Cost-effectiveness analysis of the Parkinson's KinetiGraph and clinical assessment in the management of Parkinson's disease.
J Med Econ
; 25(1): 774-782, 2022.
Article
en En
| MEDLINE
| ID: mdl-35593687
Hospital doctors caring for people with Parkinson's disease (PwP) regularly monitor and assess their patients' symptoms, relying on patient recall and patient-completed diaries to find out about current symptoms, which can be unreliable. The Parkinson's KinetiGraph (PKG) is a wrist-worn device that collects continuous information on movement in PwP. A report is then provided to the patient's Consultant helping them to understand the PwP's symptoms and make decisions about changing medication to improve symptom control.An economic model compared asking patients to wear a PKG device for 6 days before their check-up appointment with their Consultant with usual check-up without the PKG. Information from a clinical trial exploring the use of PKG provided data on Movement Disorder Society Unified Parkinson's Disease Rating Scale (MDS-UPDRS) II and III scores, which were used in the model to predict improvements in quality of life and whether PwP had controlled or uncontrolled disease.The model showed that addition of PKG to usual check-ups is a cost-effective approach. Use of the PKG reduced costs (£141,950 versus £159,312 for usual check-ups) and had a positive impact on quality and quantity of life as measured by quality adjusted life years (7.88 versus 7.61).This study shows that adding the PKG to routine check-ups allows Consultants to accurately assess movement (or motor) symptoms in PwP, which can then be used to ensure optimal mediation choice and improve patient outcomes.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Enfermedad de Parkinson
Tipo de estudio:
Clinical_trials
/
Health_economic_evaluation
/
Prognostic_studies
Aspecto:
Patient_preference
Límite:
Humans
Idioma:
En
Revista:
J Med Econ
Asunto de la revista:
SERVICOS DE SAUDE
Año:
2022
Tipo del documento:
Article
País de afiliación:
Reino Unido
Pais de publicación:
Reino Unido