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Cognitive impairment and dementia in young onset Parkinson’s disease

  • Original Communication
  • Published:
Journal of Neurology Aims and scope Submit manuscript

Abstract

Background and objective

Patients with young-onset Parkinson’s disease (YOPD) have a slower progression. Our aim was to analyze the change in cognitive function in YOPD compared to patients with a later onset and controls.

Patients and methods

Patients with Parkinson’s disease (PD) and controls from the COPPADIS cohort were included. Cognitive function was assessed with the Parkinson’s Disease Cognitive Rating Scale (PD-CRS) at baseline (V0), 2-year ± 1 month (V2y), and 4-year ± 3 months follow-up (V4y). Regarding age from symptoms onset, patients were classified as YOPD (< 50 years) or non-YOPD (≥ 50). A score in the PD-CRS < 81 was defined as cognitive impairment (CI): ≤ 64 dementia; 65–80 mild cognitive impairment (MCI).

Results

One-hundred and twenty-four YOPD (50.7 ± 7.9 years; 66.1% males), 234 non-YOPD (67.8 ± 7.8 years; 59.3% males) patients, and 205 controls (61 ± 8.3 years; 49.5% males) were included. The score on the PD-CRS and its subscore domains was higher at all visits in YOPD compared to non-YOPD patients and to controls (p < 0.0001 in all analysis), but no differences were detected between YOPD patients and controls. Only non-YOPD patients had significant impairment in their cognitive function from V0 to V4y (p < 0.0001). At V4y, the frequency of dementia and MCI was 5% and 10% in YOPD compared to 25.2% and 22.3% in non-YOPD patients (p < 0.0001). A lower score on the Parkinson’s Disease Sleep Scale at baseline was a predictor of CI at V4y in YOPD patients (Adjusted R2 = 0.61; OR = 0.965; p = 0.029).

Conclusion

Cognitive dysfunction progressed more slowly in YOPD than in non-YOPD patients.

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Abbreviations

ADL:

Activities for daily living

ADLS:

Schwab and England Activities of Daily Living Scale

BDI-II:

Beck Depression Inventory-II

FOGQ:

Freezing of Gait Questionnaire

LEDD:

Levodopa equivalent daily dose

NMSS:

Non-Motor Symptoms Scale

NPI:

Neuropsychiatric Inventory

PD:

Parkinson’s disease

PD-CRS:

Parkinson’s Disease Cognitive Rating Scale

PDQ-39:

The 39-item Parkinson’s disease Questionnaire Summary Index

PDD:

Parkinson’s disease dementia

PD-MCI:

Parkinson’s disease with mild cognitive impairment

PD-NC:

Parkinson’s disease with normal cognition. PDSS: Parkinson’s Disease Sleep Scale

QUIP-RS:

Questionnaire for Impulsive-Compulsive Disorders in Parkinson’s Disease-Rating Scale

UPDRS:

Unified Parkinson’s Disease-Rating Scale

VAS:

Visual Analogue Scale

YOPD:

Young-onset PD

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Acknowledgements

The authors would like to thank all patients and their caregivers who collaborated in this study. Many thanks also to Fundación Española de Ayuda a la Investigación en Enfermedades Neurodegenerativas y/o de Origen Genético (https://fundaciondegen.org/), Alpha Bioresearch (www.alphabioresearch.com), Instituto de Salud Carlos III and other institutions for helping us. COPPADIS Study Group: Adarmes AD, Almeria M, Alonso Losada MG, Alonso Cánovas A, Alonso Frech F, Alonso Redondo R, Álvarez I, Álvarez Sauco M, Aneiros Díaz A, Arnáiz S, Arribas S, Ascunce Vidondo A, Aguilar M, Ávila MA, Bernardo Lambrich N, Bejr-Kasem H, Blázquez Estrada M, Botí M, Borrue C, Buongiorno MT, Cabello González C, Cabo López I, Caballol N, Cámara Lorenzo A, Canfield Medina H, Carabajal Pendón E, Carrillo F, Carrillo Padilla FJ, Casas E, Catalán MJ, Clavero P, Cortina Fernández A, Cosgaya M, Cots Foraster A, Crespo Cuevas A, Cubo E, de Deus Fonticoba T, de Fábregues-Boixar O, Díez-Fairen M, Dotor García-Soto J, Erro E, Escalante S, Estelrich Peyret E, Fernández Guillán N, Gámez P, Gallego M, García Caldentey J, García Campos C, García Díez C, García Moreno JM, Gastón I, Gómez Garre MP, Gómez Mayordomo V, González Aloy J, González-Aramburu I, González Ardura J, González García B, González Palmás MJ, González Toledo GR, Golpe Díaz A, Grau Solá M, Guardia G, Hernández Vara J, Horta-Barba A, Idoate Calderón D, Infante J, Jesús S, Kulisevsky J, Kurtis M, Labandeira C, Labrador MA, Lacruz F, Lage Castro M, Lastres Gómez S, Legarda I, López Ariztegui N, López Díaz LM, López Domínguez D, López Manzanares L, López Seoane B, Lucas del Pozo S, Macías Y, Mata M, Martí Andres G, Martí MJ, Martínez Castrillo JC, Martinez-Martin P, McAfee D, Meitín MT, Mendoza Plasencia Z, Menéndez González M, Méndez del Barrio C, Mir P, Miranda Santiago J, Morales Casado MI, Moreno Diéguez A, Muro García I, Nogueira V, Novo Amado A, Novo Ponte S, Ordás C, Pagonabarraga J, Pareés I, Pascual-Sedano B, Pastor P, Pérez Fuertes A, Pérez Noguera R, Planas-Ballvé A, Planellas L, Prats MA, Prieto Jurczynska C, Puente V, Pueyo Morlans M, Puig Daví A, Redondo Rafales N, Rodríguez Méndez L, Rodríguez Pérez AB, Roldán F, Ruíz De Arcos M, Ruíz Martínez J, Sánchez Alonso P, Sánchez-Carpintero M, Sánchez Díez G, Sánchez Rodríguez A, Santacruz P, Santos García D, Segundo Rodríguez JC, Seijo M, Sierra Peña M, Solano Vila B, Suárez Castro E, Tartari JP, Valero C, Vargas L, Vela L, Villanueva C, Vives B.

