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. 2017 Oct 6;89(1):78–88. doi: 10.1136/jnnp-2017-316213

Table 2.

MDS-UPDRS Part I at baseline, year 1 and year 2

Variable PD subjects Healthy controls (HC) p-Values
Baseline (n=423) Year 1 (n=398) Year 2 (n=380) p Value (change over time) Baseline (n=196) Year 1 (n=185) Year 2 (n=174) p Value (change over time) Group*Visit
Interaction
PD versus HC
MDS-UPDRS Part I score
 Mean (SD) 5.57 (4.06) 6.78 (4.60) 7.68 (5.02) <0.0001 2.94 (2.96) 3.21 (3.21) 3.18 (3.03) 0.3817 <0.0001 N/A*
 (Min, Max) (0.00, 24.00) (0.00, 29.00) (0.00, 26.00) (0.00, 17.00) (0.00, 16.00) (0.00, 14.00)
  Missing 1 3 4 1 0 1
Cognitive impairment
 Normal 315 (74.64%) 279 (71.36%) 242 (64.36%) 0.0007 176 (90.26%) 170 (91.89%) 149 (86.13%) 0.1354 0.5412 <0.0001
  Slight 94 (22.27%) 95 (24.30%) 102 (27.13%) 18 (9.23%) 15 (8.11%) 24 (13.87%)
  Mild 13 (3.08%) 15 (3.84%) 25 (6.65%) 1 (0.51%) 0 (0.00%) 0 (0.00%)
 Moderate 0 (0.00%) 2 (0.51%) 7 (1.86%) 0 (0.00%) 0 (0.00%) 0 (0.00%)
  Severe 0 (0.00%) 0 (0.00%) 0 (0.00%) 0 (0.00%) 0 (0.00%) 0 (0.00%)
Hallucinations and psychosis
  Normal 409 (96.92%) 372 (95.14%) 347 (92.29%) 0.0057 194 (99.49%) 185 (100.00%) 171 (98.84%) N/A† N/A† <0.0001
  Slight 13 (3.08%) 19 (4.86%) 24 (6.38%) 1 (0.51%) 0 (0.00%) 2 (1.16%)
  Mild 0 (0.00%) 0 (0.00%) 4 (1.06%) 0 (0.00%) 0 (0.00%) 0 (0.00%)
 Moderate 0 (0.00%) 0 (0.00%) 1 (0.27%) 0 (0.00%) 0 (0.00%) 0 (0.00%)
  Severe 0 (0.00%) 0 (0.00%) 0 (0.00%) 0 (0.00%) 0 (0.00%) 0 (0.00%)
Depressed mood
  Normal 322 (76.30%) 277 (70.84%) 260 (69.15%) 0.0111 171 (87.69%) 163 (88.11%) 153 (88.44%) 0.9070 0.2815 <0.0001
  Slight 85 (20.14%) 86 (21.99%) 81 (21.54%) 21 (10.77%) 16 (8.65%) 16 (9.25%)
  Mild 14 (3.32%) 23 (5.88%) 23 (6.12%) 2 (1.03%) 4 (2.16%) 4 (2.31%)
 Moderate 0 (0.00%) 5 (1.28%) 10 (2.66%) 0 (0.00%) 2 (1.08%) 0 (0.00%)
  Severe 1 (0.24%) 0 (0.00%) 2 (0.53%) 1 (0.51%) 0 (0.00%) 0 (0.00%)
Anxious mood
  Normal 271 (64.22%) 257 (65.73%) 253 (67.29%) 0.5020 157 (80.51%) 155 (83.78%) 147 (84.97%) 0.2748 0.6480 <0.0001
  Slight 130 (30.81%) 101 (25.83%) 95 (25.27%) 34 (17.44%) 24 (12.97%) 23 (13.29%)
  Mild 17 (4.03%) 29 (7.42%) 18 (4.79%) 3 (1.54%) 6 (3.24%) 3 (1.73%)
 Moderate 3 (0.71%) 4 (1.02%) 9 (2.39%) 1 (0.51%) 0 (0.00%) 0 (0.00%)
  Severe 1 (0.24%) 0 (0.00%) 1 (0.27%) 0 (0.00%) 0 (0.00%) 0 (0.00%)
Apathy
 Normal 351 (83.18%) 301 (76.98%) 278 (73.94%) 0.0002 186 (95.38%) 178 (96.22%) 165 (95.38%) 0.8919 0.3936 <0.0001
  Slight 60 (14.22%) 62 (15.86%) 63 (16.76%) 8 (4.10%) 6 (3.24%) 7 (4.05%)
  Mild 10 (2.37%) 25 (6.39%) 27 (7.18%) 1 (0.51%) 1 (0.54%) 1 (0.58%)
  Moderate 0 (0.00%) 3 (0.77%) 7 (1.86%) 0 (0.00%) 0 (0.00%) 0 (0.00%)
  Severe 1 (0.24%) 0 (0.00%) 1 (0.27%) 0 (0.00%) 0 (0.00%) 0 (0.00%)
Dopamine dysregulation syndrome
