Intervenciones Paliativas en Parkinson y Síndromes del Movimiento: Estado del Arte Reciente
Palabras clave:
cuidados paliativos, enfermedad de parkinson, trastornos del movimiento, neurodegeneración
Resumen
Los cuidados paliativos han tomado relevancia en enfermedades neurológicas crónicas como la enfermedad de Parkinson y otros trastornos del movimiento. Estos pacientes presentan síntomas motores y no motores que afectan su calidad de vida. El abordaje paliativo busca controlar síntomas, reducir la carga familiar y favorecer la dignidad del paciente en fases avanzadas. Esta revisión analiza la literatura reciente sobre el impacto de los cuidados paliativos en este grupo de enfermedades, su aplicación clínica, las necesidades no cubiertas y los desafíos que aún persisten en su implementación.
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2. Kluger BM, Miyasaki J, Katz M, Galifianakis N, Hall K, Pantilat S, et al. Comparison of integrated outpatient palliative care with standard care in Parkinson disease and related disorders: a randomized clinical trial. JAMA Neurol. 2020;77(5):551–560. doi:10.1001/jamaneurol.2019.4992.
3. Katz M. Palliative Care and Movement Disorders. Continuum (Minneap Minn). 2022;28(5):1520–1529. doi:10.1212/CON.0000000000001162.
4. Bloem BR, Okun MS, Klein C. Parkinson’s disease. Lancet. 2021;397(10291):2284–2303. doi:10.1016/S0140-6736(21)00218-X.
5. Lou Y, Jiang Y, Zhao H, Li J, Pan S, Wang J, et al. Scoping review of palliative care needs and experiences in Parkinson’s disease: implications for clinical practice. Front Med (Lausanne). 2024;10:1362828. doi:10.3389/fmed.2024.1362828.
6. Nimmons D, Hogg R, Doherty K, Young CA. Advance care planning in Parkinson’s disease and atypical parkinsonian syndromes: a systematic mixed studies review. Eur J Neurol. 2020;27(10):1971–1987. doi:10.1111/ene.14424.
7. Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021;372:n71. doi:10.1136/bmj.n71.
8. Garon M, Schüle B, Rukavina K, Kluger BM. Systematic review of palliative care interventions in Parkinson’s disease: challenges and opportunities. Palliat Med. 2024;38(1):57–68. doi:10.1177/02692163231214408.
9. Macchi ZA, Tarolli CG, Kluger BM. Palliative care in movement disorders: an update. Curr Neurol Neurosci Rep. 2021;21(3):5. doi:10.1007/s11910-021-01091-5.
10. Kluger BM, Miyasaki J, Katz M, Galifianakis N, Hall K, Pantilat S, et al. Comparison of integrated outpatient palliative care with standard care in Parkinson disease and related disorders: a randomized clinical trial. JAMA Neurol. 2020;77(5):551–560. doi:10.1001/jamaneurol.2019.4992.
11. Nimmons D, Hogg R, Doherty K, Young CA. Advance care planning in Parkinson’s disease and atypical parkinsonian syndromes: a systematic mixed studies review. Eur J Neurol. 2020;27(10):1971–1987. doi:10.1111/ene.14424.
12. Katz M. Palliative Care and Movement Disorders. Continuum (Minneap Minn). 2022;28(5):1520–1529. doi:10.1212/CON.0000000000001162.
13. Oliver D, Bögel J, Mays I, Hobson EV, Gray R, Bunn J, et al. End-of-life care in multiple system atrophy: a UK patient and caregiver survey. BMJ Support Palliat Care. 2024. doi:10.1136/spcare-2024-004680.
14. Cheong JLY, et al. Supportive and palliative care needs in multiple system atrophy. Parkinsonism Relat Disord. 2024;121:105414. doi:10.1016/j.parkreldis.2024.105414.
15. Bessemer R, et al. Clinical milestones as triggers for palliative care in PSP and MSA. J Neurol Sci. 2023;452:120611. doi:10.1016/j.jns.2023.120611.
16. Harrison MB, Shannon KM, Quinn SJ. Primary palliative care in Huntington’s disease: practical guidance. Mov Disord Clin Pract. 2023;10(7):972–980. doi:10.1002/mdc3.13869.
17. Aamodt WW, Cintora P, Kluger BM. Caregiver burden in Parkinson’s disease: scoping review of determinants and magnitude. Mov Disord Clin Pract. 2023;10(8):1063–1074. doi:10.1002/mdc3.13966.
18. Sokol LL, Bega D, Kluger BM. Integrating palliative care into Parkinson’s disease care. JAMA. 2020;324(15):1490–1491. doi:10.1001/jama.2020.15690.
19. Tarolli CG, Aamodt WW, Kluger BM. Interdisciplinary neuropalliative clinics in movement disorders. Ann Palliat Med. 2020;9(Suppl 1):S73–S79. doi:10.21037/apm.2019.12.01.
20. Höglinger G, et al. S2k Guideline: diagnosis and treatment of Parkinson’s disease including palliative approaches. Neurol Res Pract. 2024;6(1):44. doi:10.1186/s42466-024-00342-8.
21. Tönges L, et al. Concept of care in S2k guideline for Parkinson’s disease. Neurol Res Pract. 2024;6(1):45. doi:10.1186/s42466-024-00343-7.
