Do you find the UPDRS useful for the care of Parkinson's disease patients outside of research?
The UPDRS and MDS-UPDRS are both useful research tools for Parkinson’s. Parts one, two, and four are interview-based with some rater guidance. Part three is an objective assessment by the clinical rater. Performing part three of either UPDRS test in non-research settings is helpful to improve your u...
I use part 3 of the MDS-UPDRS for each visit with a patient. It allows me to have an internally consistent evaluation of their current motor state with reference to the amount and timing of their last dose of levodopa. Our EMR also tracks things over time, which gives me a more objective sense of tr...
Part three of the MDS-UPDRS is very useful to administer periodically (annually on average in my practice) to monitor disease and response to therapy. I have incorporated it into the EMR and shared the table/graph with the patient/family. I don't find it worth the time to formally administer and tra...
My PA and I almost always use the UPDRS part 3 at every visit, as we often alternate visits and it is a relatively good objective measure for use to track patients' response to medication adjustments etc. We always note the timing of the last dose of medicine and comment on how they feel; ON, OFF, w...