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Vossius C et al. – Patients with PD had lower SF–6D utility scores than controls at baseline. Patients started on antiparkinsonian drugs had an improvement in mean utility scores of 0.039 from 0.667 to 0.706. The ICER was €45 259 (2007 values) per QALY, of which two–thirds consisted of the costs of drugs and one–third represented the costs of clinical consultations. Drug treatment in patients with early–stage PD increases health state values, but the ICER is high. Further investigations will be necessary to capture the full consequences of treatment of PD and to evaluate the efficacy of disease management in this setting.

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