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Clinical heterogeneity in patients with early-stage Parkinson's disease: a cluster analysis

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收录情况: ◇ SCIE ◇ CSCD-C

机构: [1]Department of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing 100050, China [2]Department of Neurology, Beijing Xuanwu Hospital, Capital Medical University, Beijing 100053, China
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关键词: Parkinson's disease Heterogeneity Subtype Cluster analysis

摘要:
The aim of this study was to investigate the clinical heterogeneity of Parkinson's disease (PD) among a cohort of Chinese patients in early stages. Clinical data on demographics, motor variables, motor phenotypes, disease progression, global cognitive function, depression, apathy, sleep quality, constipation, fatigue, and L-dopa complications were collected from 138 Chinese PD subjects in early stages (Hoehn and Yahr stages 1-3). The PD subject subtypes were classified using k-means cluster analysis according to the clinical data from five- to three-cluster consecutively. Kappa statistical analysis was performed to evaluate the consistency among different subtype solutions. The cluster analysis indicated four main subtypes: the non-tremor dominant subtype (NTD, n=28, 20.3%), rapid disease progression subtype (RDP, n=7, 5.1%), young-onset subtype (YO, n=50, 36.2%), and tremor dominant subtype (TD, n=53, 38.4%). Overall, 78.3% (108/138) of subjects were always classified between the same three groups (52 always in TD, 7 in RDP, and 49 in NTD), and 98.6% (136/138) between five- and four-cluster solutions. However, subjects classified as NTD in the four-cluster analysis were dispersed into different subtypes in the three-cluster analysis, with low concordance between four- and three-cluster solutions (kappa value=-0.139, P=0.001). This study defines clinical heterogeneity of PD patients in early stages using a data-driven approach. The subtypes generated by the four-cluster solution appear to exhibit ideal internal cohesion and external isolation.

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出版当年[2010]版:
大类 | 4 区 生物
小类 | 4 区 生化与分子生物学 4 区 生物工程与应用微生物
最新[2025]版:
大类 | 2 区 医学
小类 | 2 区 生化与分子生物学 2 区 生物工程与应用微生物 2 区 医学:研究与实验
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出版当年[2009]版:
Q3 BIOTECHNOLOGY & APPLIED MICROBIOLOGY Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY
最新[2024]版:
Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY Q1 BIOTECHNOLOGY & APPLIED MICROBIOLOGY Q1 MEDICINE, RESEARCH & EXPERIMENTAL

影响因子: 最新[2024版] 最新五年平均 出版当年[2009版] 出版当年五年平均 出版前一年[2008版] 出版后一年[2010版]

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第一作者机构: [1]Department of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing 100050, China
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通讯机构: [1]Department of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing 100050, China
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