title: [Practical guideline of Parkinson's disease in Japan: evaluation and mission of future].
abstract: Japanese Society of Neurology (JSN) published Practical guideline for Parkinson's Disease (PD) in 2002 and revised version in 2012. This guideline was prepared according to the method of evidence-based medicine. We surveyed the daily practice of PD to expert neurologists for PD nationwide in Japan. Many specialists for PD reported that patients with PD had poor treatment by neurologists and neurosurgeons that was out of PD practical guideline. Some patients were treated with small dose levodopa despite of Hoehn-Yahr 3 stage. Another disabled patients were treated with dopamine agonists alone despite of over aged of 80. Many neurologists treated PD patients out of guideline. It is important to educate guideline to neurologists and general practioner.
authors.affiliation: Takamatsu Neurology Clinic.
authors.forename: Mitsutoshi
authors.initials: M
authors.lastname: Yamamoto
mesh_terms: D000978:Antiparkinson Agents / Q000008:administration & dosage; D018491:Dopamine Agonists / Q000008:administration & dosage; D006801:Humans; D007564:Japan; D008318:Malpractice; D009462:Neurology / Q000458:organization & administration; D010300:Parkinson Disease / Q000628:therapy*; D017410:Practice Guidelines as Topic / Q000592:standards; D012955:Societies, Medical / Q000458:organization & administration
chemical_list: D000978:Antiparkinson Agents; D018491:Dopamine Agonists