Using Medical Claims Analyses to Understand Interventions for Parkinson Patients.
Using Medical Claims Analyses to Understand Interventions for Parkinson Patients.
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DOI：
10.3233/jpd-171277
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发表时间：
2018
期刊：
影响因子：
--
通讯作者：
De Vries NM
中科院分区：
文献类型：
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作者：
Bloem BR;Ypinga JHL;Willis A;Canning CG;Barker RA;Munneke M;De Vries NM
越来越多的科学证据支持一系列非药物干预措施对帕金森病 (PD) 患者的价值。然而，由于临床试验的普遍缺陷，明确表明特定干预措施优于常规护理并不容易。在这里，我们解决这些挑战，特别是与评估帕金森病患者复杂的非药物干预措施相关的挑战。此外，我们还讨论了使用医疗索赔数据进行“现实世界”分析的潜在优点。我们通过讨论最近发表在《柳叶刀神经病学》上的一篇有趣的文章来说明这种方法，该文章使用这种方法来证明专业物理治疗对帕金森病患者的价值，优于常规护理物理治疗。
The scientific evidence to support the value of a range of non-pharmacological interventions for people with Parkinson’s disease (PD) is increasing. However, showing unequivocally that specific interventions are better than usual care is not straightforward because of generic drawbacks of clinical trials. Here, we address these challenges, specifically related to the context of evaluating complex non-pharmacological interventions for people with PD. Moreover, we discuss the potential merits of undertaking “real world” analyses using medical claims data. We illustrate this approach by discussing an interesting recent publication in The Lancet Neurology, which used such an approach to demonstrate the value of specialized physiotherapy for PD patients, over and above usual care physiotherapy.