Sex-Specific Patient Journeys in Early Parkinson's Disease in the Netherlands
Objective: To reconstruct a sex-specific patient journey for Dutch persons with Parkinson's disease (PD) during the first 5 years after diagnosis.Method: We analyzed a national administrative medical claims database containing data of all patients newly diagnosed with PD between 2012 and 2016 i...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2019-07-01
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| Series: | Frontiers in Neurology |
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| Online Access: | https://www.frontiersin.org/article/10.3389/fneur.2019.00794/full |
| _version_ | 1818886804817838080 |
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| author | Floris Pieter Vlaanderen Yvonne de Man Jesse H. Krijthe Marit A. C. Tanke A. S. Groenewoud Patrick P. T. Jeurissen Sabine Oertelt-Prigione Marten Munneke Bastiaan R. Bloem Marjan J. Meinders |
| author_facet | Floris Pieter Vlaanderen Yvonne de Man Jesse H. Krijthe Marit A. C. Tanke A. S. Groenewoud Patrick P. T. Jeurissen Sabine Oertelt-Prigione Marten Munneke Bastiaan R. Bloem Marjan J. Meinders |
| author_sort | Floris Pieter Vlaanderen |
| collection | DOAJ |
| description | Objective: To reconstruct a sex-specific patient journey for Dutch persons with Parkinson's disease (PD) during the first 5 years after diagnosis.Method: We analyzed a national administrative medical claims database containing data of all patients newly diagnosed with PD between 2012 and 2016 in the Netherlands. We performed time-to-event analysis to identify the moments when patients received care from neurologists, allied healthcare therapists or general practitioners. We also extracted relevant clinical milestones: unexpected hospitalization for PD, pneumonia, orthopedic injuries, nursing home admission, and death. Using these data, we constructed the patient journey stratified for sex.Results: We included claims data of 13,518 men and 8,775 women with newly diagnosed PD in the Netherlands. While we found little difference in neurologist consultations, women visited general practitioners and physiotherapists significantly earlier and more often (all p-values < 0.001). After 5 years, 37.9% (n = 3,326) of women had visited an occupational therapist and 18.5% (n = 1,623) a speech and language therapist at least once. This was 33.1% (n = 4,474) and 23.7% (n = 3,204) for men. Approximately 2 years after diagnosis, PD-related complications (pneumonia, orthopedic injuries, and PD-related hospitalization) occurred for the first time (women: 1.8 years; men: 2.3 years), and after 5 years, 72.9% (n = 6,397) of women, and 68.7% (n = 9,287) of men had experienced at least one.Discussion: Considering the strengths and limitations of our methods, our findings suggest that women experience complications and access most healthcare services sooner after diagnosis and more frequently than men. The identified sex differences extend the debate about phenotypical differences in PD between men and women. |
| first_indexed | 2024-12-19T16:27:10Z |
| format | Article |
| id | doaj.art-b9a5f5cbe5754ecd903878d2b3f3f666 |
| institution | Directory Open Access Journal |
| issn | 1664-2295 |
| language | English |
| last_indexed | 2024-12-19T16:27:10Z |
| publishDate | 2019-07-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Neurology |
| spelling | doaj.art-b9a5f5cbe5754ecd903878d2b3f3f6662022-12-21T20:14:19ZengFrontiers Media S.A.Frontiers in Neurology1664-22952019-07-011010.3389/fneur.2019.00794471652Sex-Specific Patient Journeys in Early Parkinson's Disease in the NetherlandsFloris Pieter Vlaanderen0Yvonne de Man1Jesse H. Krijthe2Marit A. C. Tanke3A. S. Groenewoud4Patrick P. T. Jeurissen5Sabine Oertelt-Prigione6Marten Munneke7Bastiaan R. Bloem8Marjan J. Meinders9Radboud University Medical Center, Radboud Institute for Health Sciences, Scientific Institute for Quality of Healthcare, Nijmegen, NetherlandsRadboud University Medical Center, Radboud Institute for Health Sciences, Scientific Institute for Quality of Healthcare, Nijmegen, NetherlandsInstitute for Computing and Information Sciences, Radboud