Name (Last Name, First Name)

Location

Role

Contribution

Astrid Adarmes, Daniela

Hospital Universitario Virgen del Rocío, Sevilla, Spain

Site investigator

Evaluation of participants and/or data management

Almeria, Marta

Hospital Universitari Mutua de Terrassa, Terrassa, Barcelona, Spain

Site investigator

Neuropsychologist; evaluation of participants

Alonso Losada, Maria Gema

Hospital Álvaro Cunqueiro, Complejo Hospitalario Universitario de Vigo (CHUVI), Vigo, Spain

Site investigator / PI

Coordination at the center

Evaluation of participants and/or data management

Alonso Cánovas, Araceli

Hospital Universitario Ramón y Cajal, Madrid, Spain

Site investigator

Evaluation of participants and/or data management

Alonso Frech, Fernando

Hospital Universitario Clínico San Carlos, Madrid, Spain

Site investigator

Evaluation of participants and/or data management

Alonso Redondo, Ruben

Hospital Universitario Lucus Augusti (HULA), Lugo, Spain

Site investigator / PI

Coordination at the center

Evaluation of participants and/or data management

Aneiros Díaz, Ángel

Complejo Hospitalario Universitario de Ferrol (CHUF), Ferrol, A Coruña, Spain

Site investigator / PI

Coordination at the center

Evaluation of participants and/or data management

Álvarez, Ignacio

Hospital Universitari Mutua de Terrassa, Terrassa, Barcelona, Spain

Site investigator

Evaluation of participants and/or data management

Álvarez Sauco, María

Hospital General Universitario de Elche, Elche, Spain

Site investigator / PI

Coordination at the center

Evaluation of participants and/or data management

Arnáiz, Sandra

Complejo Asistencial Universitario de Burgos, Burgos, Spain

Site investigator

Evaluation of participants and/or data management

Arribas, Sonia

Hospital Universitari Mutua de Terrassa, Terrassa, Barcelona, Spain

Site investigator

Neuropsychologist; evaluation of participants

Ascunce Vidondo, Arancha

Complejo Hospitalario de Navarra, Pamplona, Spain

Site investigator

Evaluation of participants and/or data management

Aguilar, Miquel

Hospital Universitari Mutua de Terrassa, Terrassa, Barcelona, Spain

Site investigator

Evaluation of participants and/or data management

Ávila Rivera, Maria Asunción

Consorci Sanitari Integral, Hospital General de L´Hospitalet, L´Hospitalet de Llobregat, Barcelona, Spain

Site investigator / PI

Coordination at the center

Evaluation of participants and/or data management

Bernardo Lambrich, Noemí

Hospital de Tortosa Verge de la Cinta (HTVC), Tortosa, Tarragona, Spain

Site investigator

Evaluation of participants and/or data management

Bejr-Kasem, Helena

Hospital de Sant Pau, Barcelona, Spain

Site investigator

Evaluation of participants and/or data management

Blázquez Estrada, Marta

Hospital Universitario Central de Asturias, Oviedo, Spain

Site investigator

Evaluation of participants and/or data management

Botí González, Maria Ángeles

Hospital Universitari Mutua de Terrassa, Terrassa, Barcelona, Spain

Site investigator

Neuropsychologist; evaluation of participants

Borrué, Carmen

Hospital Infanta Sofía, Madrid, Spain

Site investigator / PI

Coordination at the center

Evaluation of participants and/or data management

Buongiorno, Maria Teresa

Hospital Universitari Mutua de Terrassa, Terrassa, Barcelona, Spain

Site investigator

Nurse study coordinator

Cabello González, Carolina

Complejo Hospitalario de Navarra, Pamplona, Spain

Site investigator

Scheduling of evaluations

Cabo López, Iria

Complejo Hospitalario Universitario de Pontevedra (CHOP), Pontevedra, Spain

Site investigator / PI

Coordination at the center

Evaluation of participants and/or data management

Caballol, Nuria

Consorci Sanitari Integral, Hospital Moisés Broggi, Sant Joan Despí, Barcelona, Spain

