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Table 3 Healthcare utilization

From: Diagnostic and clinical experience of patients with pantothenate kinase-associated neurodegeneration

 

All patients

N = 39

Lowest

n = 9

Second Lowest

n = 10

Third Lowest

n = 10

Highest

n = 10

P-value

PKAN treatments received

 Medication from doctor, n (%)

39 (100%)

9 (100%)

10 (100%)

10 (100%)

10 (100%)

 

 Vitamins or OTC, n (%)

35 (89.7%)

8 (88.9%)

7 (70.0%)

10 (100%)

10 (100%)

0.0886

 Injections (botulinum toxin, etc), n (%)

25 (64.1%)

4 (44.4%)

7 (70.0%)

5 (50.0%)

9 (90.0%)

0.1422

 Therapies (physical, speech, occupational, etc), n (%)

36 (92.3%)

7 (77.8%)

10 (100%)

9 (90.0%)

10 (100%)

0.2198

 Surgery, n (%)

16 (41.0%)

2 (22.2%)

2 (20.0%)

3 (30.0%)

9 (90.0%)

0.0036

 DBS device

9 (23.1%)

2 (22.2%)

2 (20.0%)

2 (20.0%)

3 (30.0%)

0.9443

 Other surgery

14 (35.9%)

2 (22.2%)

1 (10.0%)

2 (20.0%)

9 (90.0%)

0.0006

 Other treatment, n (%)a

14 (35.9%)

1 (11.1%)

5 (50.0%)

4 (40.0%)

4 (40.0%)

0.3322

PKAN healthcare utilization past year

 Medical visits

     

0.3446

  Mean (SD)

13.0 (13.1)

12.2 (16.8)

7.6 (5.3)

13.9 (15.6)

18.3 (11.9)

 

  Median

8.0

6.0

5.0

7.0

15.0

 

  Range (min, max)

(1.0–56.0)

(2.0–56.0)

(1.0–15.0)

(3.0–50.0)

(1.0–40.0)

 

 Therapy visits

n = 38/39

  

n = 9/10

 

0.2188

  Mean (SD)

55.2 (78.5)

23.1 (50.2)

33.7 (32.1)

85.1 (126.5)

78.7 (69.1)

 

  Median

22.5

6.0

26.5

20.0

46.0

 

  Range (min, max)

(0.0–384.0)

(0.0–156.0)

(0.0–100.0)

(0.0–384.0)

(1.0–208.0)

 

Caregiving required

 Part-time caregiver, n (%)

25 (64.1%)

3 (33.3%)

6 (60.0%)

8 (80.0%)

8 (80.0%)

0.1656

  Age at onset, y

n = 23/25

n = 1/3

    

  Mean (SD)

11.5 (7.6)

12.0 (NA)

17.7 (8.0)

10.8 (7.9)

7.6 (4.8)

0.0975

  Median

11.0

12.0

19.0

11.0

7.0

 

  Range (min, max)

(< 1.0–28.0)

(12.0–12.0)

(6.0–28.0)

(< 1.0–20.0)

(< 1.0–14.0)

 

 Full-time caregiver, n (%)

21 (53.8%)

1 (11.1%)

3 (30.0%)

7 (70.0%)

10 (100%)

0.0021

  Age at onset, y

n = 20/21

 

n = 2/3

   

  Mean (SD)

10.3 (6.6)

19.0 (NA)

16.5 (9.2)

9.7 (7.3)

8.5 (5.1)

0.2379

  Median

10.0

19.0

16.5

12.0

8.5

 

  Range (min, max)

(< 1.0–23.0)

(19.0–19.0)

(10.0–23.0)

(< 1.0–20.0)

(< 1.0–17.0)

 
  1. aExamples of other treatments for PKAN included leg braces, hippotherapy (horseback riding), and participating in a clinical trial (eg, deferiprone)
  2. DBS deep brain stimulation; OTC over the counter; PKAN pantothenate kinase-associated neurodegeneration; SD standard deviation