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| 005 | 20230915093952.0 | ||
| 024 | 7 | _ | |a pmc:PMC7069351 |2 pmc |
| 024 | 7 | _ | |a 10.3389/fnagi.2020.00055 |2 doi |
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| 041 | _ | _ | |a English |
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| 100 | 1 | _ | |a Tkaczynska, Zuzanna |0 P:(DE-2719)9000314 |b 0 |e First author |
| 245 | _ | _ | |a Executive Function Is Related to the Urinary Urgency in Non-demented Patients With Parkinson’s Disease |
| 260 | _ | _ | |a Lausanne |c 2020 |b Frontiers Research Foundation |
| 264 | _ | 1 | |3 online |2 Crossref |b Frontiers Media SA |c 2020-03-06 |
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| 520 | _ | _ | |a Introduction: Evidence suggests urinary urgency is associated with cognitive impairment in a subtype of Parkinson’s disease (PD) patients. This study investigates if cognitive impairment independently predicts the presence of urinary dysfunction.Methods: We report data of 189 idiopathic PD patients, excluding those with concomitant diseases or medication interacting with bladder function. A standardized questionnaire was used to define the presence of urinary urgency. All patients underwent a comprehensive motor, cognitive non-motor and health-related quality of life (HRQoL) assessment. Multivariable linear regression analysis was performed to identify independent variables characterizing urinary urgency in PD (PD-UU), which were assigned as discriminant features to estimate their individual contribution to the phenotype of the PD-UU group.Results: Of 189 PD patients, 115 (60.8%) reported PD-UU. The linear regression analysis showed that among cognitive domains, executive function (EF; p = 0.04) had a significant negative association with PD-UU. In a second model, scores of the Montreal Cognitive Assessment (MoCA) significantly differentiated between study groups (p = 0.007) and also non-motor symptom (NMS) burden (p < 0.001). The third model consisted of reports of HRQoL, of which stigma was the only subscale of the Parkinson’s Disease Questionnaire (PDQ-39) differentiating between patients with and without PD-UU (p = 0.02). The linear discriminant analysis provided evidence that the combination of EF, NMS burden, nocturia, and stigma discriminated between groups with 72.4% accuracy.Conclusion: In our large, non-demented PD cohort, urinary urgency was associated with executive dysfunction (EF), supporting a possible causative link between both symptoms. A combination of neuropsychological and non-motor aspects identified patients with PD-UU with high discriminative accuracy. |
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| 700 | 1 | _ | |a Maetzler, Walter |0 P:(DE-HGF)0 |b 2 |
| 700 | 1 | _ | |a Timmers, Maarten |b 3 |
| 700 | 1 | _ | |a Van Nueten, Luc |b 4 |
| 700 | 1 | _ | |a Sulzer, Patricia |0 P:(DE-2719)2811919 |b 5 |
| 700 | 1 | _ | |a Salvadore, Giacomo |b 6 |
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| 700 | 1 | _ | |a Streffer, Johannes |b 9 |
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| 700 | 1 | _ | |a Liepelt-Scarfone, Inga |0 P:(DE-2719)2109499 |b 11 |e Last author |
| 773 | 1 | 8 | |a 10.3389/fnagi.2020.00055 |b : Frontiers Media SA, 2020-03-06 |3 journal-article |2 Crossref |t Frontiers in Aging Neuroscience |v 12 |y 2020 |x 1663-4365 |
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