Site investigator / PI

Coordination at the center

Evaluation of participants and/or data management

Cámara Lorenzo, Ana

Hospital Clínic de Barcelona, Barcelona, Spain

Site investigator

Nurse study coordinator

Canfield Medina, Héctor

Complejo Hospitalario Universitario de Ferrol (CHUF), Ferrol, A Coruña, Spain

Site investigator

Evaluation of participants and/or data management

Carabajal Pendón, Estefanía

Hospital La Princesa, Madrid, Spain

Site investigator (from MAR/23)

Evaluation of participants and/or data management

Carrillo, Fátima

Hospital Universitario Virgen del Rocío, Sevilla, Spain

Site investigator

Evaluation of participants and/or data management

Carrillo Padilla, Francisco José

Hospital Universitario de Canarias, San Cristóbal de la Laguna, Santa Cruz de Tenerife, Spain

Site investigator / PI

Coordination at the center

Evaluation of participants and/or data management

Casas, Elena

Complejo Asistencial Universitario de Burgos, Burgos, Spain

Site investigator

Evaluation of participants and/or data management

Catalán, Maria José

Hospital Universitario Clínico San Carlos, Madrid, Spain

Site investigator / PI

Coordination at the center

Evaluation of participants and/or data management

Clavero, Pedro

Complejo Hospitalario de Navarra, Pamplona, Spain

Site investigator

Evaluation of participants and/or data management

Cortina Fernández, A

Complejo Hospitalario Universitario de Ferrol (CHUF), Ferrol, A Coruña, Spain

Site investigator

Coordination of blood extractions

Cosgaya, Marina

Hospital Clínic de Barcelona, Barcelona, Spain

Site investigator

Evaluation of participants and/or data management

Cots Foraster, Anna

Institut d'Assistència Sanitària (IAS)—Instituí Cátala de la Salud. Girona, Spain

Site investigator

Evaluation of participants and/or data management

Crespo Cuevas, Ane

Hospital del Mar, Barcelona, Spain

Site investigator

Evaluation of participants and/or data management

Cubo, Esther

Complejo Asistencial Universitario de Burgos, Burgos, Spain

Site investigator / PI

Coordination at the center

Evaluation of participants and/or data management

De Deus Fonticoba, Teresa

Complejo Hospitalario Universitario de Ferrol (CHUF), Ferrol, A Coruña, Spain

Site investigator

Nurse study coordinator

Evaluation of participants and/or data management

De Fábregues-Boixar, Oriol

Hospital Universitario Vall d´Hebron, Barcelona, Spain

Site investigator / PI

Coordination at the center

Evaluation of participants and/or data management

Díez Fairen, M

Hospital Universitari Mutua de Terrassa, Terrassa, Barcelona, Spain

Site investigator

Evaluation of participants and/or data management

Dotor García-Soto, Julio

Hospital Universitario Virgen Macarena, Sevilla, Spain

Site investigator / PI

Evaluation of participants and/or data management

Erro, Elena

Complejo Hospitalario de Navarra, Pamplona, Spain

Site investigator

Evaluation of participants and/or data management

Escalante, Sonia

Hospital de Tortosa Verge de la Cinta (HTVC), Tortosa, Tarragona, Spain

Site investigator / PI

Coordination at the center

Evaluation of participants and/or data management

Estelrich Peyret, Elena

Institut d'Assistència Sanitària (IAS)—Instituí Cátala de la Salud. Girona, Spain

Site investigator

Evaluation of participants and/or data management

Fernández Guillán, Noelia

Complejo Hospitalario Universitario de Ferrol (CHUF), Ferrol, A Coruña, Spain

Site investigator

Neuroimaging studies

Gámez, Pedro

Complejo Asistencial Universitario de Burgos, Burgos, Spain

Site investigator

Evaluation of participants and/or data management

Gallego, Mercedes

Hospital La Princesa, Madrid, Spain

Site investigator

Evaluation of participants and/or data management

García Caldentey, Juan

Centro Neurológico Oms 42, Palma de Mallorca, Spain

Site investigator / PI

Coordination at the center

Evaluation of participants and/or data management

García Campos, Cristina

Hospital Universitario Virgen Macarena, Sevilla, Spain

Site investigator

Evaluation of participants and/or data management

García Díez, Cristina

Complejo Hospitalario Universitario de Pontevedra (CHOP), Pontevedra, Spain

Site investigator (from MAY/22)

neuropsychologist; evaluation of participants

García Moreno, Jose Manuel

Hospital Universitario Virgen Macarena, Sevilla, Spain

Site investigator / PI (until MAR/21)

Coordination at the center

Evaluation of participants and/or data management

Gastón, Itziar

Complejo Hospitalario de Navarra, Pamplona, Spain

Site investigator / PI

Coordination at the center

Evaluation of participants and/or data management

Gómez Garre, María del Pilar

Hospital Universitario Virgen del Rocío, Sevilla, Spain

Site investigator

Genetic studies coordination

Gómez Mayordomo, Víctor

Hospital Clínico San Carlos, Madrid, Spain

Site investigator*

Evaluation of participants and/or data management

González Aloy, Javier

Institut d'Assistència Sanitària (IAS)—Instituí Cátala de la Salud. Girona, Spain

