Impact of the Publication of Chinese Treatment Guideline
on the Initial Therapy in Parkinson’s Disease in Beijing
Volume 3 - Issue 1
Haitian Nan, Kai Li, Shuhua Li, Wen Su and Haibo Chen*
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- Department of Neurology, Beijing Hospital, China
*Corresponding author:
Haibo Chen, Department of Neurology, Beijing Hospital, China
Received:July 31, 2019; Published: August 08, 2019
DOI: 10.32474/OJNBD.2019.02.000153
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Abstract
Background: The Guideline for Management of Parkinson’s Disease in China was published in 2006 to standardize Parkinson’s
disease treatment. Our objective was to compare the initial PD treatment and their accordance with the recommendations before
and after the guideline publication.
Methods: We identified 136 PD patients as part of a hospital-based study in Beijing, and compared the prescriptions of
Dopamine Agonists (DA) and levodopa (LD) as initial therapy to evaluate the impact of the publication of Chinese guideline on the
therapy of PD.
Results: We found that the publication of the guideline resulted in no difference in initial treatment of PD patients > 65 years.
In patients < 65 years, the prescription of DA was significantly increased after the publication of the guideline. There were no
significant differences in initial treatment between patients treated in hospitals of different levels or patients with different types
of insurance.
Conclusion: The guideline promoted DA utilization as initial treatment in young patients.
Keywords:Parkinson Disease; Initial Therapy; Treatment Guideline; Dopamine Agonist; Beijing
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