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Title: Economic burden of Parkinson's disease in Singapore
Authors: Zhao, Y.J.
Tan, L.C.S.
Li, S.C. 
Au, W.L.
Seah, S.H.
Lau, P.N.
Luo, N. 
Wee, H.L. 
Keywords: Cost and Parkinson's disease
Economic burden
Issue Date: Mar-2011
Citation: Zhao, Y.J., Tan, L.C.S., Li, S.C., Au, W.L., Seah, S.H., Lau, P.N., Luo, N., Wee, H.L. (2011-03). Economic burden of Parkinson's disease in Singapore. European Journal of Neurology 18 (3) : 519-526. ScholarBank@NUS Repository.
Abstract: Background: This study was carried out to evaluate the economic burden of Parkinson's disease (PD) and factors independently associated with individual components of total cost in Singapore. Methods: A consecutive sample of 195 patients with PD (mean age: 68.2, men: 51.8%) attending a tertiary neuroscience clinic were identified and interviewed using standardized questionnaires including a financial burden questionnaire, two Health Related Quality of Life (HRQoL) questionnaires and the Beck Depression Inventory questionnaire. Results: Annual total cost of PD from a societal perspective was SGD11345 (USD10129) per patient, with direct cost accounted for 38.5% and indirect cost 61.5%. The main cost components for direct medical cost, direct non-medical cost, and indirect cost was pharmacotherapy (50.4%), home care (76.1%), and productivity loss (97.9%), respectively. In multiple linear regression analysis, higher education, younger age and longer duration of PD were associated with higher total cost. Conclusions: Parkinson's disease exerts a considerable burden on patients, health care system and society in Singapore. As productivity loss accounts for a large share of the economic burden imposed by PD, treatments and health care programmes with potential for returning patients to higher productivity are urgently needed. © 2010 The Author(s). European Journal of Neurology © 2010 EFNS.
Source Title: European Journal of Neurology
ISSN: 13515101
DOI: 10.1111/j.1468-1331.2010.03210.x
Appears in Collections:Staff Publications

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