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Comparison of the effectiveness, safety, and costs of anti-Parkinson drugs: A multiple-center retrospective study.

CNS Neurosci Ther · 2023-11-20

DOI: 10.1111/cns.14531PMID: 37983933

Open accessResearch Support, Non-U.S. Gov't; research-article; Multicenter Study; Journal ArticleOriginal source ↗

Research overview

The text below is the source article’s original abstract under a verified reuse license. cc by

AimsThis study aimed to systematically compare the effectiveness, safety, and costs of different anti-Parkinson drugs (APDs).MethodsThis is a multi-center study that retrospectively analyzed the data of 8420 outpatients with PD from 2014 to 2019 across 30 tertiary hospitals in China. The effectiveness was evaluated by changes in total dosages of APDs, normalized by levodopa equivalent dose (LED) and presented as ΔLEDs; levodopa equivalent dose cost (LEDc) represented the daily cost of APDs; and newly added diagnostics were represented as APDs-related adverse events.ResultsA total of 384 patients with eligible medical records for three consecutive years were enrolled. Patients treated with carbidopa/levodopa or levodopa/benserazide had significantly lower mean ΔLEDs than other groups (p ConclusionsCarbidopa/levodopa or levodopa/benserazide might exhibit better clinical improvement with less medical cost, while piribedil presented less clinical improvement but a higher risk of headache/dizziness, gastrointestinal, and neuropsychiatric symptoms.

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