  Normal 413 (97.87%) 382 (97.70%) 353 (94.13%) 0.0188 192 (98.46%) 185 (100.00%) 171 (98.84%) N/A† N/A† 0.0006
  Slight 8 (1.90%) 7 (1.79%) 17 (4.53%) 3 (1.54%) 0 (0.00%) 2 (1.16%)
  Mild 1 (0.24%) 2 (0.51%) 5 (1.33%) 0 (0.00%) 0 (0.00%) 0 (0.00%)
 Moderate 0 (0.00%) 0 (0.00%) 0 (0.00%) 0 (0.00%) 0 (0.00%) 0 (0.00%)
  Severe 0 (0.00%) 0 (0.00%) 0 (0.00%) 0 (0.00%) 0 (0.00%) 0 (0.00%)
Sleep problems
  Normal 198 (46.92%) 163 (41.69%) 152 (40.43%) 0.0655 110 (56.41%) 94 (50.81%) 95 (54.91%) 0.2950 0.3815 0.0010
  Slight 125 (29.62%) 106 (27.11%) 100 (26.60%) 53 (27.18%) 55 (29.73%) 39 (22.54%)
  Mild 62 (14.69%) 79 (20.20%) 80 (21.28%) 19 (9.74%) 23 (12.43%) 24 (13.87%)
 Moderate 26 (6.16%) 35 (8.95%) 31 (8.24%) 10 (5.13%) 11 (5.95%) 13 (7.51%)
  Severe 11 (2.61%) 8 (2.05%) 13 (3.46%) 3 (1.54%) 2 (1.08%) 2 (1.16%)
Daytime sleepiness
  Normal 213 (50.47%) 150 (38.36%) 118 (31.38%) <0.0001 127 (65.13%) 117 (63.24%) 102 (58.96%) 0.2332 0.0228 N/A*
  Slight 123 (29.15%) 133 (34.02%) 132 (35.11%) 49 (25.13%) 42 (22.70%) 46 (26.59%)
  Mild 84 (19.91%) 106 (27.11%) 119 (31.65%) 18 (9.23%) 25 (13.51%) 25 (14.45%)
 Moderate 2 (0.47%) 1 (0.26%) 4 (1.06%) 1 (0.51%) 1 (0.54%) 0 (0.00%)
  Severe 0 (0.00%) 1 (0.26%) 3 (0.80%) 0 (0.00%) 0 (0.00%) 0 (0.00%)
Pain and other sensations
  Normal 201 (47.63%) 168 (42.97%) 142 (37.77%) 0.0034 130 (66.67%) 114 (61.96%) 112 (64.74%) 0.4874 0.2124 <0.0001
  Slight 168 (39.81%) 151 (38.62%) 171 (45.48%) 53 (27.18%) 55 (29.89%) 46 (26.59%)
  Mild 32 (7.58%) 39 (9.97%) 38 (10.11%) 5 (2.56%) 7 (3.80%) 9 (5.20%)
 Moderate 17 (4.03%) 30 (7.67%) 19 (5.05%) 6 (3.08%) 7 (3.80%) 6 (3.47%)
  Severe 4 (0.95%) 3 (0.77%) 6 (1.60%) 1 (0.51%) 1 (0.54%) 0 (0.00%)
Urinary problems
  Normal 207 (49.05%) 170 (43.48%) 160 (42.55%) 0.0228 148 (75.90%) 139 (75.54%) 133 (76.88%) 0.9005 0.3128 <0.0001
  Slight 165 (39.10%) 160 (40.92%) 142 (37.77%) 39 (20.00%) 33 (17.93%) 31 (17.92%)
  Mild 35 (8.29%) 45 (11.51%) 52 (13.83%) 6 (3.08%) 11 (5.98%) 8 (4.62%)
 Moderate 11 (2.61%) 14 (3.58%) 19 (5.05%) 2 (1.03%) 1 (0.54%) 1 (0.58%)
  Severe 4 (0.95%) 2 (0.51%) 3 (0.80%) 0 (0.00%) 0 (0.00%) 0 (0.00%)
Constipation
  Normal 282 (66.82%) 206 (52.69%) 187 (49.73%) <0.0001 171 (87.69%) 161 (87.03%) 153 (88.44%) 0.7779 0.0272 N/A*
  Slight 109 (25.83%) 139 (35.55%) 135 (35.90%) 21 (10.77%) 22 (11.89%) 18 (10.40%)
  Mild 26 (6.16%) 36 (9.21%) 40 (10.64%) 2 (1.03%) 2 (1.08%) 2 (1.16%)
 Moderate 5 (1.18%) 10 (2.56%) 14 (3.72%) 1 (0.51%) 0 (0.00%) 0 (0.00%)
  Severe 0 (0.00%) 0 (0.00%) 0 (0.00%) 0 (0.00%) 0 (0.00%) 0 (0.00%)
Lightheadedness
  Normal 311 (73.70%) 274 (70.08%) 244 (64.89%) 0.0061 175 (89.74%) 163 (88.11%) 157 (90.75%) 0.6703 0.2232 <0.0001
  Slight 96 (22.75%) 97 (24.81%) 99 (26.33%) 20 (10.26%) 19 (10.27%) 16 (9.25%)
  Mild 12 (2.84%) 18 (4.60%) 23 (6.12%) 0 (0.00%) 3 (1.62%) 0 (0.00%)
 Moderate 3 (0.71%) 2 (0.51%) 9 (2.39%) 0 (0.00%) 0 (0.00%) 0 (0.00%)
