Assessing the Efficacy of Cell Transplantation for Parkinson's Disease: A Patient-Centered Approach

被引:5
作者
Polgar, Stephen [1 ]
Karimi, Leila [2 ,3 ]
Buultjens, Melissa [2 ]
Morris, Meg E. [4 ]
Busse, Monica [5 ]
机构
[1] La Trobe Univ, Sch Allied Hlth, Melbourne, Vic, Australia
[2] La Trobe Univ, Sch Psychol & Publ Hlth, Melbourne, Vic 3086, Australia
[3] Ilia State Univ, Sch Hlth Policy & Management, Tbilisi, Georgia
[4] La Trobe Univ, Sch Allied Hlth, La Trobe Ctr Sport & Exercise Med Res, Melbourne, Vic, Australia
[5] Cardiff Univ, Ctr Trials Res, Cardiff, S Glam, Wales
关键词
Cell transplantation; Parkinson's disease; patient-centered approach; 360 degree assessment; CORE ASSESSMENT PROGRAM; DEEP BRAIN-STIMULATION; PRIMARY END-POINTS; SHAM-SURGERY; DOUBLE-BLIND; STEM-CELLS; DOPAMINE NEURONS; MEDICAL THERAPY; CLINICAL-TRIALS; FUTURE;
D O I
10.3233/JPD-181309
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
Background: Evidence from a growing number of preclinical studies indicate that recently discovered stem cell lines may be translated into viable cellular therapies for people with Parkinson's disease. Objectives: In a brief but critical review, we examine the use of primary and secondary outcome measures currently used to evaluate the efficacy of cellular therapies. Methods: The current practice of relying on a single primary outcome measure does not appear to provide the evidence required for demonstrating the robust, life-changing recovery anticipated with the successful implementation of cellular therapies. Results: We propose a 360-degree assessment protocol, which includes co-primary and composite outcome measures to provide accurate and comprehensive evidence of treatment efficacy, from the perspectives of both the researchers and the patients.
引用
收藏
页码:375 / 383
页数:9
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