Average annual cost of Parkinson’s disease in São Paulo, Brazil, with a focus on disease-related motor symptoms

Average annual cost of Parkinson’s disease in São Paulo, Brazil, with a focus on disease-related motor symptoms

Tânia M Bovolenta,1 Sônia Maria Cesar de Azevedo Silva,2 Roberta Arb Saba,3 Vanderci Borges,2 Henrique Ballalai Ferraz,2 Andre C Felicio1 1Hospital Israelita Albert Einstein, São Paulo, 2Neurology Department, Federal University of São Paulo, UNIFESP, S&...

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Autores principales: Bovolenta TM, Azevedo Silva SM, Saba RA, Borges V, Ferraz HB, Felicio AC
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2017
Materias:
Parkinson’s disease
Health Economics
Cost of Illness
Health Evaluation
Cost Analysis
Geriatrics
RC952-954.6
Acceso en línea:https://doaj.org/article/6dd141e3df0040339352256f4a306d2e
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spelling oai:doaj.org-article:6dd141e3df0040339352256f4a306d2e2021-12-02T02:31:04ZAverage annual cost of Parkinson’s disease in São Paulo, Brazil, with a focus on disease-related motor symptoms1178-1998https://doaj.org/article/6dd141e3df0040339352256f4a306d2e2017-12-01T00:00:00Zhttps://www.dovepress.com/average-annual-cost-of-parkinsons-disease-in-sao-paulo-brazil-with-a-f-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Tânia M Bovolenta,1 Sônia Maria Cesar de Azevedo Silva,2 Roberta Arb Saba,3 Vanderci Borges,2 Henrique Ballalai Ferraz,2 Andre C Felicio1 1Hospital Israelita Albert Einstein, São Paulo, 2Neurology Department, Federal University of São Paulo, UNIFESP, São Paulo, 3Neurology Department, Federal University of São Paulo, UNIFESP, São Paulo, Brazil Background: Although Parkinson’s disease is the second most prevalent neurodegenerative disease worldwide, its cost in Brazil – South America’s largest country – is unknown.Objective: The goal of this study was to calculate the average annual cost of Parkinson’s disease in the city of São Paulo (Brazil), with a focus on disease-related motor symptoms.Subjects and methods: This was a retrospective, cross-sectional analysis using a bottom-up approach (ie, from the society’s perspective). Patients (N=260) at two tertiary public health centers, who were residents of the São Paulo metropolitan area, completed standardized questionnaires regarding their disease-related expenses. We used simple and multiple generalized linear models to assess the correlations between total cost and patient-related, as well as disease-related variables.Results: The total average annual cost of Parkinson’s disease was estimated at US$5,853.50 per person, including US$3,172.00 in direct costs (medical and nonmedical) and US$2,681.50 in indirect costs. Costs were directly correlated with disease severity (including the degree of motor symptoms), patients’ age, and time since disease onset.Conclusion: In this study, we determined the cost of Parkinson’s disease in Brazil and observed that disease-related motor symptoms are a significant component of the costs incurred on the public health system, patients, and society in general. Keywords: Parkinson’s disease, health economics, cost of illness, health evaluation, cost analysisBovolenta TMAzevedo Silva SMSaba RABorges VFerraz HBFelicio ACDove Medical PressarticleParkinson’s diseaseHealth EconomicsCost of IllnessHealth EvaluationCost AnalysisGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 12, Pp 2095-2108 (2017)
institution DOAJ
collection DOAJ
language EN
topic Parkinson’s disease
Health Economics
Cost of Illness
Health Evaluation
Cost Analysis
Geriatrics
RC952-954.6
spellingShingle Parkinson’s disease
Health Economics
Cost of Illness
Health Evaluation
Cost Analysis
Geriatrics
RC952-954.6
Bovolenta TM
Azevedo Silva SM
Saba RA
Borges V
Ferraz HB
Felicio AC
Average annual cost of Parkinson’s disease in São Paulo, Brazil, with a focus on disease-related motor symptoms
description Tânia M Bovolenta,1 Sônia Maria Cesar de Azevedo Silva,2 Roberta Arb Saba,3 Vanderci Borges,2 Henrique Ballalai Ferraz,2 Andre C Felicio1 1Hospital Israelita Albert Einstein, São Paulo, 2Neurology Department, Federal University of São Paulo, UNIFESP, São Paulo, 3Neurology Department, Federal University of São Paulo, UNIFESP, São Paulo, Brazil Background: Although Parkinson’s disease is the second most prevalent neurodegenerative disease worldwide, its cost in Brazil – South America’s largest country – is unknown.Objective: The goal of this study was to calculate the average annual cost of Parkinson’s disease in the city of São Paulo (Brazil), with a focus on disease-related motor symptoms.Subjects and methods: This was a retrospective, cross-sectional analysis using a bottom-up approach (ie, from the society’s perspective). Patients (N=260) at two tertiary public health centers, who were residents of the São Paulo metropolitan area, completed standardized questionnaires regarding their disease-related expenses. We used simple and multiple generalized linear models to assess the correlations between total cost and patient-related, as well as disease-related variables.Results: The total average annual cost of Parkinson’s disease was estimated at US$5,853.50 per person, including US$3,172.00 in direct costs (medical and nonmedical) and US$2,681.50 in indirect costs. Costs were directly correlated with disease severity (including the degree of motor symptoms), patients’ age, and time since disease onset.Conclusion: In this study, we determined the cost of Parkinson’s disease in Brazil and observed that disease-related motor symptoms are a significant component of the costs incurred on the public health system, patients, and society in general. Keywords: Parkinson’s disease, health economics, cost of illness, health evaluation, cost analysis
format article
author Bovolenta TM
Azevedo Silva SM
Saba RA
Borges V
Ferraz HB
Felicio AC
author_facet Bovolenta TM
Azevedo Silva SM
Saba RA
Borges V
Ferraz HB
Felicio AC
author_sort Bovolenta TM
title Average annual cost of Parkinson’s disease in São Paulo, Brazil, with a focus on disease-related motor symptoms
title_short Average annual cost of Parkinson’s disease in São Paulo, Brazil, with a focus on disease-related motor symptoms
title_full Average annual cost of Parkinson’s disease in São Paulo, Brazil, with a focus on disease-related motor symptoms
title_fullStr Average annual cost of Parkinson’s disease in São Paulo, Brazil, with a focus on disease-related motor symptoms
title_full_unstemmed Average annual cost of Parkinson’s disease in São Paulo, Brazil, with a focus on disease-related motor symptoms
title_sort average annual cost of parkinson’s disease in são paulo, brazil, with a focus on disease-related motor symptoms
publisher Dove Medical Press
publishDate 2017
url https://doaj.org/article/6dd141e3df0040339352256f4a306d2e
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