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>From: WE MOVE <[log in to unmask]> >Subject: Costs and Reimbursement of PD (AAN 2001) >Date: Mon, 14 May 2001 16:13:52 -0500 > >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 ([log in to unmask]) > >This service is provided free of charge to the Internet community, >courtesy of WEMOVE.org. This document may be freely redistributed by >email only in its unedited form. We encourage you to share it with your >colleagues. > >E-MOVE archives, plus information on subscribing, are >available at http://www.wemove.org/emove. >To unsubscribe, send an e-mail to [log in to unmask], >with "unsubscribe e-move" in the message body. > >E-MOVE is a service of WE MOVE (Worldwide Education and Awareness for >Movement Disorders) >204 West 84th Street >New York, NY 10024 > >TEL 800-437-MOV2 >TEL 212-875-8312 >FAX 212-875-8389 >http://www.wemove.org janet paterson, an akinetic rigid subtype, albeit perky, parky PD: 54/41/37 CD: 54/44/43 TEL: 613 256 8340 EMAIL: [log in to unmask] "a new voice" home page: http://www.geocities.com/janet313/ . "new voice news" latest posts: http://groups.yahoo.com/group/nvnNET/ . ---------------------------------------------------------------------- To sign-off Parkinsn send a message to: mailto:[log in to unmask] In the body of the message put: signoff parkinsn