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

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

Author Bovolenta, Tania M. Google Scholar
de Azevedo Silva, Sonia Maria Cesar Autor UNIFESP Google Scholar
Saba, Roberta Arb Autor UNIFESP Google Scholar
Borges, Vanderci Autor UNIFESP Google Scholar
Ferraz, Henrique Ballalai Autor UNIFESP Google Scholar
Felicio, Andre C. Google Scholar
Abstract 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 Sao 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 Sao 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
xmlui.dri2xhtml.METS-1.0.item-coverage Albany
Language English
Date 2017
Published in Clinical Interventions In Aging. Albany, v. 12, p. 2095-2108, 2017.
ISSN 1178-1998 (Sherpa/Romeo, impact factor)
Publisher Dove Medical Press Ltd
Extent 2095-2108
Origin http://dx.doi.org/10.2147/CIA.S151919
Access rights Closed access
Type Article
Web of Science ID WOS:000418375700001
URI https://repositorio.unifesp.br/handle/11600/55370

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