2. Kluger BM, Miyasaki J, Katz M, Galifianakis N, Hall K, Pantilat S, et al. Comparison of integrated outpatient palliative care with standard care in Parkinson disease and related disorders: a randomized clinical trial. JAMA Neurol. 2020;77(5):551–560. doi:10.1001/jamaneurol.2019.4992.
3. Katz M. Palliative Care and Movement Disorders. Continuum (Minneap Minn). 2022;28(5):1520–1529. doi:10.1212/CON.0000000000001162.
4. Bloem BR, Okun MS, Klein C. Parkinson’s disease. Lancet. 2021;397(10291):2284–2303. doi:10.1016/S0140-6736(21)00218-X.
5. Lou Y, Jiang Y, Zhao H, Li J, Pan S, Wang J, et al. Scoping review of palliative care needs and experiences in Parkinson’s disease: implications for clinical practice. Front Med (Lausanne). 2024;10:1362828. doi:10.3389/fmed.2024.1362828.
6. Nimmons D, Hogg R, Doherty K, Young CA. Advance care planning in Parkinson’s disease and atypical parkinsonian syndromes: a systematic mixed studies review. Eur J Neurol. 2020;27(10):1971–1987. doi:10.1111/ene.14424.
7. Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021;372:n71. doi:10.1136/bmj.n71.
8. Garon M, Schüle B, Rukavina K, Kluger BM. Systematic review of palliative care interventions in Parkinson’s disease: challenges and opportunities. Palliat Med. 2024;38(1):57–68. doi:10.1177/02692163231214408.
9. Macchi ZA, Tarolli CG, Kluger BM. Palliative care in movement disorders: an update. Curr Neurol Neurosci Rep. 2021;21(3):5. doi:10.1007/s11910-021-01091-5.
10. Kluger BM, Miyasaki J, Katz M, Galifianakis N, Hall K, Pantilat S, et al. Comparison of integrated outpatient palliative care with standard care in Parkinson disease and related disorders: a randomized clinical trial. JAMA Neurol. 2020;77(5):551–560. doi:10.1001/jamaneurol.2019.4992.
11. Nimmons D, Hogg R, Doherty K, Young CA. Advance care planning in Parkinson’s disease and atypical parkinsonian syndromes: a systematic mixed studies review. Eur J Neurol. 2020;27(10):1971–1987. doi:10.1111/ene.14424.
12. Katz M. Palliative Care and Movement Disorders. Continuum (Minneap Minn). 2022;28(5):1520–1529. doi:10.1212/CON.0000000000001162.
13. Oliver D, Bögel J, Mays I, Hobson EV, Gray R, Bunn J, et al. End-of-life care in multiple system atrophy: a UK patient and caregiver survey. BMJ Support Palliat Care. 2024. doi:10.1136/spcare-2024-004680.
14. Cheong JLY, et al. Supportive and palliative care needs in multiple system atrophy. Parkinsonism Relat Disord. 2024;121:105414. doi:10.1016/j.parkreldis.2024.105414.
15. Bessemer R, et al. Clinical milestones as triggers for palliative care in PSP and MSA. J Neurol Sci. 2023;452:120611. doi:10.1016/j.jns.2023.120611.
16. Harrison MB, Shannon KM, Quinn SJ. Primary palliative care in Huntington’s disease: practical guidance. Mov Disord Clin Pract. 2023;10(7):972–980. doi:10.1002/mdc3.13869.
17. Aamodt WW, Cintora P, Kluger BM. Caregiver burden in Parkinson’s disease: scoping review of determinants and magnitude. Mov Disord Clin Pract. 2023;10(8):1063–1074. doi:10.1002/mdc3.13966.
18. Sokol LL, Bega D, Kluger BM. Integrating palliative care into Parkinson’s disease care. JAMA. 2020;324(15):1490–1491. doi:10.1001/jama.2020.15690.
19. Tarolli CG, Aamodt WW, Kluger BM. Interdisciplinary neuropalliative clinics in movement disorders. Ann Palliat Med. 2020;9(Suppl 1):S73–S79. doi:10.21037/apm.2019.12.01.
20. Höglinger G, et al. S2k Guideline: diagnosis and treatment of Parkinson’s disease including palliative approaches. Neurol Res Pract. 2024;6(1):44. doi:10.1186/s42466-024-00342-8.
21. Tönges L, et al. Concept of care in S2k guideline for Parkinson’s disease. Neurol Res Pract. 2024;6(1):45. doi:10.1186/s42466-024-00343-7.
Publicado
2025-12-23
Cómo citar
Silvestre Yagual, S. R., & Vallejo Martínez, M. C. (2025). Intervenciones Paliativas en Parkinson y Síndromes del Movimiento: Estado del Arte Reciente. Ciencia Latina Revista Científica Multidisciplinar, 9(6), 3663-3673. https://doi.org/10.37811/cl_rcm.v9i6.21469
Número
Sección
Ciencias de la Salud
Derechos de autor 2025 Silvia Roxana Silvestre Yagual, Mariana Concepción Vallejo Martínez
Esta obra está bajo licencia internacional Creative Commons Reconocimiento 4.0.
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