  Severe 0 (0.00%) 0 (0.00%) 1 (0.27%) 0 (0.00%) 0 (0.00%) 0 (0.00%)
Fatigue
  Normal 210 (49.76%) 181 (46.29%) 161 (42.82%) 0.0524 146 (74.87%) 131 (70.81%) 119 (68.79%) 0.2992 0.9097 <0.0001
  Slight 165 (39.10%) 144 (36.83%) 138 (36.70%) 44 (22.56%) 46 (24.86%) 48 (27.75%)
  Mild 34 (8.06%) 51 (13.04%) 62 (16.49%) 2 (1.03%) 5 (2.70%) 6 (3.47%)
 Moderate 10 (2.37%) 13 (3.32%) 12 (3.19%) 3 (1.54%) 3 (1.62%) 0 (0.00%)
  Severe 3 (0.71%) 2 (0.51%) 3 (0.80%) 0 (0.00%) 0 (0.00%) 0 (0.00%)
Cognitive/psychiatric subdomain
 Mean (SD) 1.23 (1.57) 1.53 (1.85) 1.87 (2.27) <0.0001 0.54 (1.08) 0.48 (1.13) 0.52 (1.01) 0.6261 <0.0001 N/A*
 (Min, Max) (0.00, 13.00) (0.00, 10.00) (0.00, 14.00) (0.00, 8.00) (0.00, 8.00) (0.00, 5.00)
  Missing 1 7 4 1 0 1
  Score=0 177 (41.94%) 150 (38.36%) 129 (34.31%) 137 (70.26%) 140 (75.68%) 122 (70.52%)
 One or above 245 (58.06%) 241 (61.64%) 247 (65.69%) 0.0290 58 (29.74%) 45 (24.32%) 51 (29.48%) 0.2169 0.1156 <0.0001
 Two or above 134 (31.75%) 148 (37.85%) 164 (43.62%) 0.0001 27 (13.85%) 18 (9.73%) 20 (11.56%) 0.2925 0.0204 N/A*
Sleep subdomain
 Mean (SD) 1.58 (1.49) 1.93 (1.55) 2.13 (1.60) <0.0001 1.13 (1.30) 1.28 (1.30) 1.33 (1.39) 0.0737 0.0089 N/A*
 (Min, Max) (0.00, 7.00) (0.00, 8.00) (0.00, 8.00) (0.00, 6.00) (0.00, 5.00) (0.00, 6.00)
  Missing 1 7 4 1 0 1
  Score=0 123 (29.15%) 87 (22.25%) 70 (18.62%) 83 (42.56%) 63 (34.05%) 64 (36.99%)
  One or above 299 (70.85%) 304 (77.75%) 306 (81.38%) 0.0003 112 (57.44%) 122 (65.95%) 109 (63.01%) 0.1001 0.2159 <0.0001
  Two or above 187 (44.31%) 221 (56.52%) 235 (62.50%) <0.0001 63 (32.31%) 63 (34.05%) 67 (38.73%) 0.2330 0.0259 N/A*
Autonomic subdomain
 Mean (SD) 1.40 (1.37) 1.74 (1.48) 1.99 (1.70) <0.0001 0.54 (0.81) 0.59 (0.86) 0.51 (0.85) 0.4648 <0.0001 N/A*
 (Min, Max) (0.00, 7.00) (0.00, 10.00) (0.00, 8.00) (0.00, 4.00) (0.00, 4.00) (0.00, 5.00)
  Missing 1 7 4 1 0 1
 Score=0 127 (30.09%) 88 (22.51%) 75 (19.95%) 120 (61.54%) 111 (60.00%) 113 (65.32%)
  One or above 295 (69.91%) 303 (77.49%) 301 (80.05%) 0.0002 75 (38.46%) 74 (40.00%) 60 (34.68%) 0.3327 0.0060 N/A*
  Two or above 162 (38.39%) 198 (50.64%) 209 (55.59%) <0.0001 21 (10.77%) 26 (14.05%) 19 (10.98%) 0.4175 0.0432 N/A*

Report generated on data submitted as of 04 January 2016.

p Values for individual Part I items are from logistic models considering response=0 versus any other response.

*PD versus HC comparison is not applicable if test of interaction was significant. A significant test of interaction means the rates of change over time are different between the two groups.

†Test could not be performed because all subjects from one group are in only one category for at least one time point.

MDS-UPDRS, Movement Disorder Society Unified Parkinson’s Disease Rating Scale; N/A, not applicable;PD, Parkinson’s disease.