The Economic Costs of Progressive Supranuclear Palsy and Multiple System Atrophy in France, Germany and the United Kingdom
Identifieur interne : 001534 ( Main/Exploration ); précédent : 001533; suivant : 001535The Economic Costs of Progressive Supranuclear Palsy and Multiple System Atrophy in France, Germany and the United Kingdom
Auteurs : Paul Mccrone [Royaume-Uni] ; Christine Anne Mary Payan [France] ; Martin Knapp [Royaume-Uni] ; Albert Ludolph [Allemagne] ; Yves Agid [France] ; P. Nigel Leigh [Royaume-Uni] ; Gilbert Bensimon [France]Source :
- PLoS ONE [ 1932-6203 ] ; 2011.
Abstract
Progressive supranuclear palsy (PSP) and multiple system atrophy (MSA) are progressive disabling neurological conditions usually fatal within 10 years of onset. Little is known about the economic costs of these conditions. This paper reports service use and costs from France, Germany and the UK and identifies patient characteristics that are associated with cost. 767 patients were recruited, and 760 included in the study, from 44 centres as part of the NNIPPS trial. Service use during the previous six months was measured at entry to the study and costs calculated. Mean six-month costs were calculated for 742 patients. Data on patient sociodemographic and clinical characteristics were recorded and used in regression models to identify predictors of service costs and unpaid care costs (i.e., care from family and friends). The mean six-month service costs of PSP were €24,491 in France, €30,643 in Germany and €25,655 in the UK. The costs for MSA were €28,924, €25,645 and €19,103 respectively. Unpaid care accounted for 68–76%. Formal and unpaid costs were significantly higher the more severe the illness, as indicated by the Parkinson's Plus Symptom scale. There was a significant inverse relationship between service and unpaid care costs.
Url:
- http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3169589
- https://hal-unilim.archives-ouvertes.fr/hal-00927513
DOI: 10.1371/journal.pone.0024369
PubMed: 21931694
PubMed Central: 3169589
Affiliations:
- Allemagne, France, Royaume-Uni
- Angleterre, Bade-Wurtemberg, District de Tübingen, Grand Londres, Sussex de l'Est, Île-de-France
- Brighton, Falmer, Londres, Paris, Ulm
- Hôpital de la Salpêtrière, Université d'Ulm, Université du Sussex
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type="wicri:Area/Main/Exploration">001534</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">The Economic Costs of Progressive Supranuclear Palsy and Multiple System Atrophy in France, Germany and the United Kingdom</title><author><name sortKey="Mccrone, Paul" sort="Mccrone, Paul" uniqKey="Mccrone P" first="Paul" last="Mccrone">Paul Mccrone</name><affiliation wicri:level="3"><nlm:aff id="aff1"><addr-line>Health Service and Population Research Department, Institute of Psychiatry, King's College London, London, United Kingdom</addr-line></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Health Service and Population Research Department, Institute of Psychiatry, King's College London, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Payan, Christine Anne Mary" sort="Payan, Christine Anne Mary" uniqKey="Payan C" first="Christine Anne Mary" last="Payan">Christine Anne Mary Payan</name><affiliation wicri:level="3"><nlm:aff id="aff2"><addr-line>APHP, Département de Pharmacologie Clinique, Hôpital de la Pitié-Salpêtrière, UPMC Pharmacologie, Paris 6, UMR 7211, Paris, France</addr-line></nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>APHP, Département de Pharmacologie Clinique, Hôpital de la Pitié-Salpêtrière, UPMC Pharmacologie, Paris 6, UMR 7211, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Knapp, Martin" sort="Knapp, Martin" uniqKey="Knapp M" first="Martin" last="Knapp">Martin Knapp</name><affiliation wicri:level="3"><nlm:aff id="aff1"><addr-line>Health Service and Population Research Department, Institute of Psychiatry, King's College London, London, United Kingdom</addr-line></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Health Service and Population Research Department, Institute of Psychiatry, King's College London, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation><affiliation wicri:level="3"><nlm:aff id="aff3"><addr-line>Personal Social Services Research Unit, London School of Economics, London, United Kingdom</addr-line></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Personal Social Services Research Unit, London School of Economics, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Ludolph, Albert" sort="Ludolph, Albert" uniqKey="Ludolph A" first="Albert" last="Ludolph">Albert Ludolph</name><affiliation wicri:level="4"><nlm:aff id="aff4"><addr-line>Department of Neurology, University of Ulm, Ulm, Germany</addr-line></nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Neurology, University of