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I read all of the messages from this wonderful group of fellow Parkinson's
patients, but rarely post anything.  However, I thought that the following
information should be available to all:
Noma "Bunny" DePew


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 Patella, C Cumin, P Beaverton, JEF Stuffit, 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])

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