title: Social Security Disability Insurance (SSDI) in Parkinson's disease.
abstract: OBJECTIVE
  Parkinson's disease (PD) causes significant economic burden for patients and caregivers. Social Security Disability Insurance (SSDI) provides insurance to workers in the United States who have been gainfully employed, but who are no longer able to work due to a medical condition. We performed a descriptive pilot study that examined PD patients' experience with SSDI.
  
  
  METHODS
  PD patients who were diagnosed with PD prior to age 60 and were followed at an academic movement disorders center were consecutively invited to participate in a survey concerning their employment history and experience with SSDI.
  
  
  RESULTS
  All 68 invited patients participated in the study (mean age 58 years, mean disease duration 9.5 years). Eighty-two percent of patients felt that they were too disabled to work full time at a mean of 3.4 years after PD diagnosis. Patients applied for SSDI at a mean of 5 years after diagnosis, and two-thirds of PD patients who applied for SSDI obtained it on their first attempt. The primary debilitating symptom that subjectively contributed to work disability was fatigue (49% of patients). Patients who successfully acquired SSDI had extensive documentation of physician visits, and the aid of a disability lawyer.
  
  
  CONCLUSIONS
  Patients felt they were too disabled to work full time at a mean of 3.4 years after diagnosis. Those who applied for SSDI did so at a mean of 5 years after diagnosis. Patients who obtained SSDI awards had extensive documentation of medical records or the help of a disability lawyer.
authors.affiliation: Parkinson's Disease and Movement Disorders Center, University of South Florida, Tampa, FL 33612, USA. tzesiewi@hsc.usf.edu
authors.forename: T A
authors.initials: TA
authors.lastname: Zesiewicz
authors.forename: A
authors.initials: A
authors.lastname: Patel-Larson
authors.forename: R A
authors.initials: RA
authors.lastname: Hauser
authors.forename: K L
authors.initials: KL
authors.lastname: Sullivan
mesh_terms: D006233:Persons with Disabilities; D004282:Documentation; D005221:Fatigue / Q000150:complications; D005260:Female; D005431:Florida; D006801:Humans; D018868:Insurance, Disability; D033241:Lawyers; D008297:Male; D008499:Medical Records; D008875:Middle Aged; D010300:Parkinson Disease / Q000191:economics*; D010865:Pilot Projects; D012943:Social Security