Site investigator

Evaluation of participants and/or data management

González Aramburu, Isabel

Hospital Universitario Marqués de Valdecilla, Santander, Spain

Site investigator

Evaluation of participants and/or data management

González Ardura, Jessica

Hospital Universitario Lucus Augusti (HULA), Lugo, Spain

Site investigator / PI (until FEB/21)

Evaluation of participants and/or data management

González García, Beatriz

Hospital La Princesa, Madrid, Spain

Site investigator

Nurse study coordinator

González Palmás, Maria Josefa

Complejo Hospitalario Universitario de Pontevedra (CHOP), Pontevedra, Spain

Site investigator

Evaluation of participants and/or data management

González Toledo, Gabriel Ricardo

Hospital Universitario de Canarias, San Cristóbal de la Laguna, Santa Cruz de Tenerife, Spain

Site investigator

Evaluation of participants and/or data management

Golpe Díaz, Ana

Complejo Hospitalario Universitario de Ferrol (CHUF), Ferrol, A Coruña, Spain

Site investigator

Laboratory analysis coordination

Grau Solá, Mireia

Consorci Sanitari Integral, Hospital Moisés Broggi, Sant Joan Despí, Barcelona, Spain

Site investigator

Evaluation of participants and/or data management

Guardia, Gemma

Hospital Universitari Mutua de Terrassa, Terrassa, Barcelona, Spain

Site investigator

Evaluation of participants and/or data management

Hernández Vara, Jorge

Hospital Universitario Vall d´Hebron, Barcelona, Spain

Site investigator / PI

Coordination at the center

Evaluation of participants and/or data management

Horta Barba, Andrea

Hospital de Sant Pau, Barcelona, Spain

Site investigator

Neuropsychologist; evaluation of participants

Idoate Calderón, Daniel

Complejo Hospitalario Universitario de Pontevedra (CHOP), Pontevedra, Spain

Site investigaor (until MAY/22)

neuropsychologist; evaluation of participants

Infante, Jon

Hospital Universitario Marqués de Valdecilla, Santander, Spain

Site investigator / PI

Coordination at the center

Evaluation of participants and/or data management

Jesús, Silvia

Hospital Universitario Virgen del Rocío, Sevilla, Spain

Site investigator

Evaluation of participants and/or data management

Kulisevsky, Jaime

Hospital de Sant Pau, Barcelona, Spain

Site investigator / PI

Coordination at the center

Evaluation of participants and/or data management

Kurtis, Mónica

Hospital Ruber Internacional, Madrid, Spain

Site investigator / PI

Coordination at the center

Evaluation of participants and/or data management

Labandeira, Carmen

Hospital Álvaro Cunqueiro, Complejo Hospitalario Universitario de Vigo (CHUVI), Vigo, Spain

Site investigator

Evaluation of participants and/or data management

Labrador Espinosa, Miguel Ángel

Hospital Universitario Virgen del Rocío, Sevilla, Spain

Site investigator

Neuroimaging data analysis

Lacruz, Francisco

Complejo Hospitalario de Navarra, Pamplona, Spain

Site investigator

Evaluation of participants and/or data management

Lage Castro, Melva

Complejo Hospitalario Universitario de Pontevedra (CHOP), Pontevedra, Spain

Site investigator

Evaluation of participants and/or data management

Lastres Gómez, Sonia

Complejo Hospitalario Universitario de Pontevedra (CHOP), Pontevedra, Spain

Site investigator

Neuropsychologist; evaluation of participants

Legarda, Inés

Hospital Universitario Son Espases, Palma de Mallorca, Spain

Site investigator / PI

Coordination at the center

Evaluation of participants and/or data management

López Ariztegui, Nuria

Complejo Hospitalario de Toledo, Toledo, Spain

Site investigator / PI

Evaluation of participants and/or data management

López Díaz, Luis Manuel

Hospital Da Costa de Burela, Lugo, Spain

Site investigator (until DEC/16)

Evaluation of participants and/or data management

López Domínguez, Daniel

Institut d'Assistència Sanitària (IAS)—Instituí Cátala de la Salud. Girona, Spain

