Parkinson's disease and nursing home placement: the economic impact of the need for care.
OBJECTIVE
To examine the relative risk (RR) for living in nursing homes for patients with Parkinson's disease (PD) compared with the general population and to ascertain society's costs related to nursing home placement for this patient group.


METHODS
We evaluated the frequency of admission to nursing homes in a cross-sectional study and during a 12-year follow-up study of 108 patients with PD and 864 controls who were matched for age and sex. The RR for living in a nursing home was calculated at baseline and during follow-up. On the basis of 2007 prices, we estimated the costs per person year of survival for patients with PD and controls.


RESULTS
The RR for living in a nursing home at baseline was 5.0 for patients with PD and 4.8 during follow-up. Patients with PD caused 4.8 times higher costs for nursing home placement with euro 18 875 versus euro 3978 per individual and year. The annual costs for institutional care of patients with PD in Norway were euro 132 million.


CONCLUSIONS
Patients with PD have a substantially higher risk for living in nursing homes than the general population. This causes high costs to society. Therapeutic interventions to prevent or delay nursing home admissions are therefore important.
Vossius
C
C
Department of Neurology, Stavanger University Hospital, Stavanger, Norway. voco@sus.no
Nilsen
O B
OB
Larsen
J P
JP
D000368:Aged; D003430:Cross-Sectional Studies; D005260:Female; D017048:Health Care Costs; D006801:Humans; D053208:Kaplan-Meier Estimate; D008297:Male; D009735:Nursing Homes / Q000191:economics*; D010300:Parkinson Disease / Q000191:economics* / Q000401:mortality