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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

Research output: Contribution to journalArticlepeer-review

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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 languageEnglish
Pages (from-to)1527-1530
Number of pages4
JournalJournal of Parkinson's Disease
Volume14
Issue number7
DOIs
Publication statusPublished - 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

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