Site investigator

Evaluation of participants and/or data management

López Manzanares, Lydia

Hospital La Princesa, Madrid, Spain

Site investigator / PI

Coordination at the center

Evaluation of participants and/or data management

López Seoane, Balbino

Complejo Hospitalario Universitario de Ferrol (CHUF), Ferrol, A Coruña, Spain

Site investigator

Neuroimaging studies

Lucas del Pozo, Sara

Hospital Universitario Vall d´Hebron, Barcelona, Spain

Site investigator

Evaluation of participants and/or data management

Macías, Yolanda

Fundación Hospital de Alcorcón, Madrid, Spain

Site investigator

Evaluation of participants and/or data management

Mata, Marina

Hospital Infanta Sofía, Madrid, Spain

Site investigator

Evaluation of participants and/or data management

Martí Andres, Gloria

Hospital Universitario Vall d´Hebron, Barcelona, Spain

Site investigator

Evaluation of participants and/or data management

Martí, Maria José

Hospital Clínic de Barcelona, Barcelona, Spain

Site investigator / PI

Coordination at the center

Evaluation of participants and/or data management

Martínez Castrillo, Juan Carlos

Hospital Universitario Ramón y Cajal, Madrid, Spain

Site investigator /PI

Coordination at the center

Evaluation of participants and/or data management

Martinez-Martin, Pablo

CIBERNED, Instituto de Salud Carlos III, Madrid, Spain

Collaborator in statistical and methods analysis

Methods and statistical reviewer

McAfee, Darrian

University of Pennsylvania, Philadelphia

Collaborator in english style

English style reviewer

Meitín, Maria Teresa

Hospital Da Costa de Burela, Lugo, Spain

Site investigator

Evaluation of participants and/or data management

Menéndez González, Manuel

Hospital Universitario Central de Asturias, Oviedo, Spain

Site investigator / PI

Coordination at the center

Evaluation of participants and/or data management

Méndez del Barrio, Carlota

Hospital Universitario Virgen del Rocío, Sevilla, Spain

Site investigator

Evaluation of participants and/or data management

Mendoza Plasencia, Zebenzui

Hospital Universitario de Canarias, San Cristóbal de la Laguna, Santa Cruz de Tenerife, Spain

Site investigator

Evaluation of participants and/or data management

Mir, Pablo

Hospital Universitario Virgen del Rocío, Sevilla, Spain

Site investigator / PI

Coordination at the center

Evaluation of participants and/or data management

Miranda Santiago, Javier

Complejo Asistencial Universitario de Burgos, Burgos, Spain

Site investigator

Evaluation of participants and/or data management

Morales Casado, Maria Isabel

Complejo Hospitalario de Toledo, Toledo, Spain

Site investigator

Evaluation of participants and/or data management

Moreno Diéguez, Antonio

Complejo Hospitalario Universitario de Ferrol (CHUF), Ferrol, A Coruña, Spain

Site investigator

Neuroimaging studies

Muro García, Inés

Hospital La Princesa, Madrid, Spain

Site investigator (from MAR/23)

Evaluation of participants and/or data management

Nogueira, Víctor

Hospital Da Costa de Burela, Lugo, Spain

Site investigator / PI (until 2022)**

Coordination at the center

Evaluation of participants and/or data management

Novo Amado, Alba

Complejo Hospitalario Universitario de Ferrol (CHUF), Ferrol, A Coruña, Spain

Site investigator

Neuroimaging studies

Novo Ponte, Sabela

Hospital Universitario Puerta de Hierro, Madrid, Spain

Site investigator

Evaluation of participants and/or data management

Ordás, Carlos

Hospital Rey Juan Carlos, Madrid, Spain, Madrid, Spain

Site Investigator

Evaluation of participants and/or data management

Pagonabarraga, Javier

Hospital de Sant Pau, Barcelona, Spain

Site investigator

Evaluation of participants and/or data management

Pareés, Isabel

Hospital Ruber Internacional, Madrid, Spain

Site investigator

Evaluation of participants and/or data management

Pascual-Sedano, Berta

Hospital de Sant Pau, Barcelona, Spain

Site Investigator

Evaluation of participants and/or data management

Pastor, Pau

Hospital Universitari Mutua de Terrassa, Terrassa, Barcelona, Spain

Site investigator

Evaluation of participants and/or data management

Pérez Fuertes, Aída

Complejo Hospitalario Universitario de Ferrol (CHUF), Ferrol, A Coruña, Spain

Site investigator

Blood analysis

Pérez Noguera, Rafael

Hospital Universitario Virgen Macarena, Sevilla, Spain

Site investigator

Evaluation of participants and/or data management

Planas-Ballvé, Ana

Consorci Sanitari Integral, Hospital Moisés Broggi, Sant Joan Despí, Barcelona, Spain

Site investigator

Evaluation of participants and/or data management

Planellas, Lluís

Hospital Clínic de Barcelona, Barcelona, Spain

Site investigator (until DEC/19)

Evaluation of participants and/or data management

Prats, Marian Ángeles

Institut d'Assistència Sanitària (IAS)—Instituí Cátala de la Salud. Girona, Spain

Site investigator

Evaluation of participants and/or data management

Prieto Jurczynska, Cristina

Hospital Rey Juan Carlos, Madrid, Spain, Madrid, Spain

Site investigator / PI

Coordination at the center

Evaluation of participants and/or data management

Puente, Víctor

Hospital del Mar, Barcelona, Spain

Site investigator / PI

Coordination at the center

Evaluation of participants and/or data management

Pueyo Morlans, Mercedes

Hospital Universitario de Canarias, San Cristóbal de la Laguna, Santa Cruz de Tenerife, Spain

