Diagnosis and referral delay in women with Parkinson's Disease

Rachel Saunders-Pullman, Cuiling Wang, Kaili Stanley, Susan B. Bressman

Research output: Contribution to journalArticle

20 Citations (Scopus)

Abstract

Background: Gender differences in Parkinson's disease may be attributable to biological and environmental factors as well as health care-seeking behaviors and diagnosis bias. Objective: The goal of this pilot study was to determine whether there are gender discrepancies in diagnosis and time to present to a movement disorder specialist, and to assess whether clinical and referral factors account for these differences. Methods: We report data on diagnosis, health care-seeking patterns, and clinical features in men and women with early Parkinson's disease treated at a tertiary care center. Results: A total of 109 patients with Parkinson's disease (53 women and 56 men; median age at onset, 60.3 years) were included in this study. Although men and women did not differ in time from symptom onset to first physician visit, duration from symptom onset to movement disorder specialist visit was longer in women than in men. The expected duration from onset to movement disorder specialist visit for women was 61% greater than for men in the unadjusted model (P = 0.002). Conclusion: There were gender differences in time to present to a movement disorder specialist in these patients with early Parkinson's disease, and further study in larger samples is warranted.

Original languageEnglish (US)
Pages (from-to)209-217
Number of pages9
JournalGender Medicine
Volume8
Issue number3
DOIs
StatePublished - Jun 2011

Fingerprint

Parkinson Disease
Movement Disorders
Referral and Consultation
Disease
gender-specific factors
Patient Acceptance of Health Care
health care
biological factors
Biological Factors
Age of Onset
Tertiary Care Centers
environmental factors
physician
Delivery of Health Care
Physicians
gender
trend
time

Keywords

  • diagnosis
  • gender differences
  • Parkinson's disease
  • referral
  • women

ASJC Scopus subject areas

  • Medicine(all)
  • Gender Studies

Cite this

Diagnosis and referral delay in women with Parkinson's Disease. / Saunders-Pullman, Rachel; Wang, Cuiling; Stanley, Kaili; Bressman, Susan B.

In: Gender Medicine, Vol. 8, No. 3, 06.2011, p. 209-217.

Research output: Contribution to journalArticle

Saunders-Pullman, R, Wang, C, Stanley, K & Bressman, SB 2011, 'Diagnosis and referral delay in women with Parkinson's Disease', Gender Medicine, vol. 8, no. 3, pp. 209-217. https://doi.org/10.1016/j.genm.2011.05.002
Saunders-Pullman, Rachel ; Wang, Cuiling ; Stanley, Kaili ; Bressman, Susan B. / Diagnosis and referral delay in women with Parkinson's Disease. In: Gender Medicine. 2011 ; Vol. 8, No. 3. pp. 209-217.
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