The comorbidity and co-medication profile of patients with progressive supranuclear palsy
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The comorbidity and co-medication profile of patients with progressive supranuclear palsy. / Greten, Stephan; Wegner, Florian; Jensen, Ida; Krey, Lea; Rogozinski, Sophia; Fehring, Meret; Heine, Johanne; Doll-Lee, Johanna; Pötter-Nerger, Monika; Zeitzschel, Molly; Hagena, Keno; Pedrosa, David J; Eggers, Carsten; Bürk, Katrin; Trenkwalder, Claudia; Claus, Inga; Warnecke, Tobias; Süß, Patrick; Winkler, Jürgen; Gruber, Doreen; Gandor, Florin; Berg, Daniela; Paschen, Steffen; Classen, Joseph; Pinkhardt, Elmar H; Kassubek, Jan; Jost, Wolfgang H; Tönges, Lars; Kühn, Andrea A; Schwarz, Johannes; Peters, Oliver; Dashti, Eman; Priller, Josef; Spruth, Eike J; Krause, Patricia; Spottke, Annika; Schneider, Anja; Beyle, Aline; Kimmich, Okka; Donix, Markus; Haussmann, Robert; Brandt, Moritz; Dinter, Elisabeth; Wiltfang, Jens; Schott, Björn H; Zerr, Inga; Bähr, Mathias; Buerger, Katharina; Janowitz, Daniel; Perneczky, Robert; Rauchmann, Boris-Stephan; Weidinger, Endy; Levin, Johannes; Katzdobler, Sabrina; Düzel, Emrah; Glanz, Wenzel; Teipel, Stefan; Kilimann, Ingo; Prudlo, Johannes; Gasser, Thomas; Brockmann, Kathrin; Hoffmann, Daniel C; Klockgether, Thomas; Krause, Olaf; Heck, Johannes; Höglinger, Günter U; Klietz, Martin.
In: J NEUROL, Vol. 271, No. 2, 02.2024, p. 782–793.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - The comorbidity and co-medication profile of patients with progressive supranuclear palsy
AU - Greten, Stephan
AU - Wegner, Florian
AU - Jensen, Ida
AU - Krey, Lea
AU - Rogozinski, Sophia
AU - Fehring, Meret
AU - Heine, Johanne
AU - Doll-Lee, Johanna
AU - Pötter-Nerger, Monika
AU - Zeitzschel, Molly
AU - Hagena, Keno
AU - Pedrosa, David J
AU - Eggers, Carsten
AU - Bürk, Katrin
AU - Trenkwalder, Claudia
AU - Claus, Inga
AU - Warnecke, Tobias
AU - Süß, Patrick
AU - Winkler, Jürgen
AU - Gruber, Doreen
AU - Gandor, Florin
AU - Berg, Daniela
AU - Paschen, Steffen
AU - Classen, Joseph
AU - Pinkhardt, Elmar H
AU - Kassubek, Jan
AU - Jost, Wolfgang H
AU - Tönges, Lars
AU - Kühn, Andrea A
AU - Schwarz, Johannes
AU - Peters, Oliver
AU - Dashti, Eman
AU - Priller, Josef
AU - Spruth, Eike J
AU - Krause, Patricia
AU - Spottke, Annika
AU - Schneider, Anja
AU - Beyle, Aline
AU - Kimmich, Okka
AU - Donix, Markus
AU - Haussmann, Robert
AU - Brandt, Moritz
AU - Dinter, Elisabeth
AU - Wiltfang, Jens
AU - Schott, Björn H
AU - Zerr, Inga
AU - Bähr, Mathias
AU - Buerger, Katharina
AU - Janowitz, Daniel
AU - Perneczky, Robert
AU - Rauchmann, Boris-Stephan
AU - Weidinger, Endy
AU - Levin, Johannes
AU - Katzdobler, Sabrina
AU - Düzel, Emrah
AU - Glanz, Wenzel
AU - Teipel, Stefan
AU - Kilimann, Ingo
AU - Prudlo, Johannes
AU - Gasser, Thomas
AU - Brockmann, Kathrin
AU - Hoffmann, Daniel C
AU - Klockgether, Thomas
AU - Krause, Olaf
AU - Heck, Johannes
AU - Höglinger, Günter U
AU - Klietz, Martin
N1 - © 2023. The Author(s).
PY - 2024/2
Y1 - 2024/2
N2 - BACKGROUND: Progressive supranuclear palsy (PSP) is usually diagnosed in elderly. Currently, little is known about comorbidities and the co-medication in these patients.OBJECTIVES: To explore the pattern of comorbidities and co-medication in PSP patients according to the known different phenotypes and in comparison with patients without neurodegenerative disease.METHODS: Cross-sectional data of PSP and patients without neurodegenerative diseases (non-ND) were collected from three German multicenter observational studies (DescribePSP, ProPSP and DANCER). The prevalence of comorbidities according to WHO ICD-10 classification and the prevalence of drugs administered according to WHO ATC system were analyzed. Potential drug-drug interactions were evaluated using AiDKlinik®.RESULTS: In total, 335 PSP and 275 non-ND patients were included in this analysis. The prevalence of diseases of the circulatory and the nervous system was higher in PSP at first level of ICD-10. Dorsopathies, diabetes mellitus, other nutritional deficiencies and polyneuropathies were more frequent in PSP at second level of ICD-10. In particular, the summed prevalence of cardiovascular and cerebrovascular diseases was higher in PSP patients. More drugs were administered in the PSP group leading to a greater percentage of patients with polypharmacy. Accordingly, the prevalence of potential drug-drug interactions was higher in PSP patients, especially severe and moderate interactions.CONCLUSIONS: PSP patients possess a characteristic profile of comorbidities, particularly diabetes and cardiovascular diseases. The eminent burden of comorbidities and resulting polypharmacy should be carefully considered when treating PSP patients.
AB - BACKGROUND: Progressive supranuclear palsy (PSP) is usually diagnosed in elderly. Currently, little is known about comorbidities and the co-medication in these patients.OBJECTIVES: To explore the pattern of comorbidities and co-medication in PSP patients according to the known different phenotypes and in comparison with patients without neurodegenerative disease.METHODS: Cross-sectional data of PSP and patients without neurodegenerative diseases (non-ND) were collected from three German multicenter observational studies (DescribePSP, ProPSP and DANCER). The prevalence of comorbidities according to WHO ICD-10 classification and the prevalence of drugs administered according to WHO ATC system were analyzed. Potential drug-drug interactions were evaluated using AiDKlinik®.RESULTS: In total, 335 PSP and 275 non-ND patients were included in this analysis. The prevalence of diseases of the circulatory and the nervous system was higher in PSP at first level of ICD-10. Dorsopathies, diabetes mellitus, other nutritional deficiencies and polyneuropathies were more frequent in PSP at second level of ICD-10. In particular, the summed prevalence of cardiovascular and cerebrovascular diseases was higher in PSP patients. More drugs were administered in the PSP group leading to a greater percentage of patients with polypharmacy. Accordingly, the prevalence of potential drug-drug interactions was higher in PSP patients, especially severe and moderate interactions.CONCLUSIONS: PSP patients possess a characteristic profile of comorbidities, particularly diabetes and cardiovascular diseases. The eminent burden of comorbidities and resulting polypharmacy should be carefully considered when treating PSP patients.
U2 - 10.1007/s00415-023-12006-4
DO - 10.1007/s00415-023-12006-4
M3 - SCORING: Journal article
C2 - 37803149
VL - 271
SP - 782
EP - 793
JO - J NEUROL
JF - J NEUROL
SN - 0340-5354
IS - 2
ER -