The health burdens of Parkinson's disease.
Identifieur interne : 004F51 ( Ncbi/Merge ); précédent : 004F50; suivant : 004F52The health burdens of Parkinson's disease.
Auteurs : E A Chrischilles [États-Unis] ; L M Rubenstein ; M D Voelker ; R B Wallace ; R L RodnitzkySource :
- Movement disorders : official journal of the Movement Disorder Society [ 0885-3185 ] ; 1998.
English descriptors
- KwdEn :
- Activities of Daily Living (classification), Activities of Daily Living (psychology), Adaptation, Psychological, Aged, Aged, 80 and over, Cost of Illness, Costs and Cost Analysis, Cross-Sectional Studies, Disability Evaluation, Female, Humans, Male, Middle Aged, Parkinson Disease (diagnosis), Parkinson Disease (economics), Parkinson Disease (psychology), Patient Care Team (economics), Patient Readmission (economics), Quality of Life, Sick Role, Socioeconomic Factors.
- MESH :
- classification : Activities of Daily Living.
- diagnosis : Parkinson Disease.
- economics : Parkinson Disease, Patient Care Team, Patient Readmission.
- psychology : Activities of Daily Living, Parkinson Disease.
- Adaptation, Psychological, Aged, Aged, 80 and over, Cost of Illness, Costs and Cost Analysis, Cross-Sectional Studies, Disability Evaluation, Female, Humans, Male, Middle Aged, Quality of Life, Sick Role, Socioeconomic Factors.
Abstract
Parkinson's disease (PD) is likely to have a substantial impact on an individual's health-related quality of life (HRQL), health-related resource use, and productivity. Data about the health burdens of PD by disease stage are fundamental to understanding the effectiveness of care, both from a clinical and a fiscal point of view. This study's goal was to describe the associations of patient-reported HRQL and economic characteristics with PD stage. We hypothesized that later stages of PD would be associated with poorer HRQL, greater health-related resource use, and lower work productivity than early stages of PD. We used a cross-sectional analysis to study 193 PD patients attending two hospital-based neurology clinics. Self-administered questionnaires and in-person interviews measured clinical features, functional status, general health perceptions, well-being, overall HRQL, work productivity, and health-related resource use. Consistent, strong associations were found between stage and functional status, general health perceptions, well-being, and overall HRQL even after controlling for age, gender, and comorbid conditions. Most resource use and work productivity measures were also associated with disease stage. However, physician services use was not. This study confirms that the burdens of illness are progressively higher for PD patients with early, moderate, and advanced illness. The results suggest that such important facets of the health burden as HRQL and health-related resource use may be seriously misjudged if not carefully measured but inferred from clinical observations alone.
DOI: 10.1002/mds.870130306
PubMed: 9613729
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">The health burdens of Parkinson's disease.</title><author><name sortKey="Chrischilles, E A" sort="Chrischilles, E A" uniqKey="Chrischilles E" first="E A" last="Chrischilles">E A Chrischilles</name><affiliation wicri:level="4"><nlm:affiliation>Department of Preventive Medicine and Environmental Health, The University of Iowa, Iowa City 52242, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Preventive Medicine and Environmental Health, The University of Iowa, Iowa City 52242</wicri:regionArea><orgName type="university">Université de l'Iowa</orgName><placeName><settlement type="city">Iowa City</settlement><region type="state">Iowa</region></placeName></affiliation></author><author><name sortKey="Rubenstein, L M" sort="Rubenstein, L M" uniqKey="Rubenstein L" first="L M" last="Rubenstein">L M Rubenstein</name></author><author><name sortKey="Voelker, M D" sort="Voelker, M D" uniqKey="Voelker M" first="M D" last="Voelker">M D Voelker</name></author><author><name sortKey="Wallace, R B" sort="Wallace, R B" uniqKey="Wallace R" first="R B" last="Wallace">R B Wallace</name></author><author><name sortKey="Rodnitzky, R L" sort="Rodnitzky, R L" uniqKey="Rodnitzky R" first="R L" last="Rodnitzky">R L Rodnitzky</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="1998">1998</date><idno type="RBID">pubmed:9613729</idno><idno type="pmid">9613729</idno><idno type="doi">10.1002/mds.870130306</idno><idno type="wicri:Area/PubMed/Corpus">004432</idno><idno type="wicri:Area/PubMed/Curation">004432</idno><idno type="wicri:Area/PubMed/Checkpoint">004320</idno><idno type="wicri:Area/Ncbi/Merge">004F51</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">The health burdens of Parkinson's disease.