cost-of-care and quality of life of patients with parkinson´s disease in europe

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Cost-of-Care and Quality of Life of Patients with Parkinson´s Disease in Europe

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Page 1: Cost-of-Care and Quality of Life of Patients with Parkinson´s Disease in Europe

Cost-of-Care and Quality of Life

of Patients with Parkinson´s Disease

in Europe

Page 2: Cost-of-Care and Quality of Life of Patients with Parkinson´s Disease in Europe

• Study Outline

• Handling of study documents

• Monitoring process

• Study status and timelines

Study on the cost-of-care and health-related quality of life

Page 3: Cost-of-Care and Quality of Life of Patients with Parkinson´s Disease in Europe

Determination of

-health care utilization

-health-related quality of life

Objectives

Page 4: Cost-of-Care and Quality of Life of Patients with Parkinson´s Disease in Europe

Direct costs Indirect costs medical Non-medical

outpatient care Home care unemployment

inpatient care special equipment changes in job

diagnostic transportation early retirement

medical therapy assistant persons

Analysis of cost parameters

Page 5: Cost-of-Care and Quality of Life of Patients with Parkinson´s Disease in Europe

Quality of life

•Mobility

•Self-Care

•Usual Activities

•Pain/Discomfort

•Anxiety/Depression

90

80

70

60

50

40

30

20

10

100

0

Best imaginablehealth state

Worstimaginablehealth state

Your ownhealth state

today

EQ-5D

Page 6: Cost-of-Care and Quality of Life of Patients with Parkinson´s Disease in Europe

Data on resource utilization and quality of life

-3 months retrospectively

-3 months prospectively

Design

Page 7: Cost-of-Care and Quality of Life of Patients with Parkinson´s Disease in Europe

Study population

100 per country

Total of 1000 patients

stratified by different H&Y stages

Patients of EuroPa Registry of Parkinson´s

Disease

New patients

Page 8: Cost-of-Care and Quality of Life of Patients with Parkinson´s Disease in Europe

Economic data

- CRF A and CRF B

Clinical Data

- Minimal data set of the EuroPa registry

- CRF P

Quality of life

- EQ-5D

Data collection

Page 9: Cost-of-Care and Quality of Life of Patients with Parkinson´s Disease in Europe

Monitoring of

- data entered into the Minimal Data Set

Each center has to decide whether the monitor receives access to the data of the respective

country

(reading rights only)

Monitoring of Minimal Data Set

Page 10: Cost-of-Care and Quality of Life of Patients with Parkinson´s Disease in Europe

2. Handling of study documents

Page 11: Cost-of-Care and Quality of Life of Patients with Parkinson´s Disease in Europe

Study documents and CRFs

EuroPa Patient´s Registry

Patient Questionnaire Part A

Patient Questionnaire Part B

Investigator Questionnaire Part P

Baseline

Month 3

Page 12: Cost-of-Care and Quality of Life of Patients with Parkinson´s Disease in Europe

Please add the

patient´s address

Documents per patient provided to study center

Contains: Questionnaire A

Contains: Questionnaire B

Page 13: Cost-of-Care and Quality of Life of Patients with Parkinson´s Disease in Europe

Study center (Bonn)

Flow Chart: I) Patients registered in the EuroPa registry

One big envelope: including - envelope "day 1" (CRF A) - envelope "month 3" (CRF B)

Neurologische Klinik Bonn

B

a s e l

i

n

e

Neurologische Klinik Bonn

Your center

-send "CRF A" and "CRF B" to patient

- forward CRF "A" to study center Bonn

-forward "CRF B" to study center Bonn

Patient is asked to complete "CRF A"

Patient is asked to:-complete “ CRF B“

Patient

M

o

n

t h

3

Study Flow I

Page 14: Cost-of-Care and Quality of Life of Patients with Parkinson´s Disease in Europe

Additionally provided documents to center

C o u n t ry c o d e :

P a t ie n t c o d e :

( * t h is p r o je c t i s f u n d e d b y t h e E u ro p e a n c o m m i s s io n N o : Q L R T - 2 0 0 1 - 0 0 0 2 0 )

