Re: Costs and Reimbursement of PD (AAN 2001)

["Edith S. Love" <elove@xxxxxxx>]

Hi, All,

Everyone may know about this already, but I'll send it on just in case.
It's one of the latest E-MOVE reports.
E of the headdress


At 04:13 PM 5/14/2001 -0500, you wrote:
>E-MOVE reports from the 53rd Annual Meeting of the American Academy of
>Neurology in Philadelphia May 5-11, 2001. Poster and Platform session
>numbers refer to abstracts published in Neurology 2001;56 (Supplement 3).
>
>1. P02.033 Analysis of United States Social Security Disability Insurance
>in Parkinson's disease patients, 1999
>T Zesiewicz, A Patel, C Cimino, P Leaverton, JF Staffetti, RA Hauser
>
>PD patients who apply for Social Security disability payments are very
>likely to receive them with adequate documentation, according to this
>study. From all PD patients at a movement disorders center with onset
>before age 60 who met the SSDI employment criteria, 68 patients were
>randomly selected for a telephone interview. Mean age was 58 years, and
>disease duration was 9.5 years. Of 52 patients who felt they were
>disabled, 37 applied for SSDI and 32 received it. All patients who
>received SSDI either kept extensive documentation of medical history or
>obtained legal help with filing, while none of the unsuccessful patients
>did.
>
>2. P02.078 Economic burden and quality of life impairment increase with
>severity of Parkinson's disease (PD): A naturalistic study among 260 PD
>patients in Finland
>T Keranen, S Kaakkolo, K Sotaniemi, The EcoPD Study Group
>
>Motor fluctuations dramatically increase costs and decrease quality of
>life, according to this study. Two-hundred-sixty consecutive PD patients
>at six centers were assessed for PD severity, quality of life, health and
>social care resource use, and associated direct and indirect costs. Mean
>direct cost per patient was $5500 (median $2700). Total cost, including
>estimated value of home care and early retirement, was $13200 (median
>$3700). Patients with motor fluctuations had a median direct cost twice
>that of nonfluctuators, and a total cost approximately seven times as
>much. Forty-one percent of direct costs for all patients was for
>hospitalization, and 20% was for medications. Quality of life was
>inversely correlated with PD severity, and was significantly worse in
>fluctuating patients.
>
>3. S28.001 The impact of comorbid disease patterns of resource use and
>expenditures in an elderly population with Parkinson's
>JC Pressley, ED Lewis, M Tang, LJ Cote, PD Cohen, R Mayeux
>
>Broken bones, dementia, and diabetes are common comorbid conditions in PD,
>whose presence significantly increases costs and resource use, according
>to this report. Using national survey data and Medicare claims, records of
>791 PD patients were identified and reviewed for comorbid conditions and
>claims. Compared to controls without PD, patients were 3.4 times more
>likely to suffer broken bones, 4 times more likely to have dementia, and
>1.5 times more likely to have diabetes. Hospitalization accounted for 54%
>of all medical charges. In patients with PD plus diabetes, hospitalization
>accounted for 70% of all charges. Only half of patients saw a neurologist
>during the five -year study period.
>
>Copyright 2000 WE MOVE
>Editor: Richard Robinson (rrobinson@xxxxxxxxxx)
>
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