Staging Parkinson’s disease according to the MNCD classification correlates with caregiver burden

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Institut Català de la Salut
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[Santos-García D, Cores Bartolomé C, Feal Painceiras MJ, García Díaz I, Íñiguez Alvarado MC, Paz JM] Complexo Hospitalario Universitario de A Coruña, A Coruña, Spain. [de Deus Fonticoba T] Complexo Hospitalario Universitario de Ferrol, A Coruña, Spain. [Jesús S] Department of Neurology, Unidad de Trastornos del Movimiento, Servicio de Neurología y Neurofisiología Clínica, Instituto de Biomedicina de Sevilla, Hospital Universitario Virgen del Rocío/CSIC/Universidad de Sevilla, Seville, Spain. [Cosgaya M] Department of Neurology, Hospital Clínic de Barcelona, Barcelona, Spain. [Garcia Caldentey J] Department of Neurology, Centro Neurológico Oms 42, Palma de Mallorca, Spain. [Caballol N] Department of Neurology, Consorci Sanitari Integral, Hospital Moisés Broggi, Sant Joan Despí, Barcelona, Spain. [Legarda I] Department of Neurology, Hospital Universitario Son Espases, Palma de Mallorca, Spain. [Hernández Vara J] Servei de Neurologia, Vall d’Hebron Hospital Universitari, Barcelona, Spain. [Cabo I] Department of Neurology, Complejo Hospitalario Universitario de Pontevedra (CHOP), Pontevedra, Spain. [López Manzanares L] Department of Neurology, Hospital Universitario La Princesa, Madrid, Spain. [González Aramburu I] Department of Neurology, Hospital Universitario Marqués de Valdecilla – IDIVAL, Santander, Spain. [Ávila Rivera MA] Department of Neurology, Consorci Sanitari Integral, Hospital General de l’Hospitalet, l’Hospitalet de Llobregat, Barcelona, Spain. [Gómez Mayordomo V] Department of Neurology, Institute of Neuroscience, Vithas Madrid La Milagrosa University Hospital, Vithas Hospital Group, Madrid, Spain. [Nogueia V] Department of Neurology, Hospital Universitario Lucus Augusti, Lugo, Spain. [García-Soto JD] Department of Neurology, Hospital Universitario Virgen Macarena, Sevilla, Spain. [Borrué C] Department of Neurology, Hospital Infanta Sofía, Madrid, Spain. [Solano Vila B] Department of Neurology, Institut d’Assistència Sanitària, Institut Català de la Salut, Girona, Spain
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Institut d'Assistència Sanitària
dc.contributor.author
de Deus Fonticoba, Teresa
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Cores Bartolomé, Carlos
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Feal Painceiras, María
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García Díaz, Iago
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Íñiguez-Alvarado, Maria Cristina
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Jose Manuel, Paz González
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Zúniga, Silvia de Jesús
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Cosgaya, Marina
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Garcia-Caldentey, Juan
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Legarda, Ines
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Hernández Vara, Jorge
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Cabo López, Iria
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Gonzalez-Aramburu, Isabel
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Ávila Rivera, María A.
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Gómez-Mayordomo, Víctor
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Nogueira, Víctor
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Dotor Garcia-Soto, Julio
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Borrué, Carmen
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Solano Vila, Berta
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Lopez Manzanares, Lydia
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Santos García, Diego
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Caballol, Nuria
dc.date.accessioned
2025-10-24T10:26:40Z
dc.date.available
2025-10-24T10:26:40Z
dc.date.issued
2023-12-21T12:37:11Z
dc.date.issued
2023-12-21T12:37:11Z
dc.date.issued
2023-12
dc.identifier
Santos‐García D, de Deus Fonticoba T, Cores Bartolomé C, Feal Painceiras MJ, García Díaz I, Íñiguez Alvarado MC. et al. Staging Parkinson's disease according to the MNCD classification correlates with caregiver burden. Brain Behav. 2023 Dec;13(12):e3295.