E u r o p e a n C o o p e r a t iv e N e t w o r k f o r

R e s e a r c h , D i a g n o s i s a n d T h e r a p y o f

P a r k in s o n ' s D is e a s e ( E u r o P a * )

I n v e s t ig a t o r

Q u e s t i o n n a i r e

P a r t P

•Box of CRF P

For patients not in the registry

•Center File

Including:

•Study protocol

• Study outline

•Patient Information

•Informed Consent Form

•Further documents

Page 15: Cost-of-Care and Quality of Life of Patients with Parkinson´s Disease in Europe

Study center (Bonn)

One big envelope: including - envelope "day 1" (CRF A) - envelope "month 3" (CRF B)

Neurologische Klinik Bonn

B

a s e l

i

n

e

Neurologische Klinik Bonn

Your center

Patient is asked to:-complete “ CRF B“

Patient

M

o

n

t h

3

Study Flow I

-“ CRF P“ is to be completed by the investigator

- “ CRF P“

-“ CRF A“ is to be completed by the patient

-“ CRF A“ / “ CRF P“ are to be sent to the study center Bonn

-“ CRF B“ is to be sent to the study center, Bonn

-“ CRF B“ is to be provided to the patient

Flow Chart: II) Patients not registered in the EuroPa registry

Page 16: Cost-of-Care and Quality of Life of Patients with Parkinson´s Disease in Europe

3. Monitoring process

Page 17: Cost-of-Care and Quality of Life of Patients with Parkinson´s Disease in Europe

Study Flow II

Data of the Patient´s Registry will be monitored at Study coordination center, Bonn

Process of Double Data Entry at

Study coordination center, Bonn

Data evaluation and analysis at

Study coordination center, Bonn

Reporting

Page 18: Cost-of-Care and Quality of Life of Patients with Parkinson´s Disease in Europe

Monitoring process

Centers are asked to provide

Monitoring access (reading-only rights)

Monitoring of center-specific data

Generating of Data query forms (DQF)

Sending Data query forms to study center

Page 19: Cost-of-Care and Quality of Life of Patients with Parkinson´s Disease in Europe

EuroPa Minimal Data Set Data Query Form (DQF)

Study center: Monitor: Investigator at study center: (Sub)- Investigator of data entry at study center: Date:

Patient Code No. of Question of MDS Parameter Problem Solution

Please correct/clarify the above noted problems to your earliest convenience! In case of any questions contact +49-228-5708 and ask for monitor named above.

Data Query Form

Page 20: Cost-of-Care and Quality of Life of Patients with Parkinson´s Disease in Europe

4. Study status and Timelines

Page 21: Cost-of-Care and Quality of Life of Patients with Parkinson´s Disease in Europe

  CRFs adapted to national system

by HE

Printing process

Documents at study center

Patient Recruitment

started

Monitoring Data entry

A x finalized        

CZ First draft          

D x finalized x 75 pts x x

E            

F x          

I            

NL x started        

P x finalized        

S            

UK            

Study status

Page 22: Cost-of-Care and Quality of Life of Patients with Parkinson´s Disease in Europe

Timelines (preparation of documents - data entry)

July-SeptemberOctober-

December

Translation of CRFs

Supplying physicians with

study material

Patient enrolment

Data entry

January-March

November

Page 23: Cost-of-Care and Quality of Life of Patients with Parkinson´s Disease in Europe

Centers:

for each completely received documented patient (CRFs)

compensation of Euro 50

Health Economists:

for translation of CRFs,

adaption to national health care system,

support of analysis

review of documents

Compensation

compensation of Euro 2000

Page 24: Cost-of-Care and Quality of Life of Patients with Parkinson´s Disease in Europe

Participants in the Economic study

Health Economists

A Prof. Dr. K. Pfeiffer CZ Dr. J. Skoupa E To be clarified F Prof. Dr. C. LePen G K. Berger I Dr. L. Mantovani NL Dr. T. Vergert P Dr. Céu Mateus S Dr. U. Persson UK To be clarified

Country