Session Information
Date: Thursday, June 23, 2016
Session Title: Other
Session Time: 12:00pm-1:30pm
Location: Exhibit Hall located in Hall B, Level 2
Objective: To compare the quality of care according to the AAN quality indicators for PD through a comprehensive PD care model vs. an academic movement disorders practice (specialist care) in the United States.
Background: The Emory Parkinson’s disease Comprehensive Care Clinic (PD CCC) is a novel model enabling interdisciplinary team-based care of persons with PD.
Methods: PD CCC patients seen between January 2010 – October 2013 were matched by gender and age (within 2 years) to patients evaluated in specialist care during the same time period. Chart abstraction was performed by a research assistant. Provider documentation of AAN Quality indicators (QI) were abstracted at baseline. Comparisons of change in UPDRS part 3 scores over 12 ± 2 months were completed.
Results: Twenty-nine PD CCC (mean age 67 ± 9.1 years, 59% male) and 29 specialist care (mean age 66.2 ± 8.6 years) patients were matched. Both groups were similar with respect to race, marital status, years with PD (PD CCC 6.3 ± 6.1 years vs. specialist 8.4 ± 7.2 years, p-value 0.2), and baseline UPDRS part 3 scores (PD CCC 22.6 ± 13.5 vs. specialist 23.7 ± 13.1, p-value=0.8). At baseline, on average, PD CCC care met 10/10 AAN QI, while specialist care met 5/10 AAN QI (p-value<0.001). At 12-months post-baseline, mean UPDRS part 3 scores were significantly lower (decreased to 17.3 ± 9.4, p=0.03) among those in the PD CCC (n=27), while there was no statistically significant change among those in specialist care (n=22, decreased to 21.8 ± 13.2, p=0.4).
Conclusions: The Emory PD CCC provided higher quality care according to the AAN QI than specialist care and motor outcome was improved in the PD CCC group but not the specialty care. A randomized controlled trial of the PD CCC model is warranted to determine impact on patient-centered outcomes such as quality of life and PD symptom burden.
Submitted to 2016 Annual Meeting of the AAN.
To cite this abstract in AMA style:
S.A. Factor, L.P. Prizer, F.C. Goldstein, L.M. Trotti, A. Hermida, C. Vaughan. Comparing quality of PD care in a comprehensive clinic to specialist care [abstract]. Mov Disord. 2016; 31 (suppl 2). https://www.mdsabstracts.org/abstract/comparing-quality-of-pd-care-in-a-comprehensive-clinic-to-specialist-care/. Accessed May 15, 2025.« Back to 2016 International Congress
MDS Abstracts - https://www.mdsabstracts.org/abstract/comparing-quality-of-pd-care-in-a-comprehensive-clinic-to-specialist-care/