Advanced Parkinson’s disease and eligibility for device-aided therapies in Morocco: a multicenter cross-sectional study.

Publication date: Mar 24, 2025

This study investigates the prevalence and clinical features of advanced Parkinson’s disease (APD) in Moroccan patients and evaluates their eligibility for Device-Aided Therapies (DATs), including Deep Brain Stimulation (DBS), Continuous Subcutaneous Apomorphine Infusion (CSAI), and Levodopa-Carbidopa Intestinal Gel infusion (LCIG). We conducted a cross-sectional study across 15 facilities in five cities within the Casablanca-Settat region, Morocco. We collected demographics, clinical, and health-related quality of life data. Logistic regression identified factors predicting disease progression and DATs eligibility. This study included 370 patients with Parkinson’s disease, of whom 44. 6% (95%CI: 39. 5%-49. 8%) had APD. Each additional year of disease duration increased APD odds by 8% (ORa = 1. 08, p = 0. 047). Overall, 38. 9% of patients qualified for at least one DAT, including 18. 9% for DBS, 35. 4% for CSAI, and 13. 8% for LCIG; however, only one patient received DBS. Younger age at onset was associated with greater DATs eligibility, with each additional year reducing eligibility by 7% (ORa = 0. 93, p 

Concepts Keywords
Carbidopa deep brain stimulation
Increased device-aided therapies
Morocco levodopa-carbidopa Intestinal gel
Parkinson Morocco
Therapy

Semantics

Type Source Name
disease MESH Parkinson’s disease
drug DRUGBANK Apomorphine
drug DRUGBANK Levodopa
drug DRUGBANK Carbidopa
disease MESH disease progression

Original Article

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