</title><author><name sortKey="Chrischilles, E A" sort="Chrischilles, E A" uniqKey="Chrischilles E" first="E A" last="Chrischilles">E A Chrischilles</name><affiliation wicri:level="4"><nlm:affiliation>Department of Preventive Medicine and Environmental Health, The University of Iowa, Iowa City 52242, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Preventive Medicine and Environmental Health, The University of Iowa, Iowa City 52242</wicri:regionArea><orgName type="university">Université de l'Iowa</orgName><placeName><settlement type="city">Iowa City</settlement><region type="state">Iowa</region></placeName></affiliation></author><author><name sortKey="Rubenstein, L M" sort="Rubenstein, L M" uniqKey="Rubenstein L" first="L M" last="Rubenstein">L M Rubenstein</name></author><author><name sortKey="Voelker, M D" sort="Voelker, M D" uniqKey="Voelker M" first="M D" last="Voelker">M D Voelker</name></author><author><name sortKey="Wallace, R B" sort="Wallace, R B" uniqKey="Wallace R" first="R B" last="Wallace">R B Wallace</name></author><author><name sortKey="Rodnitzky, R L" sort="Rodnitzky, R L" uniqKey="Rodnitzky R" first="R L" last="Rodnitzky">R L Rodnitzky</name></author></analytic><series><title level="j">Movement disorders : official journal of the Movement Disorder Society</title><idno type="ISSN">0885-3185</idno><imprint><date when="1998" type="published">1998</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Activities of Daily Living (classification)</term><term>Activities of Daily Living (psychology)</term><term>Adaptation, Psychological</term><term>Aged</term><term>Aged, 80 and over</term><term>Cost of Illness</term><term>Costs and Cost Analysis</term><term>Cross-Sectional Studies</term><term>Disability Evaluation</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Parkinson Disease (diagnosis)</term><term>Parkinson Disease (economics)</term><term>Parkinson Disease (psychology)</term><term>Patient Care Team (economics)</term><term>Patient Readmission (economics)</term><term>Quality of Life</term><term>Sick Role</term><term>Socioeconomic Factors</term></keywords><keywords scheme="MESH" qualifier="classification" xml:lang="en"><term>Activities of Daily Living</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="economics" xml:lang="en"><term>Parkinson Disease</term><term>Patient Care Team</term><term>Patient Readmission</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Activities of Daily Living</term><term>Parkinson Disease</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adaptation, Psychological</term><term>Aged</term><term>Aged, 80 and over</term><term>Cost of Illness</term><term>Costs and Cost Analysis</term><term>Cross-Sectional Studies</term><term>Disability Evaluation</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Quality of Life</term><term>Sick Role</term><term>Socioeconomic Factors</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Parkinson's disease (PD) is likely to have a substantial impact on an individual's health-related quality of life (HRQL), health-related resource use, and productivity. Data about the health burdens of PD by disease stage are fundamental to understanding the effectiveness of care, both from a clinical and a fiscal point of view. This study's goal was to describe the associations of patient-reported HRQL and economic characteristics with PD stage. We hypothesized that later stages of PD would be associated with poorer HRQL, greater health-related resource use, and lower work productivity than early stages of PD. We used a cross-sectional analysis to study 193 PD patients attending two hospital-based neurology clinics. Self-administered questionnaires and in-person interviews measured clinical features, functional status, general health perceptions, well-being, overall HRQL, work productivity, and health-related resource use. Consistent, strong associations were found between stage and functional status, general health perceptions, well-being, and overall HRQL even after controlling for age, gender, and comorbid conditions. Most resource use and work productivity measures were also associated with disease stage. However, physician services use was not. This study confirms that the burdens of illness are progressively higher for PD patients with early, moderate, and advanced illness. The results suggest that such important facets of the health burden as HRQL and health-related resource use may be seriously misjudged if not carefully measured but inferred from clinical observations alone.</div></front></TEI><pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">9613729</PMID><DateCreated><Year>1998</Year><Month>08</Month><Day>10</Day></DateCreated><DateCompleted><Year>1998</Year><Month>08</Month><Day>10</Day></DateCompleted><DateRevised><Year>2006</Year><Month>11</Month><Day>15</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0885-3185</ISSN><JournalIssue CitedMedium="Print"><Volume>13</Volume><Issue>3</Issue><PubDate><Year>1998</Year><Month>May</Month></PubDate></JournalIssue><Title>Movement disorders : official journal of the Movement Disorder Society</Title><ISOAbbreviation>Mov. Disord.</ISOAbbreviation></Journal><ArticleTitle>The health burdens of Parkinson's disease.