Quality of life in dysphagia in Parkinson's disease: a systematic review
Qualidade de vida em disfagia na doença de Parkinson: uma revisão sistemática
Danielle Carneiro; Luciana Rodrigues Belo; Maria das Graças Wanderley de Sales Coriolano; Amdore Gurgel C. Asano; Otávio Gomes Lins
Abstract
Parkinson's disease can cause problems with swallowing at any stage of the disease because of movement dysfunctions. Despite various symptoms, normally the initial swallowing alterations associated with Parkinson's Disease go undiagnosed and can damage quality of life. However, instruments for assessing the effects of quality of life in dysphagia are yet to be studied systematically. The objective of this systematic review was to analyze the adequacy of the Dysphagia's Quality of Life questionnaire in assessing Parkinson's disease. Articles examining both men and women were included, whereas those assessing treatment or that examined patients with Parkinsonism, or another form of disease, were excluded. Thirty articles were included after searches through Bireme, Pubmed and Capes' Databank of Theses. The Jadad Scale was used to assess them, with some modifications. Both articles showed that the Dysphagia's Quality of Life questionnaire is a secure and relevant instrument for assessing Parkinsonian swallowing alterations, except during sleep. Besides, it can indicate a general quality of life understanding. Thus, the use of the questionnaire helped assess quality of life in dysphagia in Parkinson's disease subjects.
Keywords
Resumo
A doença de Parkinson pode causar distúrbios da deglutição em qualquer fase da doença devido às disfunções dos movimentos. Apesar da diversidade de sintomas, normalmente as alterações iniciais na deglutição do parkinsoniano são despercebidas e podem ocasionar prejuízo na qualidade de vida. Contudo, instrumentos que avaliam a qualidade de vida em disfagia na doença de Parkinson não têm sido sistematicamente estudados. Esta revisão sistemática objetivou identificar a utilização do questionário de Qualidade de Vida em Disfagia para avaliação na doença de Parkinson. Foram incluídos artigos com sujeitos de ambos os sexos e com doença de Parkinson idiopática, e excluídos os artigos de avaliação de tratamento e que apresentaram indivíduos com outra forma de parkinsonismo. Após a busca realizada nos portais da Bireme, Pubmed e Banco de Teses da Capes, foram analisados 30 artigos, dos quais dois foram incluídos depois da aplicação da Escala de Jadad modificada. Os dois artigos evidenciaram que o questionário de Qualidade de Vida em Disfagia é um instrumento seguro e relevante para avaliar alterações da deglutição do parkinsoniano nos domínios do instrumento, exceto no sono. Além disso, o questionário pode indicar uma compreensão da qualidade de vida geral. Sendo assim, a utilização do questionário de Qualidade de Vida em Disfagia contribuiu para avaliação da qualidade de vida em disfagia de sujeitos com doença de Parkinson.
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References
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Submitted date:
02/15/2012
Accepted date:
06/07/2012
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