Site investigator

Evaluation of participants and/or data management

Puig Daví, Arnau

Hospital de Sant Pau, Barcelona, Spain

Site einvestigator

Evaluation of participants and/or data management

Redondo, Nuria

Hospital La Princesa, Madrid, Spain

Site Investigator

Evaluation of participants and/or data management

Rodríguez Méndez, Luisa

Complejo Hospitalario Universitario de Ferrol (CHUF), Ferrol, A Coruña, Spain

Site investigator

Blood analysis

Rodríguez Pérez, Amparo Belén

Hospital General Universitario de Elche, Elche, Spain

Site investigator

Evaluation of participants and/or data management

Roldán, Florinda

Hospital Universitario Virgen del Rocío, Sevilla, Spain

Site investigator

Neuroimaging studies

Ruíz de Arcos, María

Hospital Universitario Virgen Macarena, Sevilla, Spain

Site investigator

Evaluation of participants and/or data management

Ruíz Martínez, Javier

Hospital Universitario Donostia, San Sebastián, Spain

Site investigator

Evaluation of participants and/or data management

Sánchez Alonso, Pilar

Hospital Universitario Puerta de Hierro, Madrid, Spain

Site investigator

Evaluation of participants and/or data management

Sánchez-Carpintero, Macarena

Complejo Hospitalario Universitario de Ferrol (CHUF), Ferrol, A Coruña, Spain

Site investigator

Neuroimaging studies

Sánchez D��ez, Gema

Hospital Universitario Ramón y Cajal, Madrid, Spain

Site investigator

Evaluation of participants and/or data management

Sánchez Rodríguez, Antonio

Hospital Universitario Marqués de Valdecilla, Santander, Spain

Site investigator

Evaluation of participants and/or data management

Santacruz, Pilar

Hospital Clínic de Barcelona, Barcelona, Spain

Site investigator

Evaluation of participants and/or data management

Santos García, Diego

CHUAC, Complejo Hospitalario Universitario de A Coruña

Coordinator of the Project

Coordination of the COPPADIS-2015

Segundo Rodríguez, José Clemente

Complejo Hospitalario de Toledo, Toledo, Spain

Site investigator

Evaluation of participants and/or data management

Seijo, Manuel

Complejo Hospitalario Universitario de Pontevedra (CHOP), Pontevedra, Spain

Site investigator / PI

Coordination at the center

Evaluation of participants and/or data management

Sierra, María

Hospital Universitario Marqués de Valdecilla, Santander, Spain

Site investigator

Evaluation of participants and/or data management

Solano, Berta

Institut d'Assistència Sanitària (IAS)—Instituí Cátala de la Salud. Girona, Spain

Site investigator / PI

Coordination at the center

Evaluation of participants and/or data management

Suárez Castro, Ester

Complejo Hospitalario Universitario de Ferrol (CHUF), Ferrol, A Coruña, Spain

Site investigator

Evaluation of participants and/or data management

Tartari, Juan Pablo

Hospital Universitari Mutua de Terrassa, Terrassa, Barcelona, Spain

Site investigator

Evaluation of participants and/or data management

Valero, Caridad

Hospital Arnau de Vilanova, Valencia, Spain

Site investigator

Evaluation of participants and/or data management

Vargas, Laura

Hospital Universitario Virgen del Rocío, Sevilla, Spain

Site investigator

Evaluation of participants and/or data management

Vela, Lydia

Fundación Hospital de Alcorcón, Madrid, Spain

Site investigator / PI

Coordination at the center

Evaluation of participants and/or data management

Villanueva, Clara

Hospital Universitario Clínico San Carlos, Madrid, Spain

Site investigator

Evaluation of participants and/or data management

Vives, Bárbara

Hospital Universitario Son Espases, Palma de Mallorca, Spain

Site investigator

Evaluation of participants and/or data management

  1. *Neurology Department, Institute of Neuroscience, Vithas Madrid La Milagrosa University Hospital, Vithas Hospital Group. Madrid, Spain
  2. **Neurology Department, Hospital Universitario Lucus Augusti, Lugo, Spain

Funding

COPPADIS and the present study were developed with the help of Fundación Española de Ayuda a la Investigación en Enfermedades Neurodegenerativas y/o de Origen Genético (https://fundaciondegen.org/) and Alpha Bioresearch (www.alphabioresearch.com). Also, we received grants from the Spanish Ministry of Economy and Competitiveness [PI16/01575] co-founded by ISCIII (Concesión de subvenciones de Proyectos de Investigación en Salud de la convocatoria 2020 de la Acción Estratégica en Salud 2017–2020 por el Proyecto “PROGRESIÓN NO MOTORA E IMPACTO EN LA CALIDAD DE VIDA EN LA ENFERMEDAD DE PARKINSON”) to develop a part of the COPPADIS project.

