title: The economic costs of progressive supranuclear palsy and multiple system atrophy in France, Germany and the United Kingdom.
abstract: Progressive supranuclear palsy (PSP) and multiple system atrophy (MSA) are progressive disabling neurological conditions usually fatal within 10 years of onset. Little is known about the economic costs of these conditions. This paper reports service use and costs from France, Germany and the UK and identifies patient characteristics that are associated with cost. 767 patients were recruited, and 760 included in the study, from 44 centres as part of the NNIPPS trial. Service use during the previous six months was measured at entry to the study and costs calculated. Mean six-month costs were calculated for 742 patients. Data on patient sociodemographic and clinical characteristics were recorded and used in regression models to identify predictors of service costs and unpaid care costs (i.e., care from family and friends). The mean six-month service costs of PSP were €24,491 in France, €30,643 in Germany and €25,655 in the UK. The costs for MSA were €28,924, €25,645 and €19,103 respectively. Unpaid care accounted for 68-76%. Formal and unpaid costs were significantly higher the more severe the illness, as indicated by the Parkinson's Plus Symptom scale. There was a significant inverse relationship between service and unpaid care costs.
authors.affiliation: Health Service and Population Research Department, Institute of Psychiatry, King's College London, London, United Kingdom. paul.mccrone@kcl.ac.uk
authors.forename: Paul
authors.initials: P
authors.lastname: McCrone
authors.forename: Christine Anne Mary
authors.initials: CA
authors.lastname: Payan
authors.forename: Martin
authors.initials: M
authors.lastname: Knapp
authors.forename: Albert
authors.initials: A
authors.lastname: Ludolph
authors.forename: Yves
authors.initials: Y
authors.lastname: Agid
authors.forename: P Nigel
authors.initials: PN
authors.lastname: Leigh
authors.forename: Gilbert
authors.initials: G
authors.lastname: Bensimon
mesh_terms: D000368:Aged; D005260:Female; D005602:France; D005858:Germany; D006296:Health Services / Q000191:economics / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008875:Middle Aged; D019578:Multiple System Atrophy / Q000191:economics*; D012720:Severity of Illness Index; D013494:Supranuclear Palsy, Progressive / Q000191:economics*; D006113:United Kingdom