{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T05:03:06Z","timestamp":1773032586128,"version":"3.50.1"},"reference-count":40,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,8,21]],"date-time":"2025-08-21T00:00:00Z","timestamp":1755734400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,8,21]],"date-time":"2025-08-21T00:00:00Z","timestamp":1755734400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["movementdisorders.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Movement Disord Clin Pract"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Compared to Parkinson's disease, atypical parkinsonian disorders (APD) are characterized by a more rapidly progressive course, often leading to profound disability. Effective communication between clinicians, patients, and care partners is essential to support patient\u2010centered care and shared decision\u2010making. However, most neurologists lack formal training in serious illness conversations (SIC).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To develop a practical SIC guide tailored to the needs of individuals with APD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Members of the CurePSP Centers of Care Palliative Care Working Group, in collaboration with a SIC education expert (TC), developed a SIC guide for APD. A literature review was conducted, followed by online consensus\u2010building rounds.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Applying core communication principles\u2014such as active listening, pausing, naming and validating emotions, assessing understanding, and reframing\u2014can foster alignment between clinicians, patients, and their care partners. Navigating the balance between maintaining hope and providing realistic, anticipatory guidance remains challenging but best achieved by honest, compassionate dialogue. Four practical guides were developed, addressing common and often challenging scenarios: delivering an APD diagnosis, eliciting patient goals in the context of changing clinical status, addressing safety concerns, and discussing quality of life and end\u2010of\u2010life considerations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Patients and their care partners living with APD benefit greatly from individualized guidance, and honest, empathic communication is a vital part of patient\u2010centered care. While existing SIC frameworks offer valuable foundations, further research is needed to optimize their adaptation for APD\u2014identifying best timing, specific frameworks, relevant outcome measures, and education strategies to build team\u2010wide competency.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/mdc3.70300","type":"journal-article","created":{"date-parts":[[2025,8,22]],"date-time":"2025-08-22T05:00:31Z","timestamp":1755838831000},"page":"344-358","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Serious Illness Conversation in the Care of Atypical Parkinsonian Disorders: A Practical Guide for Neurology Clinicians"],"prefix":"10.1002","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6575-424X","authenticated-orcid":false,"given":"Michiko K.","family":"Bruno","sequence":"first","affiliation":[{"name":"Neuroscience Institute, The Queen's Medical Center, University of Hawaii  Honolulu Hawaii USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jocelyn","family":"Jiao","sequence":"additional","affiliation":[{"name":"Department of Neurology and Neurological Sciences and Department of Medicine Stanford University School of Medicine  Stanford California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Neha M.","family":"Kramer","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine and Department of Neurological Sciences Rush University Medical Center  Chicago Illinois USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-7182-3308","authenticated-orcid":false,"given":"Margaret","family":"Ivancic","sequence":"additional","affiliation":[{"name":"Department of Neurology University of North Carolina at Chapel Hill School of Medicine  Chapel Hill North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3626-9899","authenticated-orcid":false,"given":"Claudia","family":"Chou","sequence":"additional","affiliation":[{"name":"Division of Community Internal Medicine, Geriatrics, and Palliative Care Mayo Clinic  Rochester Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jessica","family":"Shurer","sequence":"additional","affiliation":[{"name":"CurePSP  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Carroll","sequence":"additional","affiliation":[{"name":"Department of Medicine University of Rochester  Rochester New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"CurePSP Centers of Care Palliative Care Working Group","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,8,21]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/B978-0-12-804766-8.00016-9"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/mdc3.12037"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40120-022-00420-1"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.parkreldis.2023.105883"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/spcare-2024-005045"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.parkreldis.2024.106019"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0170988"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2020.03.023"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/cam4.3102"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMcp2304436"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2022.0371"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2020.04.027"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.parkreldis.2016.10.013"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(23)00129-1"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/PPO.0b013e3181f30e07"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.3322\/canjclin.55.3.164"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0044-1787791"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.51.5.1303"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.286.23.3007"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.288.6430.1597"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2012.42.4564"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2006.06.007"},{"issue":"12","key":"e_1_2_8_24_1","first-page":"1975","article-title":"Breaking bad news","volume":"64","author":"VandeKieft GK","year":"2001","journal-title":"Am Fam Physician"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1002\/mdc3.12678"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.parkreldis.2023.105926"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2022.2141"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.1634\/theoncologist.5-4-302"},{"issue":"4","key":"e_1_2_8_29_1","first-page":"260","article-title":"Beyond breaking bad news: how to help patients who suffer","volume":"171","author":"Rabow MW","year":"1999","journal-title":"West J Med."},{"key":"e_1_2_8_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2020.07.022"},{"key":"e_1_2_8_31_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0043-1763509"},{"issue":"2","key":"e_1_2_8_32_1","first-page":"99","article-title":"Delivering bad or life\u2010altering news","volume":"98","author":"Berkey FJ","year":"2018","journal-title":"Am Fam Physician"},{"key":"e_1_2_8_33_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40271-016-0213-9"},{"key":"e_1_2_8_34_1","doi-asserted-by":"publisher","DOI":"10.21037\/apm.2019.09.10"},{"key":"e_1_2_8_35_1","doi-asserted-by":"publisher","DOI":"10.1212\/CPJ.0000000000200092"},{"key":"e_1_2_8_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jns.2023.120614"},{"key":"e_1_2_8_37_1","doi-asserted-by":"publisher","DOI":"10.1200\/JOP.2016.018796"},{"key":"e_1_2_8_38_1","doi-asserted-by":"publisher","DOI":"10.1136\/tsaco-2024-001663"},{"key":"e_1_2_8_39_1","doi-asserted-by":"publisher","DOI":"10.1136\/medethics-2019-105855"},{"issue":"2","key":"e_1_2_8_40_1","first-page":"18","article-title":"Medical aid in dying: an overview for neurologists","volume":"24","author":"Vaughan C","year":"2025","journal-title":"Pract Neurol US"},{"key":"e_1_2_8_41_1","unstructured":"ACGME.milestonesguidebook;2025. Available from:https:\/\/www.acgme.org\/globalassets\/milestonesguidebook.pdf."}],"container-title":["Movement Disorders Clinical Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/movementdisorders.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/mdc3.70300","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/movementdisorders.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/mdc3.70300","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/movementdisorders.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/mdc3.70300","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T04:12:08Z","timestamp":1773029528000},"score":1,"resource":{"primary":{"URL":"https:\/\/movementdisorders.onlinelibrary.wiley.com\/doi\/10.1002\/mdc3.70300"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8,21]]},"references-count":40,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,2]]}},"alternative-id":["10.1002\/mdc3.70300"],"URL":"https:\/\/doi.org\/10.1002\/mdc3.70300","archive":["Portico"],"relation":{},"ISSN":["2330-1619","2330-1619"],"issn-type":[{"value":"2330-1619","type":"print"},{"value":"2330-1619","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,8,21]]},"assertion":[{"value":"2025-04-28","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-07-31","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-08-21","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}