Challenges of equitable access to device-aided therapies for advanced Parkinson's Disease in Poland - expert consensus and treatment recommendations.

IF 2.9 4区医学 Q2 CLINICAL NEUROLOGY

Neurologia i neurochirurgia polska Pub Date : 2024-01-01 DOI:10.5603/pjnns.102680

Karolina Popławska-Domaszewicz, Joanna Siuda, Monika Rudzińska-Bar, Slawomir Budrewicz, Dariusz Koziorowski, Andrzej Bogucki, K Ray Chaudhuri, Jarosław Sławek

引用次数: 0

Abstract

Introduction: In Poland, not all forms of device-aided therapies for advanced Parkinson's Disease (APD) are currently available.

Material and methods: We aimed to produce a consensus recommendation from Polish movement disorders experts after discussing gaps in the APD care pathway in Poland.

Results: Rescue therapy with apomorphine (APO) PEN injection and levodopa-entacapone-carbidopa intestinal gel infusion are not included in Poland's Specialist Therapeutic Programme, and are thus not reimbursed. For APO infusion, only the medication is reimbursed but not the device.

Conclusions: Consensus expert opinion is that APD patients in Poland would benefit from additional reimbursement access to these treatment options to improve APD patient care.

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波兰晚期帕金森病器械辅助治疗公平获取的挑战——专家共识和治疗建议

在波兰，并不是所有形式的设备辅助治疗晚期帕金森病（APD）目前可用。材料和方法：我们的目标是在讨论波兰APD护理途径的差距后，产生波兰运动障碍专家的共识建议。结果：阿波啡（APO） PEN注射剂和左旋多巴-恩他卡彭-卡比多巴肠道凝胶输注的抢救治疗不包括在波兰的专科治疗方案中，因此不报销。对于APO输注，只报销药物而不报销设备。结论：专家一致认为，波兰的APD患者将受益于这些治疗方案的额外报销，以改善APD患者的护理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Neurologia i neurochirurgia polska 医学-临床神经学

CiteScore

4.20

自引率

27.60%

发文量

128

审稿时长

6-12 weeks

期刊介绍： Polish Journal of Neurology and Neurosurgery is an official journal of the Polish Society of Neurology and the Polish Society of Neurosurgeons, aimed at publishing high quality articles within the field of clinical neurology and neurosurgery, as well as related subspecialties. For more than a century, the journal has been providing its authors and readers with the opportunity to report, discuss, and share the issues important for every-day practice and research advances in the fields related to neurology and neurosurgery.