Table 6.
Needs of PD management: present and future.
| Items | YEAR 2020 | TREND 2030 | |||||
| This Item Is Important in Current Diagnosis of PD | By 2030, the Importance of This Item on Diagnosis of PD Will… | ||||||
| PD Diagnosis | Not (very) important | (Very) important | Consensus | ▼ | = | ▲ | Consensus |
| Appropriate information from professionals | 1% | 99% | Important | 0% | 37% | 63% | Undetermined |
| Shortening the time to obtain PD diagnosis | 9% | 91% | Important | 1% | 19% | 79% | Increase ▲ |
| Rapid referral to protocolized MDU | 15% | 85% | Important | 0% | 22% | 78% | Increase ▲ |
| Training primary care professionals for early detection of motor symptoms suggestive of PD | 9% | 81% | Important | 0% | 36% | 64% | Undetermined |
| Providing psychological support to the patient, family and/or caregiver | 37% | 63% | Undetermined | 0% | 39% | 61% | Undetermined |
| Support from movement disorders specialist nurses | 59% | 41% | Undetermined | 1% | 17% | 81% | Increase ▲ |
| Early diagnosis based on non-motor symptoms | 69% | 31% | Undetermined | 0% | 23% | 77% | Increase ▲ |
| PD Follow-Up | |||||||
| This Item Is Needed during the Follow-Up of PD | By 2030 the Level of Satisfaction of This Need Will… | ||||||
| (Strongly) Disagree | (Strongly) Agree | Consensus | ▼ | = | ▲ | Consensus | |
| Ensuringthe resolution of any doubts the patient may have. | 3% | 97% | Agree | 0% | 45% | 55% | Undetermined |
| Developing improved coordination between health professionals and social services | 5% | 95% | Agree | 0% | 35% | 65% | Undetermined |
| Developing greater coordination between the different levels of health services | 8% | 92% | Agree | 0% | 33% | 67% | Undetermined |
| Improve the patient’s adaptation to the PD evolution | 8% | 92% | Agree | 0% | 46% | 54% | Undetermined |
| Establishing a follow-up protocol in the first months after diagnosis. | 15% | 85% | Agree | 2% | 51% | 47% | Undetermined |
| Providing legal and medical assistance | 15% | 85% | Agree | 0% | 50% | 50% | Undetermined |
| PD Treatment | |||||||
| This Item Is Needed for Treatment of PD | By 2030, the Level of Satisfaction of This Need Will… | ||||||
| (Strongly) Disagree | (Strongly) Agree | Consensus | ▼ | = | ▲ | Consensus | |
| Availability of speech therapy sessions to help with language and information processing | 1% | 99% | Agree | 0% | 41% | 59% | Undetermined |
| Availability of dopaminergic treatment that provides the benefits of levodopa without worsening motor complications | 3% | 97% | Agree | 1% | 34% | 64% | Undetermined |
| Availability of occupational therapy that provides adaptive strategies | 4% | 96% | Agree | 0% | 44% | 56% | Undetermined |
| Availability of global and integrated rehabilitative treatment that allows less medication intake (number and dose) | 5% | 95% | Agree | 0% | 32% | 68% | Undetermined |
| Availability of physiotherapy and other alternative therapies such as hydrotherapy, yoga, pilates or Tai-Chi | 5% | 95% | Agree | 0% | 35% | 65% | Undetermined |
| Having an effective surgical treatment for PD in advanced stages to rescue the patient | 8% | 92% | Agree | 1% | 43% | 55% | Undetermined |
| Early initiation of appropriate treatment to delay PD progression and improve quality of life | 11% | 89% | Agree | 0% | 46% | 54% | Undetermined |
All panelists (n = 75) answered all questions. Percentages of panelists in each category and consensus after the second round of votes are shown. Bold % indicates that 70% consensus was achieved. MDU: movement disorders unit. PD: Parkinson’s disease. ▼: it will decrease; =: it will not change; ▲: it will increase.