The economic impact of cognitive impairment in Parkinson's disease
Identifieur interne : 001333 ( Main/Exploration ); précédent : 001332; suivant : 001334The economic impact of cognitive impairment in Parkinson's disease
Auteurs : Corinna Vossius [Norvège] ; Jan P. Larsen [Norvège] ; Carmen Janvin [Norvège] ; Dag Aarsland [Norvège]Source :
- Movement Disorders [ 0885-3185 ] ; 2011-07.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
- Aged, Aged, 80 and over, Cognition Disorders (economics), Cognition Disorders (etiology), Cognition Disorders (psychology), Cognitive disorder, Cohort Studies, Cost of Illness, Costs, Dementia, Economic impact, Female, Humans, Male, Middle Aged, Nervous system diseases, Neuropsychological Tests, Parkinson Disease (complications), Parkinson Disease (economics), Parkinson Disease (psychology), Parkinson disease, Parkinson's disease, Retrospective Studies, cognitive impairment, cost‐driving factors, dementia in Parkinson's disease, direct costs.
- MESH :
- complications : Parkinson Disease.
- economics : Cognition Disorders, Parkinson Disease.
- etiology : Cognition Disorders.
- psychology : Cognition Disorders, Parkinson Disease.
- Aged, Aged, 80 and over, Cohort Studies, Cost of Illness, Female, Humans, Male, Middle Aged, Neuropsychological Tests, Retrospective Studies.
Abstract
Background:: We investigated to what extent cognitive impairment and dementia were related to the direct medical and nonmedical costs in Parkinson's disease. Methods:: Sixty‐one patients with Parkinson's disease from a population‐based cohort were assessed for motor and cognitive symptoms in 1993, 1997, and 2001. Data on use of health care and social services were collected. Results:: The costs of patients with dementia were 3.3 times higher (€34,980) than those of nondemented patients (€10,626) per year of survival. Institutional care was the largest cost factor, representing 67% of the costs. Cognitive functioning predicted direct costs by 29.4%. Cognitive decline was associated with increased costs, even in nondemented subjects. Conclusions:: Our findings suggest that dementia has a substantial impact on direct costs in Parkinson's disease, mainly due to high costs for institutional care. In addition, there were indications that even patients with mild cognitive impairment have higher nonmedical costs. © 2011 Movement Disorder Society
Url:
DOI: 10.1002/mds.23661
Affiliations:
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<front><div type="abstract" xml:lang="en">Background:: We investigated to what extent cognitive impairment and dementia were related to the direct medical and nonmedical costs in Parkinson's disease. Methods:: Sixty‐one patients with Parkinson's disease from a population‐based cohort were assessed for motor and cognitive symptoms in 1993, 1997, and 2001. Data on use of health care and social services were collected. Results:: The costs of patients with dementia were 3.3 times higher (€34,980) than those of nondemented patients (€10,626) per year of survival. Institutional care was the largest cost factor, representing 67% of the costs. Cognitive functioning predicted direct costs by 29.4%. Cognitive decline was associated with increased costs, even in nondemented subjects. Conclusions:: Our findings suggest that dementia has a substantial impact on direct costs in Parkinson's disease, mainly due to high costs for institutional care. In addition, there were indications that even patients with mild cognitive impairment have higher nonmedical costs. © 2011 Movement Disorder Society</div>
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