Author information

Authors and Affiliations

Authors

Consortia

Contributions

DS-G: conception, organization, and execution of the project; statistical analysis; writing of the first draft of the manuscript; recruitment and/or evaluation of participants. TDF: review and critique; recruitment and/or evaluation of participants and/or data entry into eCRF. CCB: collaboration in the preparation of the manuscript. Review and critique. MJFP: collaboration in the preparation of the manuscript. Review and critique. IGD: collaboration in the preparation of the manuscript. Review and critique. MCÍA: collaboration in the preparation of the manuscript. Review and critique. JMP: collaboration in the preparation of the manuscript. Review and critique. SJ: review and critique; recruitment and/or evaluation of participants and/or data entry into eCRF. MC: review and critique; recruitment and/or evaluation of participants and/or data entry into eCRF. JGC: review and critique; recruitment and/or evaluation of participants and/or data entry into eCRF. NC: review and critique; recruitment and/or evaluation of participants and/or data entry into eCRF. IL: review and critique; recruitment and/or evaluation of participants and/or data entry into eCRF. JHV: review and critique; recruitment and/or evaluation of participants and/or data entry into eCRF. IC: review and critique; recruitment and/or evaluation of participants and/or data entry into eCRF. LLM: review and critique; recruitment and/or evaluation of participants and/or data entry into eCRF. IGA: review and critique; recruitment and/or evaluation of participants and/or data entry into eCRF. MAÁR: review and critique; recruitment and/or evaluation of participants and/or data entry into eCRF. VGM: review and critique; recruitment and/or evaluation of participants and/or data entry into eCRF. VN: review and critique; recruitment and/or evaluation of participants and/or data entry into eCRF. JDG-S: review and critique; recruitment and/or evaluation of participants and/or data entry into eCRF. CB: review and critique; recruitment and/or evaluation of participants and/or data entry into eCRF. BSV: review and critique; recruitment and/or evaluation of participants and/or data entry into eCRF. MÁS: review and critique; recruitment and/or evaluation of participants and/or data entry into eCRF. LV: review and critique; recruitment and/or evaluation of participants and/or data entry into eCRF. SE: review and critique; recruitment and/or evaluation of participants and/or data entry into eCRF. EC: review and critique; recruitment and/or evaluation of participants and/or data entry into eCRF. ZM: review and critique; recruitment and/or evaluation of participants and/or data entry into eCRF. JCMC: review and critique; recruitment and/or evaluation of participants and/or data entry into eCRF. PSA: review and critique; recruitment and/or evaluation of participants and/or data entry into eCRF. MGAL: review and critique; recruitment and/or evaluation of participants and/or data entry into eCRF. NLA: review and critique; recruitment and/or evaluation of participants and/or data entry into eCRF. IG: review and critique; recruitment and/or evaluation of participants and/or data entry into eCRF. JK: review and critique; recruitment and/or evaluation of participants and/or data entry into eCRF. MS: review and critique; recruitment and/or evaluation of participants and/or data entry into eCRF. CV: review and critique; recruitment and/or evaluation of participants and/or data entry into eCRF. RAR: review and critique; recruitment and/or evaluation of participants and/or data entry into eCRF. MTB: review and critique; recruitment and/or evaluation of participants and/or data entry into eCRF. CO: review and critique; recruitment and/or evaluation of participants and/or data entry into eCRF. MM-G: review and critique; recruitment and/or evaluation of participants and/or data entry into eCRF. DM: English edition; review and critique. PM-M: Review and critique. PM: review and critique; recruitment and/or evaluation of participants and/or data entry into eCRF. COPPADIS study group: recruitment and/or evaluation of participants and/or data entry into eCRF.

Corresponding author

Correspondence to Diego Santos-García.

