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. 2018 Jul 2;4:20. doi: 10.1038/s41531-018-0056-2

Table 4.

Parkinson’s disease (PD) clinical stage based on the neurologist’s clinical judgment (gold standard)

Clinical stage Clinical characteristics
Initiala Very mild clinical manifestations; absence of disability; and no need of pharmacologic treatment or only initial therapy at low effective doses
Milda Mild clinical and functional manifestations; minimal or no complications; and satisfactory response to conventional pharmacologic therapy
Moderatea Moderate clinical manifestations and disability; good response; some complications are present, although not satisfactory to the conventional pharmacologic therapy
Advancedb Severe clinical manifestations and disability; severe motor and non-motor complications; partial poor response to conventional pharmacologic therapy
Late-stageb Very severe clinical manifestations and disability; very severe motor and non-motor complications; no response to conventional pharmacologic therapy

aNon-advanced PD

bAdvanced PD