Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Sex Disparities in Health, Care Utilization in PD

Parkinsonism Relat Disord; ePub 2017 Dec 14; Fullard, et al

Women experience a unique health trajectory after Parkinson disease (PD) diagnosis as suggested by differing comorbid disease burden and health care utilization compared to men, a recent study found. In this retrospective cohort, >133,000 Medicare beneficiaries with a new PD diagnosis in 2002 were followed through 2008. Researchers compared the prevalence and cumulative incidence of common medical conditions, trends in survival, and health care utilization between men and women with PD. They found:

  • Female PD patients had higher adjusted incidence rate ratio (IRR) of depression (IRR: 1.28, 1.25–1.31), hip fracture (IRR: 1.51, 1.45–1.56), osteoporosis (3.01, 2.92–3.1), and rheumatoid/osteoarthritis (IRR: 1.47, 1.43–1.51) than men.
  • In spite of greater survival, women with PD used home health and skilled nursing facility care more often, and had less outpatient physician contact than men throughout the study period.

Citation:

Fullard MF, Thibault DP, Todaro V, et al. Sex disparities in health and health care utilization after Parkinson diagnosis: Rethinking PD associated disability. [Published online ahead of print December 14, 2017]. Parkinsonism Relat Disord. doi:10.1016/j.parkreldis.2017.12.012.

Must Reads in Parkinson's Disease

Tandem Gait, Common in PD, May Predict Fall Risk, Parkinsonism Relat Disord; ePub 2019 Feb 23; Margolesky, et al

Brain Cholesterol Metabolism and PD Examined, Mov Disord; ePub 2019 Jan 25; Huang, et al

Sleep Behavior Disorder, Clinical Progression in PD, Parkinsonism Relat Disord; ePub 2019 Jan 29; Duarte Folle, et al

White Matter Abnormalities and Cognition in PD, Neurology; ePub 2018 Dec 11; Bledsoe, et al

Orthostatic Hypotension in PD Increases Care Costs, Parkinsonism Relat Disord; ePub 2017 Nov 27; Merola, et al