dc.identifier
2162-3279
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https://hdl.handle.net/11351/10742
dc.identifier
10.1002/brb3.3295
dc.identifier
37939322
dc.identifier.uri
https://hdl.handle.net/11351/10742
dc.description.abstract
Malaltia de Parkinson; Cuidador; Símptomes no motors
dc.description.abstract
Parkinson's disease; Caregiver; Non-motor symptoms
dc.description.abstract
Enfermedad de Parkinson; Cuidador; Síntomas no motores
dc.description.abstract
Background and objective: Recently, we demonstrated that staging Parkinson's disease (PD) with a novel simple classification called MNCD, based on four axes (motor, non-motor, cognition, and dependency) and five stages, correlated with disease severity and patients’ quality of life. Here, we analyzed the correlation of MNCD staging with PD caregiver's status. Patients and methods: Data from the baseline visit of PD patients and their principal caregiver recruited from 35 centers in Spain from the COPPADIS cohort from January 2016 to November 2017 were used to apply the MNCD total score (from 0 to 12) and MNCD stages (from 1 to 5) in this cross-sectional analysis. Caregivers completed the Zarit Caregiver Burden Inventory (ZCBI), Caregiver Strain Index (CSI), Beck Depression Inventory-II (BDI-II), PQ-10, and EUROHIS-QOL 8-item index (EUROHIS-QOL8). Results: Two hundred and twenty-four PD patients (63 ± 9.6 years old; 61.2% males) and their caregivers (58.5 ± 12.1 years old; 67.9% females) were included. The frequency of MNCD stages was 1, 7.6%; 2, 58.9%; 3, 31.3%; and 4–5, 2.2%. A more advanced MNCD stage was associated with a higher score on the ZCBI (p < .0001) and CSI (p < .0001), and a lower score on the PQ-10 (p = .001), but no significant differences were observed in the BDI-II (p = .310) and EUROHIS-QOL8 (p = .133). Moderate correlations were observed between the MNCD total score and the ZCBI (r = .496; p < .0001), CSI (r = .433; p < .0001), and BDI-II (r = .306; p < .0001) in caregivers.Conclusion: Staging PD according to the MNCD classification is correlated with caregivers’ strain and burden.
dc.description.abstract
Fundación Española de Ayuda a la Investigación en Enfermedades Neurodegenerativas y/o de Origen Genético; Alpha Bioresearch; Spanish Ministry of Economy and Competitiveness, Grant/Award Number: PI16/01575
dc.format
application/pdf
dc.language
eng
dc.publisher
Wiley Open Access
dc.relation
Brain and Behavior;13(12)
dc.relation
https://doi.org/10.1002/brb3.3295
dc.rights
Attribution-ShareAlike 4.0 International
dc.rights
http://creativecommons.org/licenses/by-sa/4.0/
dc.rights
info:eu-repo/semantics/openAccess
dc.source
Scientia
dc.subject
Parkinson, Malaltia de
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Cuidadors
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Qualitat de Vida
dc.subject
DISEASES::Nervous System Diseases::Central Nervous System Diseases::Brain Diseases::Basal Ganglia Diseases::Parkinsonian Disorders::Parkinson Disease
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NAMED GROUPS::Persons::Caregivers
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ANTHROPOLOGY, EDUCATION, SOCIOLOGY, AND SOCIAL PHENOMENA::Social Sciences::Quality of Life
dc.subject
ENFERMEDADES::enfermedades del sistema nervioso::enfermedades del sistema nervioso central::enfermedades cerebrales::enfermedades de los ganglios basales::trastornos parkinsonianos::enfermedad de Parkinson
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DENOMINACIONES DE GRUPOS::personas::cuidadores de pacientes
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ANTROPOLOGÍA, EDUCACIÓN, SOCIOLOGÍA Y FENÓMENOS SOCIALES::ciencias sociales::calidad de vida
dc.title
Staging Parkinson’s disease according to the MNCD classification correlates with caregiver burden
dc.type
info:eu-repo/semantics/article
dc.type
info:eu-repo/semantics/publishedVersion


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