Economic burden of Parkinson's disease in a developing country: A retrospective cost analysis in Shanghai, China

Authors

  • Gang Wang MD,

    1. Department of Neurology & Institute of Neurology, Ruijin Hospital affiliated to the Medical School of Shanghai Jiaotong University, Shanghai, China
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  • Qi Cheng MD, PhD,

    Corresponding author
    1. Department of Neurology & Institute of Neurology, Ruijin Hospital affiliated to the Medical School of Shanghai Jiaotong University, Shanghai, China
    • Department of Neurology & Institute of Neurology, Ruijin Hospital affiliated to the Medical School of Shanghai Jiaotong University 20025, China
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  • Rui Zheng MD,

    1. Department of Neurology & Institute of Neurology, Ruijin Hospital affiliated to the Medical School of Shanghai Jiaotong University, Shanghai, China
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  • Yu-Yan Tan MD,

    1. Department of Neurology & Institute of Neurology, Ruijin Hospital affiliated to the Medical School of Shanghai Jiaotong University, Shanghai, China
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  • Xiao-Kang Sun MD,

    1. Department of Neurology & Institute of Neurology, Ruijin Hospital affiliated to the Medical School of Shanghai Jiaotong University, Shanghai, China
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  • Hai-Yan Zhou MD,

    1. Department of Neurology & Institute of Neurology, Ruijin Hospital affiliated to the Medical School of Shanghai Jiaotong University, Shanghai, China
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  • Xiao-Lai Ye MD,

    1. Department of Neurology & Institute of Neurology, Ruijin Hospital affiliated to the Medical School of Shanghai Jiaotong University, Shanghai, China
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  • Ying Wang MD,

    1. Department of Neurology & Institute of Neurology, Ruijin Hospital affiliated to the Medical School of Shanghai Jiaotong University, Shanghai, China
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  • Zeng Wang MD,

    1. Department of Neurology & Institute of Neurology, Ruijin Hospital affiliated to the Medical School of Shanghai Jiaotong University, Shanghai, China
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  • Bo-Min Sun MD,

    1. Department of Neurosurgery, Ruijin Hospital affiliated to the Medical School of Shanghai Jiaotong University, Shanghai, China
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  • Sheng-Di Chen MD, PhD

    Corresponding author
    1. Department of Neurology & Institute of Neurology, Ruijin Hospital affiliated to the Medical School of Shanghai Jiaotong University, Shanghai, China
    • Department of Neurology & Institute of Neurology, Ruijin Hospital affiliated to the Medical School of Shanghai Jiaotong University 20025, China
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Abstract

We investigated economic costs from patients with Parkinson's disease (PD) in Shanghai, China, which could be used as a baseline for future evaluations. Data were collected from 190 patients by interview during 1-year period. Direct medical care costs averaged approximately Chinese yuan, renminbi (RMB) 4,305 (USD 519, or EUR 410) per year per patient, of which drugs (RMB 2,677) accounted for the major costly component. Nonmedical direct costs were much less than direct health care costs, averaging approximately RMB 3,301 (USD 398, or EUR 314). Costs due to loss of productivity averaged approximately RMB 73 (USD 8.8, or EUR 7.0) per patient per year. Taken together, the overall mean annual cost for PD in our series was approximately RMB 7,679 (USD 925, or EUR 731), and these costs accounted for around half of the mean annual income. Total cost was significantly associated with the disease severity and the frequency of outpatient visits. In addition, levodopa equivalent dose (LED) and the number of drugs being taken were also closely related with the drug cost. The results indicate that the economic burden of Chinese PD patients is heavy. © 2006 Movement Disorder Society

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