{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T16:04:39Z","timestamp":1787501079169,"version":"build-2736575974"},"reference-count":25,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,9,26]],"date-time":"2025-09-26T00:00:00Z","timestamp":1758844800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,9,26]],"date-time":"2025-09-26T00:00:00Z","timestamp":1758844800000},"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":[[2026,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Comprehensive management of Parkinson's disease (PD) symptoms should include addressing both motor and nonmotor symptoms (NMS). Gastrointestinal (GI) manifestations are the most common NMS in PD and can lead to significant impairment in quality of life (QoL), impaired medication absorption, and response to treatment. Therefore, the approach to managing GI symptoms in PD ideally should emphasize interdisciplinary collaboration, bringing together experts across several disciplines to provide cohesive and comprehensive treatment. Our teams at Oregon Health &amp; Science University (OHSU) and University of Florida (UF) have developed a novel approach to incorporating gastroenterology and allied services to the delivery of neurologic care in our \u201cPDGI clinic.\u201d In this review, we provide recommendations on how to establish an interdisciplinary clinic for the care of patients with PD (PwPD) based on our experience, including team building, operations, logistics, and curriculum building for education. Despite the emphasis in this review on management of GI symptoms, this interdisciplinary approach could be adapted for expert care of any NMS.<\/jats:p>","DOI":"10.1002\/mdc3.70365","type":"journal-article","created":{"date-parts":[[2025,9,26]],"date-time":"2025-09-26T07:32:12Z","timestamp":1758871932000},"page":"623-630","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Novel Interdisciplinary Gastroenterology and Parkinson's Disease Clinic in a Parkinson's Center of Excellence"],"prefix":"10.1002","volume":"13","author":[{"given":"Monica","family":"Arena","sequence":"first","affiliation":[{"name":"Oregon Health &amp; Science University, School of Medicine  Portland Oregon USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2625-2049","authenticated-orcid":false,"given":"Delaram","family":"Safarpour","sequence":"additional","affiliation":[{"name":"Department of Neurology Oregon Health &amp; Science University  Portland Oregon USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda","family":"Bryant","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Gastroenterology and Hepatology Oregon Health &amp; Science University  Portland Oregon USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adolfo","family":"Ramirez\u2010Zamora","sequence":"additional","affiliation":[{"name":"Department of Neurology College of Medicine, University of Florida  Gainesville Florida USA"},{"name":"Norman Fixel Institute for Neurological Diseases, University of Florida  Gainesville Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicholas","family":"Laberee","sequence":"additional","affiliation":[{"name":"Department of Neurology Oregon Health &amp; Science University  Portland Oregon USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Allison","family":"Smouse","sequence":"additional","affiliation":[{"name":"Oregon Health &amp; Science University, Rehab Services  Portland Oregon USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Diamond","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Gastroenterology and Hepatology Oregon Health &amp; Science University  Portland Oregon USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,9,26]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.2147\/NDT.S213917"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1155\/2016\/6762528"},{"issue":"2","key":"e_1_2_14_4_1","article-title":"Spectrum of non\u2010motor symptoms in Parkinson's disease","volume":"13","author":"Kumaresan M","year":"2021","journal-title":"Cureus"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/mdc3.13407"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(03)00307-7"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.2147\/NDT.S3007"},{"key":"e_1_2_14_8_1","doi-asserted-by":"publisher","DOI":"10.1080\/14737175.2019.1561285"},{"key":"e_1_2_14_9_1","doi-asserted-by":"publisher","DOI":"10.3233\/JPD-202078"},{"key":"e_1_2_14_10_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0000000000007324"},{"key":"e_1_2_14_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00415-018-8761-7"},{"key":"e_1_2_14_12_1","doi-asserted-by":"publisher","DOI":"10.1080\/14737175.2020.1771184"},{"key":"e_1_2_14_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/mds.28097"},{"key":"e_1_2_14_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/mds.25708"},{"key":"e_1_2_14_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/mds.1090"},{"key":"e_1_2_14_16_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0043-1771461"},{"key":"e_1_2_14_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/NRL.0b013e3181be6d15"},{"key":"e_1_2_14_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.parkreldis.2020.05.001"},{"key":"e_1_2_14_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/mdc3.13134"},{"key":"e_1_2_14_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2017.09.003"},{"key":"e_1_2_14_21_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu14235194"},{"issue":"5","key":"e_1_2_14_22_1","first-page":"293","article-title":"Malnutrition and associated motor and non\u2010motor factors in people with Parkinson's disease","volume":"72","author":"Baz\u00e1n\u2010Rodr\u00edguez L","year":"2020","journal-title":"Rev Investig Clin"},{"key":"e_1_2_14_23_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0043-1771457"},{"key":"e_1_2_14_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/nmo.14767"},{"key":"e_1_2_14_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.parkreldis.2024.106982"},{"key":"e_1_2_14_26_1","doi-asserted-by":"publisher","DOI":"10.1177\/1877718X251335047"}],"container-title":["Movement Disorders Clinical Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/movementdisorders.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/mdc3.70365","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/movementdisorders.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/mdc3.70365","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/movementdisorders.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/mdc3.70365","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T17:51:48Z","timestamp":1773769908000},"score":1,"resource":{"primary":{"URL":"https:\/\/movementdisorders.onlinelibrary.wiley.com\/doi\/10.1002\/mdc3.70365"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,26]]},"references-count":25,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,3]]}},"alternative-id":["10.1002\/mdc3.70365"],"URL":"https:\/\/doi.org\/10.1002\/mdc3.70365","archive":["Portico"],"relation":{},"ISSN":["2330-1619","2330-1619"],"issn-type":[{"value":"2330-1619","type":"print"},{"value":"2330-1619","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9,26]]},"assertion":[{"value":"2025-05-12","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-08-29","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-09-26","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}