The economic impact of cognitive impairment in Parkinson's disease
Identifieur interne : 000129 ( Main/Exploration ); précédent : 000128; suivant : 000130The 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.
English descriptors
- KwdEn :
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:
Links toward previous steps (curation, corpus...)
Le document en format XML
<record><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title xml:lang="en">The economic impact of cognitive impairment in Parkinson's disease</title><author><name sortKey="Vossius, Corinna" sort="Vossius, Corinna" uniqKey="Vossius C" first="Corinna" last="Vossius">Corinna Vossius</name></author><author><name sortKey="Larsen, Jan P" sort="Larsen, Jan P" uniqKey="Larsen J" first="Jan P." last="Larsen">Jan P. Larsen</name></author><author><name sortKey="Janvin, Carmen" sort="Janvin, Carmen" uniqKey="Janvin C" first="Carmen" last="Janvin">Carmen Janvin</name></author><author><name sortKey="Aarsland, Dag" sort="Aarsland, Dag" uniqKey="Aarsland D" first="Dag" last="Aarsland">Dag Aarsland</name></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:68A5D0E357D13E2ABEFF233E3BFB6DF70D95E9F1</idno><date when="2011" year="2011">2011</date><idno type="doi">10.1002/mds.23661</idno><idno type="url">https://api.istex.fr/document/68A5D0E357D13E2ABEFF233E3BFB6DF70D95E9F1/fulltext/pdf</idno><idno type="wicri:Area/Main/Corpus">001981</idno><idno type="wicri:Area/Main/Curation">001730</idno><idno type="wicri:Area/Main/Exploration">000129</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">The economic impact of cognitive impairment in Parkinson's disease</title><author><name sortKey="Vossius, Corinna" sort="Vossius, Corinna" uniqKey="Vossius C" first="Corinna" last="Vossius">Corinna Vossius</name><affiliation wicri:level="1"><country xml:lang="fr">Norvège</country><wicri:regionArea>Department of Neurology, Stavanger University Hospital, Stavanger</wicri:regionArea><wicri:noRegion>Stavanger</wicri:noRegion></affiliation><affiliation wicri:level="1"><country xml:lang="fr">Norvège</country><wicri:regionArea>Norwegian Centre for Movement Disorders, Stavanger University Hospital, Stavanger</wicri:regionArea><wicri:noRegion>Stavanger</wicri:noRegion></affiliation><affiliation wicri:level="1"><country xml:lang="fr">Norvège</country><wicri:regionArea>Stokka Teaching Nursing Home, Stavanger</wicri:regionArea><wicri:noRegion>Stavanger</wicri:noRegion></affiliation></author><author><name sortKey="Larsen, Jan P" sort="Larsen, Jan P" uniqKey="Larsen J" first="Jan P." last="Larsen">Jan P. Larsen</name><affiliation wicri:level="1"><country xml:lang="fr">Norvège</country><wicri:regionArea>Department of Neurology, Stavanger University Hospital, Stavanger</wicri:regionArea><wicri:noRegion>Stavanger</wicri:noRegion></affiliation><affiliation wicri:level="1"><country xml:lang="fr">Norvège</country><wicri:regionArea>Norwegian Centre for Movement Disorders, Stavanger University Hospital, Stavanger</wicri:regionArea><wicri:noRegion>Stavanger</wicri:noRegion></affiliation></author><author><name sortKey="Janvin, Carmen" sort="Janvin, Carmen" uniqKey="Janvin C" first="Carmen" last="Janvin">Carmen Janvin</name><affiliation wicri:level="1"><country xml:lang="fr">Norvège</country><wicri:regionArea>Department of Psychiatry, Stavanger University Hospital, Stavanger</wicri:regionArea><wicri:noRegion>Stavanger</wicri:noRegion></affiliation></author><author><name sortKey="Aarsland, Dag" sort="Aarsland, Dag" uniqKey="Aarsland D" first="Dag" last="Aarsland">Dag Aarsland</name><affiliation wicri:level="1"><country xml:lang="fr">Norvège</country><wicri:regionArea>Centre for Age‐Related Medicine, Stavanger University Hospital, Stavanger</wicri:regionArea><wicri:noRegion>Stavanger</wicri:noRegion></affiliation><affiliation wicri:level="1"><country xml:lang="fr">Norvège</country><wicri:regionArea>Department of Psychiatry, Akershus University Hospital, University of Oslo</wicri:regionArea><wicri:noRegion>University of Oslo</wicri:noRegion></affiliation></author></analytic><monogr></monogr><series><title level="j">Movement Disorders</title><title level="j" type="abbrev">Mov. Disord.</title><idno type="ISSN">0885-3185</idno><idno type="eISSN">1531-8257</idno><imprint><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>Hoboken</pubPlace><date type="published" when="2011-07">2011-07</date><biblScope unit="volume">26</biblScope><biblScope unit="issue">8</biblScope><biblScope unit="page" from="1541">1541</biblScope><biblScope unit="page" to="1544">1544</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">68A5D0E357D13E2ABEFF233E3BFB6DF70D95E9F1</idno><idno type="DOI">10.1002/mds.23661</idno><idno type="ArticleID">MDS23661</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Parkinson's disease</term><term>cognitive impairment</term><term>cost‐driving factors</term><term>dementia in Parkinson's disease</term><term>direct costs</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><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></front></TEI><affiliations><list><country><li>Norvège</li></country></list><tree><country name="Norvège"><noRegion><name sortKey="Vossius, Corinna" sort="Vossius, Corinna" uniqKey="Vossius C" first="Corinna" last="Vossius">Corinna Vossius</name></noRegion><name sortKey="Aarsland, Dag" sort="Aarsland, Dag" uniqKey="Aarsland D" first="Dag" last="Aarsland">Dag Aarsland</name><name sortKey="Aarsland, Dag" sort="Aarsland, Dag" uniqKey="Aarsland D" first="Dag" last="Aarsland">Dag Aarsland</name><name sortKey="Janvin, Carmen" sort="Janvin, Carmen" uniqKey="Janvin C" first="Carmen" last="Janvin">Carmen Janvin</name><name sortKey="Larsen, Jan P" sort="Larsen, Jan P" uniqKey="Larsen J" first="Jan P." last="Larsen">Jan P. Larsen</name><name sortKey="Larsen, Jan P" sort="Larsen, Jan P" uniqKey="Larsen J" first="Jan P." last="Larsen">Jan P. Larsen</name><name sortKey="Vossius, Corinna" sort="Vossius, Corinna" uniqKey="Vossius C" first="Corinna" last="Vossius">Corinna Vossius</name><name sortKey="Vossius, Corinna" sort="Vossius, Corinna" uniqKey="Vossius C" first="Corinna" last="Vossius">Corinna Vossius</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/ParkinsonV1/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000129 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 000129 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Sante
|area= ParkinsonV1
|flux= Main
|étape= Exploration
|type= RBID
|clé= ISTEX:68A5D0E357D13E2ABEFF233E3BFB6DF70D95E9F1
|texte= The economic impact of cognitive impairment in Parkinson's disease
}}
| This area was generated with Dilib version V0.6.23. |  |