Dying with Parkinson’s Disease: Healthcare Utilization and Costs in the Last Year of Life
Autor: | Jocelyn Zwicker, Danial Qureshi, Robert Talarico, Colleen Webber, Christine Watt, WooJin Kim, Christina Milani, Usha Ramanathan, Tiago Mestre, Peter Tanuseputro |
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Rok vydání: | 2022 |
Předmět: | |
Zdroj: | Journal of Parkinson's Disease. 12:2249-2259 |
ISSN: | 1877-718X 1877-7171 |
DOI: | 10.3233/jpd-223429 |
Popis: | Background: The end-of-life period is associated with disproportionately higher health care utilization and cost at the population level but there is little data in Parkinson’s disease (PD). Objective: The goals of this study were to 1) compare health care use and associated cost in the last year of life between decedents with and without PD, and 2) identify factors associated with palliative care consultation and death in hospital. Methods: Using linked administrative datasets held at ICES, we conducted a retrospective, population-based cohort study of all Ontario, Canada decedents from 2015 to 2017. We examined demographic data, rate of utilization across healthcare sectors, and cost of health care services in the last year of life. Results: We identified 291,276 decedents of whom 12,440 (4.3%) had a diagnosis of PD. Compared to decedents without PD, decedents with PD were more likely to be admitted to long-term care (52% vs. 23%, p |
Databáze: | OpenAIRE |
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