Ulm, Ulm</wicri:regionArea><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Tübingen</region><settlement type="city">Ulm</settlement></placeName><orgName type="university">Université d'Ulm</orgName></affiliation></author><author><name sortKey="Agid, Yves" sort="Agid, Yves" uniqKey="Agid Y" first="Yves" last="Agid">Yves Agid</name><affiliation wicri:level="3"><nlm:aff id="aff5"><addr-line>ICM (Brain and Spine Institute), Hôpital de la Pitié-Salpêtrière, Assistance Publique Hôpitaux de Paris & UPMC Université Paris 06, Paris, France</addr-line></nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>ICM (Brain and Spine Institute), Hôpital de la Pitié-Salpêtrière, Assistance Publique Hôpitaux de Paris & UPMC Université Paris 06, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName><placeName><settlement type="city">Paris</settlement><region type="region" nuts="2">Île-de-France</region></placeName><orgName type="hospital" n="4">Hôpital de la Salpêtrière</orgName></affiliation></author><author><name sortKey="Leigh, P Nigel" sort="Leigh, P Nigel" uniqKey="Leigh P" first="P. Nigel" last="Leigh">P. Nigel Leigh</name><affiliation wicri:level="4"><nlm:aff id="aff6"><addr-line>Brighton and Sussex Medical School, Trafford Centre for Biomedical Research, University of Sussex, Falmer, Brighton, United Kingdom</addr-line></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Brighton and Sussex Medical School, Trafford Centre for Biomedical Research, University of Sussex, Falmer, Brighton</wicri:regionArea><orgName type="university">Université du Sussex</orgName><placeName><settlement type="city">Brighton</settlement><settlement type="town">Falmer</settlement><region type="nation">Angleterre</region><region nuts="2" type="region">Sussex de l'Est</region></placeName></affiliation></author><author><name sortKey="Bensimon, Gilbert" sort="Bensimon, Gilbert" uniqKey="Bensimon G" first="Gilbert" last="Bensimon">Gilbert Bensimon</name><affiliation wicri:level="3"><nlm:aff id="aff2"><addr-line>APHP, Département de Pharmacologie Clinique, Hôpital de la Pitié-Salpêtrière, UPMC Pharmacologie, Paris 6, UMR 7211, Paris, France</addr-line></nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>APHP, Département de Pharmacologie Clinique, Hôpital de la Pitié-Salpêtrière, UPMC Pharmacologie, Paris 6, UMR 7211, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author></analytic><series><title level="j">PLoS ONE</title><idno type="eISSN">1932-6203</idno><imprint><date when="2011">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Progressive supranuclear palsy (PSP) and multiple system atrophy (MSA) are progressive disabling neurological conditions usually fatal within 10 years of onset. Little is known about the economic costs of these conditions. This paper reports service use and costs from France, Germany and the UK and identifies patient characteristics that are associated with cost. 767 patients were recruited, and 760 included in the study, from 44 centres as part of the NNIPPS trial. Service use during the previous six months was measured at entry to the study and costs calculated. Mean six-month costs were calculated for 742 patients. Data on patient sociodemographic and clinical characteristics were recorded and used in regression models to identify predictors of service costs and unpaid care costs (i.e., care from family and friends). The mean six-month service costs of PSP were €24,491 in France, €30,643 in Germany and €25,655 in the UK. The costs for MSA were €28,924, €25,645 and €19,103 respectively. Unpaid care accounted for 68–76%. Formal and unpaid costs were significantly higher the more severe the illness, as indicated by the Parkinson's Plus Symptom scale. There was a significant inverse relationship between service and unpaid care costs.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Litvan, I" uniqKey="Litvan I">I Litvan</name></author><author><name sortKey="Mangone, Ca" uniqKey="Mangone C">CA Mangone</name></author><author><name sortKey="Mckee, A" uniqKey="Mckee A">A McKee</name></author><author><name sortKey="Verny, M" uniqKey="Verny M">M Verny</name></author><author><name sortKey="Parsa, A" uniqKey="Parsa A">A Parsa</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Testa, D" uniqKey="Testa D">D Testa</name></author><author><name sortKey="Filippini, G" uniqKey="Filippini G">G Filippini</name></author><author><name sortKey="Farinotti, M" uniqKey="Farinotti M">M Farinotti</name></author><author><name sortKey="Palazzini, E" uniqKey="Palazzini E">E Palazzini</name></author><author><name sortKey="Caraceni, T" uniqKey="Caraceni T">T 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Bonnet</name></author><author><name sortKey="Borg, M" uniqKey="Borg M">M Borg</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ware, Je" uniqKey="Ware J">JE Ware</name></author><author><name sortKey="Sherbourne, Cd" uniqKey="Sherbourne