In a cross-sectional substudy of 211 people with parkinsonism enrolled in the PRIME-UK trial, 25% had treatment escalation plans (45% created during emergency admissions), 100 had lasting power of attorney, and greater disease severity, frailty, and comorbidity were associated with having a plan.
Highlights important gaps and predictors in advance care planning for people with parkinsonism—useful for clinical care and service design but of limited direct relevance to therapeutic discovery or mechanistic research.