Evidence map›Paper›PMID 37429849›Full record

ArticleNPJ Parkinson's disease2023

Care access and utilization among medicare beneficiaries living with Parkinson's disease.

Caroline Pearson, Alex Hartzman, Dianne Munevar, Megan Feeney, Rachel Dolhun, Veronica Todaro, Sheera Rosenfeld, Allison Willis, James C Beck

Open access · goldAbstract read
In one paragraph

Article in NPJ Parkinson's disease, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 5 pooled it
7.4field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

46 citing papers in PubMed, 5 syntheses or guidelines pooled it, 36 citations in OpenAlex.

  1. Pooled it
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  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. The Ecology of Care in Parkinson's Disease.Movement disorders clinical practice · 2026
    Article
  14. Refining the Parkinson's Disease Risk Estimator for Decline In Cognition Tool (PREDICT).Cognitive and behavioral neurology : official journal of the Society for Behavioral and Cognitive Neurology · 2026
    Article
  15. Article
  16. Article
  17. Review
  18. An Implantable Device that Converses with Patients and Learns to Co-Manage Epilepsy.medRxiv : the preprint server for health sciences · 2026
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 7 institutions in 1 country.

Caroline PearsonNORC at the University of Chicago, Illinois, 60603, USA. cpearson@petersonhealthcare.org.
Alex HartzmanNORC at the University of Chicago, Illinois, 60603, USA.ORCID http://orcid.org/0000-0003-2799-2495
Dianne MunevarNORC at the University of Chicago, Illinois, 60603, USA.
Megan FeeneyParkinson's Foundation, New York, NY, 10022, USA.ORCID http://orcid.org/0000-0003-4687-8364
Rachel DolhunMichael J. Fox Foundation, New York, NY, 10022, USA.
Veronica TodaroParkinson's Foundation, New York, NY, 10022, USA.
Sheera RosenfeldParkinson's Foundation, New York, NY, 10022, USA.
Allison WillisUniversity of Pennsylvania Perelman School of Medicine, Philadelphia, PA, 19104, USA.ORCID http://orcid.org/0000-0001-5724-7192
James C BeckParkinson's Foundation, New York, NY, 10022, USA.ORCID http://orcid.org/0000-0002-4884-9893
Parkinson's Foundation · USUniversity of Chicago · USCalifornia State University, Stanislaus · USHealthcentric Advisors · USMichael J. Fox Foundation · USPeterson Institute for International Economics · USUniversity of Pennsylvania · US

Funding

Midcareer Development Award in Neuroaging and Geriatric Pharmacoepidemiology ResearchK24AG075234 · NIA · UNIVERSITY OF PENNSYLVANIA · PI Allison Willis · 2022 to 2026
$808k
NIA NIH HHS K24 AG075234
6 · The paper itself

Abstract

An estimated 90% of people living with Parkinson's disease (PD) in the US are covered by Medicare health insurance. How these beneficiaries use and engage the health care system is important to understand in the face of a rapidly growing PD population. Here, we analyzed health care utilization patterns of those with a PD diagnosis enrolled in Medicare in 2019. By our estimates, PD beneficiaries number 685,116 or 1.2% of the total Medicare population. Compared to the overall Medicare population, 56.3% are male (vs 45.6%), 77.9% over age 70 (vs 57.1%), 14.7% people of color (vs 20.7%), and 16.0% are rural residents (vs 17.5%). Our analysis identified significant disparities in care. Surprisingly, 40% of PD beneficiaries (n = 274,046) did not see a neurologist at all during the calendar year and only 9.1% visited a movement disorder specialist (MDS). Few Medicare beneficiaries diagnosed with PD use recommended services such as physical, occupational, or speech therapy. People of color and rural residents were least likely to access a neurologist or therapy services. Despite 52.9% of beneficiaries being diagnosed with depression, only 1.8% had a clinical psychology visit. Our findings emphasize the need for further research on population-specific barriers to accessing PD-related health care.

Identifiers

PMID37429849
PMCPMC10333279
OpenAlexW4383819692

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.