</ArticleTitle><Pagination><MedlinePgn>406-13</MedlinePgn></Pagination><Abstract><AbstractText>Parkinson's disease (PD) is likely to have a substantial impact on an individual's health-related quality of life (HRQL), health-related resource use, and productivity. Data about the health burdens of PD by disease stage are fundamental to understanding the effectiveness of care, both from a clinical and a fiscal point of view. This study's goal was to describe the associations of patient-reported HRQL and economic characteristics with PD stage. We hypothesized that later stages of PD would be associated with poorer HRQL, greater health-related resource use, and lower work productivity than early stages of PD. We used a cross-sectional analysis to study 193 PD patients attending two hospital-based neurology clinics. Self-administered questionnaires and in-person interviews measured clinical features, functional status, general health perceptions, well-being, overall HRQL, work productivity, and health-related resource use. Consistent, strong associations were found between stage and functional status, general health perceptions, well-being, and overall HRQL even after controlling for age, gender, and comorbid conditions. Most resource use and work productivity measures were also associated with disease stage. However, physician services use was not. This study confirms that the burdens of illness are progressively higher for PD patients with early, moderate, and advanced illness. The results suggest that such important facets of the health burden as HRQL and health-related resource use may be seriously misjudged if not carefully measured but inferred from clinical observations alone.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Chrischilles</LastName><ForeName>E A</ForeName><Initials>EA</Initials><AffiliationInfo><Affiliation>Department of Preventive Medicine and Environmental Health, The University of Iowa, Iowa City 52242, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rubenstein</LastName><ForeName>L M</ForeName><Initials>LM</Initials></Author><Author ValidYN="Y"><LastName>Voelker</LastName><ForeName>M D</ForeName><Initials>MD</Initials></Author><Author ValidYN="Y"><LastName>Wallace</LastName><ForeName>R B</ForeName><Initials>RB</Initials></Author><Author ValidYN="Y"><LastName>Rodnitzky</LastName><ForeName>R L</ForeName><Initials>RL</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>UNITED STATES</Country><MedlineTA>Mov Disord</MedlineTA><NlmUniqueID>8610688</NlmUniqueID><ISSNLinking>0885-3185</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName MajorTopicYN="N" UI="D000203">Activities of Daily Living</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000145">classification</QualifierName><QualifierName MajorTopicYN="N" UI="Q000523">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D000223">Adaptation, Psychological</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D000368">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D000369">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="Y" UI="D017281">Cost of Illness</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D003365">Costs and Cost Analysis</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D003430">Cross-Sectional Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D004185">Disability Evaluation</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D005260">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D006801">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D008297">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D008875">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D010300">Parkinson Disease</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000175">diagnosis</QualifierName><QualifierName MajorTopicYN="Y" UI="Q000191">economics</QualifierName><QualifierName MajorTopicYN="N" UI="Q000523">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D010348">Patient Care Team</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000191">economics</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D010359">Patient Readmission</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000191">economics</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D011788">Quality of Life</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D012803">Sick Role</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D012959">Socioeconomic Factors</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>1998</Year><Month>6</Month><Day>5</Day></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>1998</Year><Month>6</Month><Day>5</Day><Hour>0</Hour><Minute>1</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>1998</Year><Month>6</Month><Day>5</Day><Hour>0</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">9613729</ArticleId><ArticleId IdType="doi">10.1002/mds.870130306</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>États-Unis</li></country><region><li>Iowa</li></region><settlement><li>Iowa City</li></settlement><orgName><li>Université de l'Iowa</li></orgName></list><tree><noCountry><name sortKey="Rodnitzky, R L" sort="Rodnitzky, R L" uniqKey="Rodnitzky R" first="R L" last="Rodnitzky">R L Rodnitzky</name><name sortKey="Rubenstein, L M" sort="Rubenstein, L M" uniqKey="Rubenstein L" first="L M" last="Rubenstein">L M Rubenstein</name><name sortKey="Voelker, M D" sort="Voelker, M D" uniqKey="Voelker M" first="M D" last="Voelker">M D Voelker</name><name sortKey="Wallace, R B" sort="Wallace, R B" uniqKey="Wallace R" first="R B" last="Wallace">R B Wallace</name></noCountry><country name="États-Unis"><region name="Iowa"><name sortKey="Chrischilles, E A" sort="Chrischilles, E A" uniqKey="Chrischilles E" first="E A" last="Chrischilles">E A Chrischilles</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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