Using Medical Claims Analyses to Understand Interventions for Parkinson Patients

被引：20

作者：

Bloem, Bastiaan R. ^{[1
]}

Ypinga, Jan H. L. ^{[2
]}

Willis, Allison ^{[3
,4
]}

Canning, Colleen G. ^{[5
]}

Barker, Roger A. ^{[3
,6
]}

Munneke, Marten ^{[1
]}

De Vries, Nienke M. ^{[1
]}

机构：

[1] Radboud Univ Nijmegen, Med Ctr, Donders Inst Brain Cognit & Behav, Dept Neurol, Nijmegen, Netherlands

[2] CZ Grp, Dept Care Purchasing, Goes, Netherlands

[3] Univ Penn, Sch Med, Dept Neurol, Philadelphia, PA 19104 USA

[4] Univ Penn, Sch Med, Dept Biostat Epidemiol & Informat, Philadelphia, PA 19104 USA

[5] Univ Sydney, Discipline Physiotherapy, Fac Hlth Sci, Sydney, NSW, Australia

[6] Univ Cambridge, John van Geest Ctr Brain Repair, Dept Clin Neurosci, Cambridge, England

来源：

JOURNAL OF PARKINSONS DISEASE | 2018年 / 8卷 / 01期

基金：

美国国家卫生研究院;

关键词：

Cost-effectiveness; medical claims; ParkinsonNet; Parkinson's disease; physical therapy; BRAIN-STIMULATION SURGERY; OCCUPATIONAL-THERAPY; HEALTH OUTCOMES; SLEEP-APNEA; DISEASE; CARE; RISK; DISPARITIES; PREVALENCE; MORTALITY;

D O I：

10.3233/JPD-171277

中图分类号：

Q189 [神经科学];

学科分类号：

071006 ;

摘要：

The scientific evidence to support the value of a range of non-pharmacological interventions for people with Parkinson's disease (PD) is increasing. However, showing unequivocally that specific interventions are better than usual care is not straightforward because of generic drawbacks of clinical trials. Here, we address these challenges, specifically related to the context of evaluating complex non-pharmacological interventions for people with PD. Moreover, we discuss the potential merits of undertaking "real world" analyses using medical claims data. We illustrate this approach by discussing an interesting recent publication in The Lancet Neurology, which used such an approach to demonstrate the value of specialized physiotherapy for PD patients, over and above usual care physiotherapy.

引用

页码：45 / 58

页数：14

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