Systematic review and meta-analysis of the quality-of-life of patients with Parkinson's disease
Hoseinipalangi, Zahra
Kan, Fatemeh Pashazadeh
Hosseinifard, Hossein
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Doustmehraban, Maryam
Masoumi, Maryam
Rafiei, Sima
Barmayoon, Pooyan
Ahmadi, Niloofar
Dehnad, Afsaneh
Eshtod, Hajar
Asl, Mahsa Tohidi
Hoseini, Batool Sadat
Nasiri, Mahmoud
Arian, Moslem
Aghalou, Sepideh
Ghashghaee, Ahmad
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Ghashghaee, A (通讯作者),Qazvin Univ Med Sci, Social Determinants Hlth Res Ctr, Qazvin, Iran.
Background: Parkinson's disease can adversely affect the quality-of-life. Aims: We conducted a systematic review and meta-analysis of global literature on the quality-of-life of patients with Parkinson's disease and examined the association between patient characteristics and quality-of-life.Methods: We searched Embase, PubMed, Scopus and Web of Science from January 2000 to January 2020. We included articles published in English that used the Parkinson's disease questionnaire to estimate the quality-of-life score and to identify the determinants of quality-of-life in patients with Parkinson's disease.Results: In total, 41 studies with data from 4060 patients who had Parkinson's disease met our inclusion criteria. The overall quality-of-life score was 32.37 (95% confidence intervals (CI): 28.72-36.01). Age and duration of disease were inversely related to quality-of-life (P < 0.001). South America had the highest score on the questionnaire (39.73, 95% CI: 28.66-50.79, P < 0.001), indicating the lowest quality-of-life of patients with Parkinson's disease. Of the 6 World Health Organization regions, the Eastern Mediterranean Region had the highest score (36.28, 95% CI: 23.44-49.13, P < 0.001).Conclusion: Although the global score in patients with Parkinson's disease indicated an acceptable quality-of-life, there is a possibility for improvements. The findings of this study can inform evidence-based strategies by health policymakers and clinicians to enhance the quality-of-life of patients with Parkinson's disease.