UNASSIGNED: Multidisciplinary care in @entity2655 is associated with longer survival, improved quality of life, and reduced hospital admissions, but there are no published data on institutional costs associated with multidisciplinary @entity2655 care at U.S. centers. We prospectively examined institutional costs, adherence to AAN Practice Parameters and @entity1 satisfaction in multidisciplinary @entity2655 clinics at 18 U.S. @entity2655 centers. Centers reported @entity1 volumes; direct costs for staff salary/benefits, supplies and equipment; and institutional non-salary and overhead costs over a three-month period. In 1117 @entity1 seen during this period, mean age was 61.5 years (range 25-91 years), 56% were male, and mean ALSFRS-R score was 29. Mean total salary/benefit cost per clinic day for all providers was  2964 (range  1692- 5236 across centers). Mean salary/benefit cost per @entity1 per clinic was  507 (range  258- 806 across centers). Differences among centers in reporting non-salary costs prevented meaningful analysis. Practice parameter adherence and @entity1 satisfaction were high. This prospective collaborative study demonstrates the direct financial burden of evidence-based multidisciplinary @entity2655 care in the U.S.; more refined non-salary and overhead cost data are needed to evaluate the full cost impact of care. These data may be useful in supporting evidence-based models of @entity1 centered care for @entity2655 .

Prospective study of cost of care at multidisciplinary @entity2655 centers adhering to American Academy of Neurology (AAN) XXXX practice parameters.

@entity2655 :: ('MESH:C565957', 'Disease') :: ['ALS'] @entity1 :: ('9606', 'Species') :: ['patients', 'patient']
@entity2655 :: (MESH:C565957,Disease) :: ['ALS']
