Evaluating the clinical utility of the parkinson’s kinetigraph (PKG)
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2018-10Author
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<jats:sec><jats:title>Objective</jats:title><jats:p>To evaluate the utility of the Parkinson’s Kinetigraph (PKG™) in the remote management of Parkinson’s disease (PD).</jats:p></jats:sec><jats:sec><jats:title>Background</jats:title><jats:p>There is a movement in Parkinson’s care from a clinic-based model<jats:sup>1</jats:sup> to P4 medicine, meaning medicine that is predictive, preventive, personalised and participatory.<jats:sup>2</jats:sup> The development of wearable technology provides an opportunity to monitor patients remotely, and deliver targeted care. The PKG™ is a wrist-worn device that objectively measures Parkinson’s symptoms.</jats:p></jats:sec><jats:sec><jats:title>Aim</jats:title><jats:p>To evaluate the utility of the PKG™ in managing PD patients remotely, and the perception of service users.</jats:p></jats:sec><jats:sec><jats:title>Method</jats:title><jats:p>PKG™ data were collated in real time. Patient acceptability data were collated via a patient questionnaire (n=61).</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>Between July 2015 and January 2018, 216 PKGs were performed. A variety of symptoms were identified, including different types of ‘OFF’ times (wearing off (25%), delayed on (6%) no drug response (8%)) and non-motor complications (fragmented sleep (33%) and daytime somnolence (21%)), with subsequent treatment recommendations being made. Patient acceptability of the PKG™ was high, 81% of patients being satisfied not having to travel for clinic appointments.</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>The PKG™ facilitated remote treatment recommendations. Remote management was acceptable to patients. Future evaluations will evaluate patient outcome.</jats:p></jats:sec><jats:sec><jats:title>References</jats:title><jats:list list-type="order"><jats:list-item><jats:p>. van der Eijk M, Nijhuis FAP, Faber MJ, Bloem BR. Moving from physician-centered care towards patient-centered care for Parkinson’s disease patients. Parkinsonism Relat Disord [Internet]. Elsevier; 1 November 2013;19(11):923–7. Available from: https://www.sciencedirect.com/science/article/pii/S1353802013001697?_rdoc=1&_fmt=high&_origin=gateway&_docanchor=&md5=b8429449ccfc9c30159a5f9aeaa92ffb [cited 2018 February 6]</jats:p></jats:list-item><jats:list-item><jats:p>. <jats:italic>P4 medicine: how systems medicine will transform the healthcare sector and society</jats:italic>. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4204402/pdf/nihms532619.pdf [cited 2018 April 6]</jats:p></jats:list-item></jats:list></jats:sec>
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