: When adjusting for confounders, we found no difference in the annual change in MMSE between DLB and PDD (−1.8 [95% CI −2.3, −1.3] vs. −1.9 [95% CI −2.6, −1.2] [P = 0.74]). MDS-UPDRS part III showed nearly identical annual changes (DLB 4.8 [95% CI 2.1, 7.5]) (PDD 4.8 [95% CI 2.7, 6.9], [P = 0.98]). Conclusions: DLB and PDD showed similar rates of cognitive and motor decline. This is relevant for future clinical trial designs.
AB - Background: There is a need to better understand the rate of cognitive and motor decline of Dementia with Lewy bodies (DLB) and Parkinson's disease Dementia (PDD). Objectives: To compare the rate of cognitive and motor decline in patients with DLB and PDD from the E-DLB Consortium and the Parkinson's Incidence Cohorts Collaboration (PICC) Cohorts. Methods: The annual change in MMSE and MDS-UPDRS part III was estimated using linear mixed regression models in patients with at least one follow-up (DLB n = 837 and PDD n = 157). Results: When adjusting for confounders, we found no difference in the annual change in MMSE between DLB and PDD (−1.8 [95% CI −2.3, −1.3] vs. −1.9 [95% CI −2.6, −1.2] [P = 0.74]). MDS-UPDRS part III showed nearly identical annual changes (DLB 4.8 [95% CI 2.1, 7.5]) (PDD 4.8 [95% CI 2.7, 6.9], [P = 0.98]). Conclusions: DLB and PDD showed similar rates of cognitive and motor decline. This is relevant for future clinical trial designs.
KW - dementia with Lewy bodies
KW - international cohort
KW - Parkinson's disease dementia
KW - parkinsonism
KW - rate of cognitive decline
UR - http://www.scopus.com/inward/record.url?scp=85158093631&partnerID=8YFLogxK
U2 - 10.1002/mdc3.13752
DO - 10.1002/mdc3.13752
M3 - Article
C2 - 37332651
AN - SCOPUS:85158093631
SN - 2330-1619
VL - 10
SP - 980
EP - 986
JO - Movement Disorders Clinical Practice
JF - Movement Disorders Clinical Practice
IS - 6
ER -