scholarly journals Coordinated speech therapy, physiotherapy, and pharmaceutical care telehealth for people with Parkinson disease in rural communities: an exploratory, 8-week cohort study for feasibility, safety, and signal of efficacy

2022 ◽  
Author(s):  
Cooley Hidecker ◽  
Landers ◽  
Piccorelli ◽  
Bush ◽  
Singh
Keyword(s):  
Cohort Study ◽  
Rural Communities ◽  
Parkinson Disease ◽  
Pharmaceutical Care ◽  
Speech Therapy

Self-reported snoring and metabolic syndrome: the Korean Multi-Rural Communities Cohort Study

2013 ◽  
Vol 18 (2) ◽  
pp. 423-430 ◽  
Author(s):  
Min-Ho Shin ◽  
Sun-Seog Kweon ◽  
Bo Youl Choi ◽  
Mi Kyung Kim ◽  
Byung-Yeol Chun ◽  
...  
Keyword(s):  
Metabolic Syndrome ◽  
Cohort Study ◽  
Rural Communities

scholarly journals Utilization of rehabilitation therapy services in Parkinson disease in the United States

Neurology ◽  
2017 ◽  
Vol 89 (11) ◽  
pp. 1162-1169 ◽  
Author(s):  
Michelle E. Fullard ◽  
Dylan P. Thibault ◽  
Andrew Hill ◽  
Joellyn Fox ◽  
Danish E. Bhatti ◽  
...  
Keyword(s):  
United States ◽  
Parkinson Disease ◽  
Repeated Measures ◽  
Service Use ◽  
Speech Therapy ◽  
The United States ◽  
Outpatient Rehabilitation ◽  
Fee For Service ◽  
Rehabilitation Therapy ◽  
Provider Supply

Objective:To examine rehabilitation therapy utilization for Parkinson disease (PD).Methods:We identified 174,643 Medicare beneficiaries with a diagnosis of PD in 2007 and followed them through 2009. The main outcome measures were annual receipt of physical therapy (PT), occupational therapy (OT), or speech therapy (ST).Results:Outpatient rehabilitation fee-for-service use was low. In 2007, only 14.2% of individuals with PD had claims for PT or OT, and 14.6% for ST. Asian Americans were the highest users of PT/OT (18.4%) and ST (18.4%), followed by Caucasians (PT/OT 14.4%, ST 14.8%). African Americans had the lowest utilization (PT/OT 7.8%, ST 8.2%). Using logistic regression models that accounted for repeated measures, we found that African American patients (adjusted odds ratio [AOR] 0.63 for PT/OT, AOR 0.63 for ST) and Hispanic patients (AOR 0.97 for PT/OT, AOR 0.91 for ST) were less likely to have received therapies compared to Caucasian patients. Patients with PD with at least one neurologist visit per year were 43% more likely to have a claim for PT evaluation as compared to patients without neurologist care (AOR 1.43, 1.30–1.48), and this relationship was similar for OT evaluation, PT/OT treatment, and ST. Geographically, Western states had the greatest use of rehabilitation therapies, but provider supply did not correlate with utilization.Conclusions:This claims-based analysis suggests that rehabilitation therapy utilization among older patients with PD in the United States is lower than reported for countries with comparable health care infrastructure. Neurologist care is associated with rehabilitation therapy use; provider supply is not.

scholarly journals Predictors of dementia in Parkinson disease: A prospective cohort study

Neurology ◽  
2015 ◽  
Vol 84 (12) ◽  
pp. 1285-1286 ◽  
Author(s):  
T. Kawada ◽  
J. B. M. Anang ◽  
R. Postuma
Keyword(s):  
Cohort Study ◽  
Parkinson Disease ◽  
Prospective Cohort Study ◽  
Prospective Cohort

scholarly journals Usual alcohol consumption and suicide mortality among the Korean elderly in rural communities: Kangwha Cohort Study

2016 ◽  
Vol 70 (8) ◽  
pp. 778-783 ◽  
Author(s):  
Sang-Wook Yi ◽  
Myoungjee Jung ◽  
Heejin Kimm ◽  
Jae-Woong Sull ◽  
Eunsook Lee ◽  
...  
Keyword(s):  
Cohort Study ◽  
Rural Communities ◽  
Alcohol Consumption ◽  
Suicide Mortality ◽  
Korean Elderly

Association between diabetes and subsequent Parkinson disease

Neurology ◽  
2018 ◽  
Vol 91 (2) ◽  
pp. e139-e142 ◽  
Author(s):  
Eduardo De Pablo-Fernandez ◽  
Raph Goldacre ◽  
Julia Pakpoor ◽  
Alastair J. Noyce ◽  
Thomas T. Warner
Keyword(s):  
Cohort Study ◽  
Parkinson Disease ◽  
Cox Regression ◽  
Normal Pressure ◽  
Relative Increase ◽  
Mortality Data ◽  
Drug Induced ◽  
Therapeutic Implications ◽  
Large Cohort Study ◽  
Reference Cohort

ObjectiveTo investigate the association between type 2 diabetes mellitus (T2DM) and subsequent Parkinson disease (PD).MethodsLinked English national Hospital Episode Statistics and mortality data (1999–2011) were used to conduct a retrospective cohort study. A cohort of individuals admitted for hospital care with a coded diagnosis of T2DM was constructed, and compared to a reference cohort. Subsequent PD risk was estimated using Cox regression models. Individuals with a coded diagnosis of cerebrovascular disease, vascular parkinsonism, drug-induced parkinsonism, and normal pressure hydrocephalus were excluded from the analysis.ResultsA total of 2,017,115 individuals entered the T2DM cohort and 6,173,208 entered the reference cohort. There were significantly elevated rates of PD following T2DM (hazard ratio [HR] 1.32, 95% confidence interval [CI] 1.29–1.35; p < 0.001). The relative increase was greater in those with complicated T2DM (HR 1.49, 95% CI 1.42–1.56) and when comparing younger individuals (HR 3.81, 95% CI 2.84–5.11 in age group 25–44 years).ConclusionsWe report an increased rate of subsequent PD following T2DM in this large cohort study. These findings may reflect shared genetic predisposition and/or disrupted shared pathogenic pathways with potential clinical and therapeutic implications.

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