Calogero Edoardo Cicero1, Salvatore Scondotto2, Alessandra Vincenza Allotta2, Giovanni De Luca2, Giuseppe Murolo2, Alessandra Nicoletti1, Mario Zappia3. 1. Department of Medical, Surgical and Advanced Technologies, G.F. Ingrassia, Section of Neurosciences, University of Catania, Catania, Italy. 2. Health Activities and Epidemiologic Observatory Division, Health Department, Sicily Region, Palermo, Italy. 3. Department of Medical, Surgical and Advanced Technologies, G.F. Ingrassia, Section of Neurosciences, University of Catania, Catania, Italy. m.zappia@unict.it.
Abstract
INTRODUCTION: Prevalence of Parkinson's disease (PD) increases with the advanced ages, representing a relevant health burden. Accurate prevalence estimates are of fundamental need in order to adjust the supply of health services for these patients. The availability of administrative health data from the National Health System provides a useful resource to assess the burden of diseases. Our aim was to evaluate the prevalence of PD through the use of administrative data in the Sicily region. METHODS: We have identified all the subjects affected by PD in Sicily in 2017 by gathering data from three regional health administrative databases: the hospital discharge records, the medical exemption databases, and the pharmacological prescription database. Prevalence rates and 95% confidence intervals (CI) have been calculated across 5-year age classes. RESULTS: PD patients identified through database searching were 24,674, giving a prevalence of 488/100,000 (95%CI 481.9-494.1) inhabitants. Prevalence was higher among men (514.5/100,000; 95%CI 505.6-523.6) and reached a peak in the 85-89 age class (3203.8/100,000; 95%CI 3095.2-3315.1). DISCUSSION: Our prevalence estimates of PD were higher when compared to previous epidemiological surveys conducted in Sicily. These findings are, however, comparable to other studies conducted in Italy that identified cases through administrative databases. Using health databases is a feasible strategy to assess the burden of PD.
INTRODUCTION: Prevalence of Parkinson's disease (PD) increases with the advanced ages, representing a relevant health burden. Accurate prevalence estimates are of fundamental need in order to adjust the supply of health services for these patients. The availability of administrative health data from the National Health System provides a useful resource to assess the burden of diseases. Our aim was to evaluate the prevalence of PD through the use of administrative data in the Sicily region. METHODS: We have identified all the subjects affected by PD in Sicily in 2017 by gathering data from three regional health administrative databases: the hospital discharge records, the medical exemption databases, and the pharmacological prescription database. Prevalence rates and 95% confidence intervals (CI) have been calculated across 5-year age classes. RESULTS: PD patients identified through database searching were 24,674, giving a prevalence of 488/100,000 (95%CI 481.9-494.1) inhabitants. Prevalence was higher among men (514.5/100,000; 95%CI 505.6-523.6) and reached a peak in the 85-89 age class (3203.8/100,000; 95%CI 3095.2-3315.1). DISCUSSION: Our prevalence estimates of PD were higher when compared to previous epidemiological surveys conducted in Sicily. These findings are, however, comparable to other studies conducted in Italy that identified cases through administrative databases. Using health databases is a feasible strategy to assess the burden of PD.
Authors: L Morgante; W A Rocca; A E Di Rosa; P De Domenico; F Grigoletto; F Meneghini; A Reggio; G Savettieri; M G Castiglione; F Patti Journal: Neurology Date: 1992-10 Impact factor: 9.910
Authors: L Morgante; A Nicoletti; A Epifanio; D Contrafatto; R Savica; S Lanzafame; R Musolino; P La Spina; U Bonuccelli; R Marconi; M D'Amelio; G Savettieri; M Zappia Journal: Parkinsonism Relat Disord Date: 2008-03-05 Impact factor: 4.891
Authors: Matteo Riccò; Luigi Vezzosi; Federica Balzarini; Giovanni Gualerzi; Silvia Ranzieri; Carlo Signorelli; Maria Eugenia Colucci; Nicola Luigi Bragazzi Journal: Acta Biomed Date: 2020-09-07