University, Nijmegen, NetherlandsRadboud University Medical Center, Radboud Institute for Health Sciences, Scientific Institute for Quality of Healthcare, Nijmegen, NetherlandsRadboud University Medical Center, Radboud Institute for Health Sciences, Scientific Institute for Quality of Healthcare, Nijmegen, NetherlandsRadboud University Medical Center, Radboud Institute for Health Sciences, Scientific Institute for Quality of Healthcare, Nijmegen, NetherlandsRadboud University Medical Center, Department of Primary and Community Care, Nijmegen, NetherlandsDepartment of Neurology, Radboud University Medical Center, Donders Institute for Brain, Cognition and Behaviour, Nijmegen, NetherlandsDepartment of Neurology, Radboud University Medical Center, Donders Institute for Brain, Cognition and Behaviour, Nijmegen, NetherlandsRadboud University Medical Center, Radboud Institute for Health Sciences, Scientific Institute for Quality of Healthcare, Nijmegen, NetherlandsObjective: To reconstruct a sex-specific patient journey for Dutch persons with Parkinson's disease (PD) during the first 5 years after diagnosis.Method: We analyzed a national administrative medical claims database containing data of all patients newly diagnosed with PD between 2012 and 2016 in the Netherlands. We performed time-to-event analysis to identify the moments when patients received care from neurologists, allied healthcare therapists or general practitioners. We also extracted relevant clinical milestones: unexpected hospitalization for PD, pneumonia, orthopedic injuries, nursing home admission, and death. Using these data, we constructed the patient journey stratified for sex.Results: We included claims data of 13,518 men and 8,775 women with newly diagnosed PD in the Netherlands. While we found little difference in neurologist consultations, women visited general practitioners and physiotherapists significantly earlier and more often (all p-values < 0.001). After 5 years, 37.9% (n = 3,326) of women had visited an occupational therapist and 18.5% (n = 1,623) a speech and language therapist at least once. This was 33.1% (n = 4,474) and 23.7% (n = 3,204) for men. Approximately 2 years after diagnosis, PD-related complications (pneumonia, orthopedic injuries, and PD-related hospitalization) occurred for the first time (women: 1.8 years; men: 2.3 years), and after 5 years, 72.9% (n = 6,397) of women, and 68.7% (n = 9,287) of men had experienced at least one.Discussion: Considering the strengths and limitations of our methods, our findings suggest that women experience complications and access most healthcare services sooner after diagnosis and more frequently than men. The identified sex differences extend the debate about phenotypical differences in PD between men and women.https://www.frontiersin.org/article/10.3389/fneur.2019.00794/fullpatient journeyParkinson's diseasesex differencepersonalized carehealthcare usageearly Parkinson's disease |
| spellingShingle | Floris Pieter Vlaanderen Yvonne de Man Jesse H. Krijthe Marit A. C. Tanke A. S. Groenewoud Patrick P. T. Jeurissen Sabine Oertelt-Prigione Marten Munneke Bastiaan R. Bloem Marjan J. Meinders Sex-Specific Patient Journeys in Early Parkinson's Disease in the Netherlands Frontiers in Neurology patient journey Parkinson's disease sex difference personalized care healthcare usage early Parkinson's disease |
| title | Sex-Specific Patient Journeys in Early Parkinson's Disease in the Netherlands |
| title_full | Sex-Specific Patient Journeys in Early Parkinson's Disease in the Netherlands |
| title_fullStr | Sex-Specific Patient Journeys in Early Parkinson's Disease in the Netherlands |
| title_full_unstemmed | Sex-Specific Patient Journeys in Early Parkinson's Disease in the Netherlands |
| title_short | Sex-Specific Patient Journeys in Early Parkinson's Disease in the Netherlands |
| title_sort | sex specific patient journeys in early parkinson s disease in the netherlands |
| topic | patient journey Parkinson's disease sex difference personalized care healthcare usage early Parkinson's disease |
| url | https://www.frontiersin.org/article/10.3389/fneur.2019.00794/full |
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