Discrepancies in symptom concerns and burden from the perspectives of parkinson's disease patients, caregivers, and physicians - Report - MDSpire

Discrepancies in symptom concerns and burden from the perspectives of parkinson's disease patients, caregivers, and physicians

  • By

  • Shohei Okusa

  • Toshiki Tezuka

  • Tomonori Nukariya

  • Yoshihiro Nihei

  • Jin Nakahara

  • Morinobu Seki

  • May 4, 2026

  • 0 min

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Variations in Symptom Concerns and Perceived Burden Among Parkinson's Disease Patients, Caregivers, and Healthcare Providers

Overview

This study highlights significant discrepancies in symptom concerns and perceived burdens among Parkinson's disease patients, caregivers, and healthcare providers. Bradykinesia was consistently identified as the most distressing symptom, while caregivers emphasized non-motor symptoms affecting their caregiving roles.

Background

Understanding the differences in symptom perception among patients, caregivers, and healthcare providers is crucial for optimizing treatment in Parkinson's disease (PD). Discrepancies in symptom acknowledgment can hinder effective communication and treatment strategies, ultimately impacting patient quality of life. As PD progresses, both motor and non-motor symptoms significantly influence the burden experienced by patients and their caregivers.

Data Highlights

GroupMost Distressing Symptom
PatientsBradykinesia
CaregiversAxial Symptoms, Urinary Urgency
Healthcare ProvidersBradykinesia

Key Findings

  • Bradykinesia was the most worrisome symptom identified by all cohorts.
  • Patients prioritized tremor more than caregivers or physicians.
  • Caregivers highlighted symptoms impacting caregiving, such as urinary urgency and excessive daytime somnolence.
  • Motor complications like wearing-off and dyskinesia were not highly ranked by patients.
  • Physicians acknowledged motor complications more frequently than patients.

Clinical Implications

Healthcare providers should enhance communication with patients and caregivers to address discrepancies in symptom perception. Incorporating caregiver insights into treatment planning can lead to more personalized care and improved quality of life for patients with Parkinson's disease.

Conclusion

The study underscores the importance of recognizing and addressing perceptual discrepancies in symptom burden among patients, caregivers, and healthcare providers to enhance the management of Parkinson's disease.

References

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  8. Overview | Parkinson’s disease in adults | Guidance | NICE
  9. Tavapadon as Adjunctive Treatment for Parkinson Disease: The TEMPO-3 Randomized Clinical Trial - PubMed
  10. Associated Factors of Caregiver Burden in Parkinson’s Disease: A Systematic Review and Meta-analysis - PMC

Original Source(s)

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