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.


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.

This Week's Must Reads

Vegetable/Fruit Intake Benefits Cognitive Function, Neurology; ePub 2018 Nov 21; Yuan, Fondell, et al

Alzheimer Dementia and Age-Related Neuropathologies, Ann Neurol; ePub 2018 Nov 12; Boyle, Yu, et al

Kidney Function and Post-Stroke Mortality Examined, Stroke; ePub 2018 Nov 9; El Husseini, Fonarow, et al

Meditation May Help to Alleviate US Stroke Burden, J Stroke Cerebrovasc Dis; ePub 2018 Nov 24; Ambavane, et al

Must Reads in Parkinson's Disease

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

FDA Approves Vercise Deep Brain Stimulation System, Boston Scientific news release; 2017 Dec 11

Psychosis May Indicate Impaired Cognition in PD, Parkinsonism Relat Disord; ePub 2017 Nov 20; Hinkle, et al

Sex Disparities in Health, Care Utilization in PD, Parkinsonism Relat Disord; ePub 2017 Dec 14; Fullard, et al

Sleep Fragmentation Linked with PD in Older Adults, Mov Disord; ePub 2017 Oct 30; Sohail, Yu, et al