Best practice guidelines for the diagnosis, evaluation, and management of cognitive disorders in Parkinson's disease - PubMed
6 hours ago
- #Parkinson's disease
- #clinical guidelines
- #cognitive impairment
- Cognitive impairment is prevalent in Parkinson's disease (PD), but clinical approaches vary widely.
- Updated best practice guidelines were developed to standardize diagnosis, evaluation, and management of cognitive disorders in PD.
- The guideline development involved two phases: expert consensus (Phase 1) and lived-experience perspectives (Phase 2).
- Phase 1 included literature reviews, a national survey, and a modified Delphi process, resulting in 51 evidence-based recommendations.
- Phase 2 involved focus groups with people with lived experience (n=15) and a national survey (n=81), yielding 25 recommendations with consensus on 24.
- A total of 58 unique recommendations were produced, including a tailored neuropsychological toolkit for PD cognitive decline.
- These are the first guidelines informed by empirical evidence, expert consensus, and lived experience.
- Adoption of these guidelines aims to improve care quality, diagnostic accuracy, and early detection of cognitive disorders in PD.
- Future service models should integrate these guidelines to optimize cognitive care and promote patient-centered standards.