Derzeit findet keine neue Ausschreibung statt.
Österreichisches Parkinsonregister
Das österreichische Parkinsonregister (ÖPAR) wurde 2011 als Aktivität der Österreichischen Parkinson-Gesellschaft gegründet. Nach einer intensiven Vorbereitungsphase wird das überarbeitete ÖPAR nun unter Integration der bestehenden Daten 2024 neu initiiert. Ziel des neuen Registers ist es, den Gesundheitszustand von Parkinsonpatienten:innen in ganz Österreich flächendeckend zu erfassen und zu analysieren. Auf dieser Basis wird eine Verbesserung der Versorgungsstruktur von Betroffenen in Zukunft angestrebt.
Hierfür werden neben krankheitsspezifischen klinischen Daten (u.a. Krankheitsdauer, motorische und nicht-motorische Symptomausprägung) auch demographische Daten (u.a. Alter, Geschlecht) und sozioökonomische Daten (Hilfsbedürftigkeit, Pflegestufe) erfasst. Des Weiteren wird die aktuelle Therapie (medikamentös und neurorehabilitativ) erfragt. Zur Beurteilung der Dynamik von Erkrankung und Therapie werden Folgeuntersuchungen in regelmäßigen Zeitabschnitten von mindestens einem Jahr durchgeführt.
Die Teilnahme am Register ist freiwillig und jeder interessierte Patient / jede interessierte Patientin mit Parkinsonerkrankung ist dazu eingeladen. Die derzeit teilnehmenden Zentren befinden sich in Wien, Innsbruck, Graz und Linz. Die Koordination des Registers erfolgt ausgehend von der Universitätsklinik für Neurologie der Medizinischen Universität Innsbruck.
Beginn nicht-motorischer Symptome bei Morbus Parkinson
The onset of nonmotor symptoms in Parkinson's disease (the ONSET PD study).
AutorInnen: Pont-Sunyer C, Hotter A, Gaig C, Seppi K, Compta Y, Katzenschlager R, Mas N, Hofeneder D, Brücke T, Bayés A, Wenzel K, Infante J, Zach H, Pirker W, Posada IJ, ??lvarez R, Ispierto L, De Fàbregues O, Callén A, Palasí A, Aguilar M, Martí MJ, Valldeoriola F, Salamero M, Poewe W, Tolosa E.
Journal: Mov Disord. 2015 Feb;30(2):229-37. doi: 10.1002/mds.26077. Epub 2014 Dec 1.
Abstract: Several randomized placebo-controlled trials have consistently shown antidyskinetic effects of amantadine in levodopa treated patients with advanced Parkinson's disease (PD). However, all of these were of short duration and there have been claims that the effect of amantadine on levodopa induced dyskinesias (LID's) wear off after about 9 months of treatment. This randomized placebo-controlled parallel-group study was performed to assess the long-term antidyskinetic effect of amantadine in 32 PD patients, who after having been on stable amantadine therapy for LID over at least one year- were switched in a double blind manner to amantadine or placebo and followed for 3 weeks. Dyskinesia duration and intensity were assessed by UPDRS IV items 32 and 33 as well as by patient's diaries. The primary outcome was the score change of UPDRS IV items 32 + 33 between baseline and 3 weeks after treatment as well as the between treatment group comparison of the score change of UPDRS IV items 32 + 33. There was a significant increase of UPDRS IV items 32 + 33 in patients treated with placebo from 3.06 (95% CI, 2.1-4.03) at baseline to 4.28 (95% CI, 3.1-5.4) at three-week follow-up (P = 0.02) compared with no significant change between baseline 3.2 (95% CI, 2.1-4.4) to follow-up 3.6 (95% CI, 2.3-4.8) in patients staying on amantadine. These findings argue for long-term antidyskinetic efficacy of amantadine in PD patients with LID's.
Amantadin: Langzeitwirksamkeit gegen Dyskinesien bei Morbus Parkinson
Long-term antidyskinetic efficacy of amantadine in Parkinson's disease.
AutorInnen: Wolf E, Seppi K, Katzenschlager R, Hochschorner G, Ransmayr G, Schwingenschuh P, Ott E, Kloiber I, Haubenberger D, Auff E, Poewe W.
Journal: Mov Disord. 2010 Jul 30;25(10):1357-63. doi: 10.1002/mds.23034.
Abstract: Several randomized placebo-controlled trials have consistently shown antidyskinetic effects of amantadine in levodopa treated patients with advanced Parkinson's disease (PD). However, all of these were of short duration and there have been claims that the effect of amantadine on levodopa induced dyskinesias (LID's) wear off after about 9 months of treatment. This randomized placebo-controlled parallel-group study was performed to assess the long-term antidyskinetic effect of amantadine in 32 PD patients, who after having been on stable amantadine therapy for LID over at least one year- were switched in a double blind manner to amantadine or placebo and followed for 3 weeks. Dyskinesia duration and intensity were assessed by UPDRS IV items 32 and 33 as well as by patient's diaries. The primary outcome was the score change of UPDRS IV items 32 + 33 between baseline and 3 weeks after treatment as well as the between treatment group comparison of the score change of UPDRS IV items 32 + 33. There was a significant increase of UPDRS IV items 32 + 33 in patients treated with placebo from 3.06 (95% CI, 2.1-4.03) at baseline to 4.28 (95% CI, 3.1-5.4) at three-week follow-up (P = 0.02) compared with no significant change between baseline 3.2 (95% CI, 2.1-4.4) to follow-up 3.6 (95% CI, 2.3-4.8) in patients staying on amantadine. These findings argue for long-term antidyskinetic efficacy of amantadine in PD patients with LID's.