Evidence map›Paper›PMID 40153006›Full record

ArticleJournal of neurology2025

The association between non-motor symptoms and cost in Parkinson's disease.

Anna Gustafsson, Frida Hjalte, Jenny Norlin, Per Odin, Peter Hagell

Abstract read
In one paragraph

Article in Journal of neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

6 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Article
  6. Review
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

5 authors.

Anna GustafssonThe Swedish Institute for Health Economics, Lund, Sweden.ORCID http://orcid.org/0009-0008-8321-3525
Frida HjalteThe Swedish Institute for Health Economics, Lund, Sweden.ORCID http://orcid.org/0000-0001-9721-2330
Jenny NorlinThe Swedish Institute for Health Economics, Lund, Sweden.ORCID http://orcid.org/0000-0001-5402-1884
Per OdinDepartment of Neurology, Rehabilitation Medicine, Memory Disorders, and Geriatrics, Skåne University Hospital, Malmö, Sweden.ORCID http://orcid.org/0000-0002-0756-7478
Peter HagellRestorative Parkinson Unit, Division of Neurology, Department of Clinical Sciences, Lund University, Lund, Sweden. peter.hagell@hkr.se.ORCID http://orcid.org/0000-0003-2174-372X

Funding

Parkinsonfonden 1410/2022
6 · The paper itself

Abstract

backgroundParkinson's disease (PD) is a neurodegenerative disorder associated with substantial costs that escalate as the disease progresses. Previous research has explored the relationship between disease progression, motor symptoms, and the economic burden of PD. However, there is a lack of studies focusing on the relationship between costs and non-motor symptoms (NMS).

objectiveTo examine the association between societal costs and NMS in individuals with PD in Sweden.

methodsPersons with idiopathic PD in the Swedish Parkinson's disease registry from the region of Skåne with registrations of non-motor symptoms questionnaire (NMSQ) were included. Identified subjects were linked to administrative health care data registries, to estimate annual costs. A generalized linear model was used to assess the relationship between NMS and costs.

resultsNMS were present in 74% (n = 703) of the study population, with a mean of 6.9 symptoms per observation. The number of NMS increased with disease duration, and costs were higher for those with a greater number of symptoms. Formal care costs were 3.8 times higher in observations with at least 10 NMS. Experiencing hallucinations and/or delusions was associated with an 80-94% increase in total costs, corresponding to an additional SEK 107,000-121,000 per patient year.

conclusionsPresence of NMS in PD is associated with substantial societal costs. Findings from this study highlight the necessity for comprehensive management strategies that address both motor and non-motor symptoms to potentially alleviate the burden on patients and the healthcare system.

Indexed as

Cost of IllnessHealth Care CostsParkinson DiseaseAgedAged, 80 and overFemaleHumansMaleMiddle AgedRegistriesSwedenCostNon-motor symptomsParkinson’s diseaseResource use

Identifiers

PMID40153006
PMCPMC11953211

What OpenQuestion holds

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Registered trials

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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.