Winding back the clock on Advanced Therapies: it's time to get smart

Matthew J. Georgiades; Anton A. van der Plas; Bastiaan R. Bloem; Simon J. G. Lewis

doi:10.3233/JPD-240193

Winding back the clock on Advanced Therapies: it's time to get smart

Matthew J. Georgiades, Anton A. van der Plas, Bastiaan R. Bloem, Simon J. G. Lewis

Macquarie Medical School

Research output: Contribution to journal › Article › peer-review

Abstract

Our language affects patients' perceptions of therapies. In Parkinson's disease, emergent response fluctuations and dyskinesias typically trigger conversations around commencing an "Advanced Therapy" which carries notions of Advanced Disease. The patient, resolute in their commitment to fighting the disease, is misled. Chasing reassurance that their disease has not yet progressed considerably; they may therefore resist a potentially life-changing therapy. Instead, we should offer a "Smart Therapy". This term more accurately and positively describes therapies on offer that stabilize response fluctuations and improve quality of life, without a focus on the negative connotations of progression to more advanced disease.

Original language	English
Pages (from-to)	1527-1530
Number of pages	4
Journal	Journal of Parkinson's Disease
Volume	14
Issue number	7
DOIs	https://doi.org/10.3233/JPD-240193
Publication status	Published - 15 Oct 2024

Bibliographical note

Copyright the Author(s) 2024. 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.

Keywords

advanced therapies
Deep brain stimulation
levodopa
Parkinson’s disease
patient-centered care
personalized medicine

Access to Document

10.3233/JPD-240193Licence: CC BY-NC

Publisher version (open access)Final published version, 48.8 KBLicence: CC BY-NC

Cite this

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Winding back the clock on Advanced Therapies: it's time to get smart

Abstract

Bibliographical note

Keywords

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