Ethics declarations

Conflicts of interest

Diego Santos-García has received honoraria for educational presentations and advice service by Abbvie, UCB Pharma, Lundbeck, KRKA, Zambon, Bial, Italfarmaco, Teva, Archímedes, Esteve, Stada, Merz, and grants from the Spanish Ministry of Economy and Competitiveness [PI16/01575] co-founded by ISCIII (Concesión de subvenciones de Proyectos de Investigación en Salud de la convocatoria 2020 de la Acción Estratégica en Salud 2017–2020 por el proyecto “PROGRESIÓN NO MOTORA E IMPACTO EN LA CALIDAD DE VIDA EN LA ENFERMEDAD DE PARKINSON”). Teresa de Deus Fonticoba: None. Carlos Cores Bartolomé has received honoraria for educational presentations and advice service by Lundbeck and UCB Pharma. María J. Feal Painceiras: None. Iago García Díaz has received support for educational activity from Bial. María Cristina Íñiguez Alvarado: None. Jose Manuel Paz has received honoraria/support for educational presentations and attending meetings from UCB, Abbvie, Zambon, Bial, and KRKA. Silvia Jesús has received honoraria from AbbVie, Bial, Merz, UCB, and Zambon and holds the competitive contract "Juan Rodés" supported by the Instituto de Salud Carlos III. She has received grants from the Spanish Ministry of Economy and Competitiveness (PI18/01898) and the Consejería de Salud de la Junta de Andalucía (PI-0459-2018). Marina Cosgaya: None. Juan García Caldentey has received honoraria for educational presentations and advice service by Qualigen, Nutricia, Abbvie, Italfarmaco, UCB Pharma, Lundbeck, Zambon, Bial, and Teva. Nuria Caballol has received honoraria from Bial, Italfármaco, Qualigen, Zambon, UCB, Teva and KRKA and sponsorship from Zambon, TEVA and Abbvie for attending medical conferences. Ines Legarda has received honoraria for educational presentations and advice service by Abbvie, UCB Pharma, Zambon, Bial, and Teva. Jorge Hernández Vara has received travel bursaries and educational grants from Abbvie and has received honoraria for educational presentations from Abbvie, Teva, Bial, Zambon, Italfarmaco, and Sanofi-Genzyme. Iria Cabo: has received honoraria for educational presentations and advice service by Abbvie, Zambon, and Bial. Lydia López Manzanares compensated advisory services, consulting, research grant support, or speaker honoraria: AbbVie, Acorda, Bial, Intec Pharma, Italfarmaco, Pfizer, Roche, Teva, UCB, and Zambon. Isabel González Aramburu: None. Maria A. Ávila Rivera has received honoraria from Zambon, UCB Pharma, Qualigen, Bial, and Teva, and sponsorship from Zambon and Teva for attending conferences. Víctor Gómez Mayordomo has received honoraria from Bial, Merz, and Zambon for educational lectures. Víctor Nogueira: None. Julio Dotor García-Soto compensated advisory services, consulting, research grant support, or speaker honoraria: Merck, Sanofi-Genzyme, Allergan, Biogen, Roche, UCB and Novartis. Carmen Borrué: None. Berta Solano Vila has received honoraria for educational presentations and advice service by UCB, Zambon, Teva, Abbvie, Bial. María Álvarez Sauco has received honoraria for educational presentations and advice service by Abbvie, UCB Pharma, Zambon, Bial, and Teva. Lydia Vela has received honoraria for educational presentations and advice service by Abbvie, UCB Pharma, Lundbeck, KRKA, Zambon, Bial, and Teva. Sonia Escalante has received honoraria for educational presentations and advice service by Abbvie, Zambon, and Bial. Esther Cubo: Travel grants: Abbvie, Allergan, Boston; Lecturing honoraria: Abbvie, International Parkinson´s disease Movement Disorder Society. Zebenzui Mendoza: None. Juan C. Martínez Castrillo has received research support from Lundbeck, Italfarmaco, Allergan, Zambon, Merz, and Abbvie. He has received speaking honoraria from AbbVie, Bial, Italfarmaco, Lundbeck, Krka, TEVA, UCB, Zambon, Allergan, Ipsen, and Merz. Pilar Sánchez Alonso has received honoraria for educational presentations and advice service by Abbvie, UCB Pharma, Lundbeck, KRKA, Zambon, Bial, and Teva. Maria G. Alonso Losada has received honoraria for educational presentations and advice service by Zambon and Bial. Nuria López Ariztegui has received honoraria for educational presentations and advice service by Abbvie, Italfarmaco, Zambon, and Bial. Itziar Gastón has received research support from Abbvie and Zambon and has served as a consultant for Abbvie, Exelts, and Zambon. Jaime Kulisevsky: (1) Consulting fees: Roche, Zambon; (2) Stock/allotment: No; (3) Patent royalties/licensing fees: No; (4) Honoraria (e.g., lecture fees): Zambon, Teva, Bial, UCB; (5) Fees for promotional materials: No; (6) Research funding: Roche, Zambon, Ciberned; Instituto de SaludCarlos III; FundacióLa Maratóde TV3; (7) Scholarship from corporation: No; (8) Corporate laboratory funding: No; (9) Others (e.g., trips, travel, or gifts): No. Manuel Seijo has received honoraria for educational services from KRKA, UCB, Zambon, Bial; travel grants from Daiichi and Roche. Caridad Valero has received honoraria for educational services from Zambon, Abbvie and UCB. Kurtis M. has received honoraria from Bial, the Spanish Neurology Society, and the International and Movement Disorders Society. Ruben Alonso Redondo: None. Maria Teresa Buongiorno: None. Carlos Ordás: None. Manuel Menéndez-González has received consulting honoraria from Eisai Spain and research grants from by Instituto de Salud Carlos III (ISCIII), Fondo Europeo de Desarrollo Regional (FEDER), and Fundación Alimerka. Darrian McAfee: None. Pablo Martinez-Martin has received honoraria from Bial for lecturing in course and from the Parkinson and Movement Disorder Society (MDS) for management of the COA International Program of the Society. Pablo Mir has received honoraria from AbbVie, Abbott, Allergan, Bial, Merz, UCB, and Zambon and have received grants from the Spanish Ministry of Economy and Competitiveness [PI16/01575] co-founded by ISCIII (Subdirección General de Evaluación y Fomento de la Investigación) and by Fondo Europeo de Desarrollo Regional (FEDER), the Consejería de Economía, Innovación, Ciencia y Empleo de la Junta de Andalucía [CVI-02526, CTS-7685], the Consejería de Salud y Bienestar Social de la Junta de Andalucía [ PI-0437–2012, PI-0471–2013], the Sociedad Andaluza de Neurología, the Jacques and Gloria Gossweiler Foundation, the Fundación Alicia Koplowitz, and the Fundación Mutua Madrileña.

Additional information

The members of the instutional group “COPPADIS Study Group” was processed under Acknowledgement section.

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Santos-García, D., de Deus Fonticoba, T., Cores Bartolomé, C. et al. Cognitive impairment and dementia in young onset Parkinson’s disease. J Neurol 270, 5793–5812 (2023). https://doi.org/10.1007/s00415-023-11921-w

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