Estudio de cohortes sobre la carga socioeconómica de la enfermedad de Parkinson en Portugal

Translated title of the contribution: Health-economic burden of Parkinson's disease in Portugal: A cohort study

Jens P. Reese, Yaroslav Winter, Mario M. Rosa, Antonio M. Rodrigues E Silva, Sonja Von Campenhausen, Rita Freire, Céu Mateus, Monika Balzer-Geldsetzer, Kai Bötzel, Wolfgang H. Oertel, Richard Dodel, Cristina Sampaio

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Introduction. Parkinson's disease (PD) is a common neurodegenerative disorder with a considerable socioeconomic burden. Health-economic evaluations of PD in the Southern European countries are limited. Aim. To evaluate the costs of PD in an outpatient cohort in Portugal. Patients and methods. 49 consecutive PD patients were recruited at the neurological outpatient clinic of the University of Lisbon between October 2004 and December 2005. Clinical status was evaluated using the Unified Parkinson's Disease Rating Scale and the Hoehn & Yahr stages. Costs were assessed from the societal perspective using health-economic questionnaires. Human capital approach was used to estimate indirect costs. Health-related quality of life was evaluated by means of the EQ-5D. Results. Direct costs were 2,717 euros (95% CI = 1,147-3,351) per patient for a six-month period. Main contributors to the direct costs included drugs (544 euros; 95% CI = 426-6,940) and hospitalizations (690 euros; 95% CI = 229-1,944). Indirect costs amounted to 850 euros (95% CI = 397-1,529), whereas patient expenditures constituted 12% of direct costs. Assistance by family and other relatives played a major role. In general, costs were lower than in other Western countries. Conclusions. The economic burden of PD in Portugal is considerable. Important cost components include medications and hospitalizations. More research is needed in order to describe a comprehensive health service patterns in Portugal and to guide health policy decisions more effectively.

Original languageSpanish
Pages (from-to)264-274
Number of pages11
JournalRevista de Neurologia
Volume52
Issue number5
Publication statusPublished - 1 Mar 2011

Keywords

  • Cost
  • Economic burden
  • Parkinson's disease
  • Portugal

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    Reese, J. P., Winter, Y., Rosa, M. M., Rodrigues E Silva, A. M., Von Campenhausen, S., Freire, R., ... Sampaio, C. (2011). Estudio de cohortes sobre la carga socioeconómica de la enfermedad de Parkinson en Portugal. Revista de Neurologia, 52(5), 264-274.