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The Relationship between PDQ-8 and Costs in Parkinson's Disease—A Swedish Register-Based Study

Kellerborg, Klas ; Norlin, Jenny M. and Odin, Per LU orcid (2023) In Movement Disorders Clinical Practice 10(2). p.231-237
Abstract

Background: Parkinson's disease (PD) is a progressive neurodegenerative disorder associated with substantial costs which increase with progression state. However, few studies have investigated the association between costs and health related quality of life. Objectives: To estimate the relationship between costs and health related quality of life, measured by the Parkinson's disease Quality of Life Questionnaire (PDQ)-8 from a societal perspective, partial societal perspective (excluding productivity loss), and a health care perspective. Methods: The Swedish Parkinson's Disease registry was linked to health care data registries to estimate annual costs. A generalized linear model was used to assess the relationship between instrument... (More)

Background: Parkinson's disease (PD) is a progressive neurodegenerative disorder associated with substantial costs which increase with progression state. However, few studies have investigated the association between costs and health related quality of life. Objectives: To estimate the relationship between costs and health related quality of life, measured by the Parkinson's disease Quality of Life Questionnaire (PDQ)-8 from a societal perspective, partial societal perspective (excluding productivity loss), and a health care perspective. Methods: The Swedish Parkinson's Disease registry was linked to health care data registries to estimate annual costs. A generalized linear model was used to assess the relationship between instrument items and costs. Results: The results suggest that PDQ-8 captures the increase of costs by PD severity, particularly for costs within the broader societal perspective. From the best to worst PDQ-8 quartile, we observed approximately 7-fold increases within the societal perspective (39,400 to 274,300 SEK) and the partial societal perspective (31,800 to 219,400 SEK), and the increase within the health care perspective more than doubled (21,900 to 49,700 SEK). The PDQ-8 dimensions “mobility,” “activities of daily living” and “social support” were associated with high costs in all perspectives. Conclusion: Using a disease-specific measure reflecting the patient's perspective, we found an increase of costs with worsening severity of PD, particularly for costs within the broader societal perspective. High costs were associated with not only motor symptoms, but also the dimension “Social support.”.

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author
; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
cost, Parkinson's disease, PDQ-8, resource use
in
Movement Disorders Clinical Practice
volume
10
issue
2
pages
231 - 237
publisher
John Wiley & Sons Inc.
external identifiers
  • pmid:36825055
  • scopus:85144104813
ISSN
2330-1619
DOI
10.1002/mdc3.13630
language
English
LU publication?
yes
id
f3f80e0e-68e8-4710-b1c7-dbd17863677a
date added to LUP
2023-01-24 14:01:50
date last changed
2024-04-18 04:34:48
@article{f3f80e0e-68e8-4710-b1c7-dbd17863677a,
  abstract     = {{<p>Background: Parkinson's disease (PD) is a progressive neurodegenerative disorder associated with substantial costs which increase with progression state. However, few studies have investigated the association between costs and health related quality of life. Objectives: To estimate the relationship between costs and health related quality of life, measured by the Parkinson's disease Quality of Life Questionnaire (PDQ)-8 from a societal perspective, partial societal perspective (excluding productivity loss), and a health care perspective. Methods: The Swedish Parkinson's Disease registry was linked to health care data registries to estimate annual costs. A generalized linear model was used to assess the relationship between instrument items and costs. Results: The results suggest that PDQ-8 captures the increase of costs by PD severity, particularly for costs within the broader societal perspective. From the best to worst PDQ-8 quartile, we observed approximately 7-fold increases within the societal perspective (39,400 to 274,300 SEK) and the partial societal perspective (31,800 to 219,400 SEK), and the increase within the health care perspective more than doubled (21,900 to 49,700 SEK). The PDQ-8 dimensions “mobility,” “activities of daily living” and “social support” were associated with high costs in all perspectives. Conclusion: Using a disease-specific measure reflecting the patient's perspective, we found an increase of costs with worsening severity of PD, particularly for costs within the broader societal perspective. High costs were associated with not only motor symptoms, but also the dimension “Social support.”.</p>}},
  author       = {{Kellerborg, Klas and Norlin, Jenny M. and Odin, Per}},
  issn         = {{2330-1619}},
  keywords     = {{cost; Parkinson's disease; PDQ-8; resource use}},
  language     = {{eng}},
  number       = {{2}},
  pages        = {{231--237}},
  publisher    = {{John Wiley & Sons Inc.}},
  series       = {{Movement Disorders Clinical Practice}},
  title        = {{The Relationship between PDQ-8 and Costs in Parkinson's Disease—A Swedish Register-Based Study}},
  url          = {{http://dx.doi.org/10.1002/mdc3.13630}},
  doi          = {{10.1002/mdc3.13630}},
  volume       = {{10}},
  year         = {{2023}},
}