C">CD Sherbourne</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Netten, A" uniqKey="Netten A">A Netten</name></author><author><name sortKey="Curtis, L" uniqKey="Curtis L">L Curtis</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hutton, J" uniqKey="Hutton J">J Hutton</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Anderson, R" uniqKey="Anderson R">R Anderson</name></author><author><name sortKey="Newman, Jf" uniqKey="Newman J">JF Newman</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="O Hagan, A" uniqKey="O Hagan A">A O'Hagan</name></author><author><name sortKey="Stevens, Jw" uniqKey="Stevens J">JW Stevens</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mccrone, P" uniqKey="Mccrone P">P McCrone</name></author><author><name sortKey="Heslin, M" uniqKey="Heslin M">M Heslin</name></author><author><name sortKey="Knapp, M" uniqKey="Knapp M">M Knapp</name></author><author><name sortKey="Bull, P" uniqKey="Bull P">P Bull</name></author><author><name sortKey="Thompson, A" uniqKey="Thompson A">A Thompson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kobelt, G" uniqKey="Kobelt G">G Kobelt</name></author><author><name sortKey="Lindgren, P" uniqKey="Lindgren P">P Lindgren</name></author><author><name sortKey="Smala, A" uniqKey="Smala A">A Smala</name></author><author><name sortKey="Jonsson, B" uniqKey="Jonsson B">B Jönsson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lowin, A" uniqKey="Lowin A">A Lowin</name></author><author><name 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sortKey="Smith, R" uniqKey="Smith R">R Smith</name></author><author><name sortKey="Templehoff, B" uniqKey="Templehoff B">B Templehoff</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Goldberg, Rw" uniqKey="Goldberg R">RW Goldberg</name></author><author><name sortKey="Seybolt, Dc" uniqKey="Seybolt D">DC Seybolt</name></author><author><name sortKey="Lehman, A" uniqKey="Lehman A">A Lehman</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Patel, A" uniqKey="Patel A">A Patel</name></author><author><name sortKey="Rendu, A" uniqKey="Rendu A">A Rendu</name></author><author><name sortKey="Moran, P" uniqKey="Moran P">P Moran</name></author><author><name sortKey="Leese, M" uniqKey="Leese M">M Leese</name></author><author><name sortKey="Mann, A" uniqKey="Mann A">A Mann</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kennedy, Adm" uniqKey="Kennedy A">ADM Kennedy</name></author><author><name sortKey="Leigh Brown, Ap" uniqKey="Leigh Brown A">AP Leigh-Brown</name></author><author><name sortKey="Torgerson, Dj" uniqKey="Torgerson D">DJ Torgerson</name></author><author><name sortKey="Campbell, J" uniqKey="Campbell J">J Campbell</name></author><author><name sortKey="Grant, A" uniqKey="Grant A">A Grant</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mirandola, M" uniqKey="Mirandola M">M Mirandola</name></author><author><name sortKey="Bisoffi, G" uniqKey="Bisoffi G">G Bisoffi</name></author><author><name sortKey="Bonizzato, P" uniqKey="Bonizzato P">P Bonizzato</name></author><author><name sortKey="Amaddeo, F" uniqKey="Amaddeo F">F Amaddeo</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Allemagne</li><li>France</li><li>Royaume-Uni</li></country><region><li>Angleterre</li><li>Bade-Wurtemberg</li><li>District de Tübingen</li><li>Grand Londres</li><li>Sussex de l'Est</li><li>Île-de-France</li></region><settlement><li>Brighton</li><li>Falmer</li><li>Londres</li><li>Paris</li><li>Ulm</li></settlement><orgName><li>Hôpital de la Salpêtrière</li><li>Université d'Ulm</li><li>Université du Sussex</li></orgName></list><tree><country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Mccrone, Paul" sort="Mccrone, Paul" uniqKey="Mccrone P" first="Paul" last="Mccrone">Paul Mccrone</name></region><name sortKey="Knapp, Martin" sort="Knapp, Martin" uniqKey="Knapp M" first="Martin" last="Knapp">Martin Knapp</name><name sortKey="Knapp, Martin" sort="Knapp, Martin" uniqKey="Knapp M" first="Martin" last="Knapp">Martin Knapp</name><name sortKey="Leigh, P Nigel" sort="Leigh, P Nigel" uniqKey="Leigh P" first="P. Nigel" last="Leigh">P. Nigel Leigh</name></country><country name="France"><region name="Île-de-France"><name sortKey="Payan, Christine Anne Mary" sort="Payan, Christine Anne Mary" uniqKey="Payan C" first="Christine Anne Mary" last="Payan">Christine Anne Mary Payan</name></region><name sortKey="Agid, Yves" sort="Agid, Yves" uniqKey="Agid Y" first="Yves" last="Agid">Yves Agid</name><name sortKey="Bensimon, Gilbert" sort="Bensimon, Gilbert" uniqKey="Bensimon G" first="Gilbert" last="Bensimon">Gilbert Bensimon</name></country><country name="Allemagne"><region name="Bade-Wurtemberg"><name sortKey="Ludolph, Albert" sort="Ludolph, Albert" uniqKey="Ludolph A" first="Albert" last="Ludolph">Albert Ludolph</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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