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The aim was to assess the cost\u2010utility of a coadjutant multidisciplinary TM programme for fall prevention compared to standard in\u2010office visits for individuals with Parkinson's disease (PD).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was an 8\u2010month single\u2010blind randomized controlled trial. TM and control groups received in\u2010office visits and standard management care at baseline, 4 and 8\u2009months. In addition, the TM group received remote multidisciplinary visits for 4\u2009months. Gait, motor and non\u2010motor symptoms, daily living activities, balance and frailty were measured using PD\u2010recommended rating scales and wearable sensors. Clinical characteristics were compared at each visit using baseline scores, gender and age as covariates. The incremental cost\u2010effectiveness ratio (ICER) and quality\u2010adjusted life years (QALYs) were calculated at each visit.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Fifty patients were included: 25 patients in the TM group (48% males, mean age 71.1\u2009\u00b1\u20099.0\u2009years) and 25 patients in the control group (52% males, mean age 69.2\u2009\u00b1\u20099.4\u2009years). Compared to controls, in the TM group similar QALYs were found but, in contrast, significant improvements in daily living activities, depression, apathy, freezing of gait, balance, quality of life and frailty (all <jats:italic>p<\/jats:italic> values &lt;0.05). The use of coadjutant TM intervention in addition to in\u2010office visits was efficient for depression, apathy, freezing of gait, balance and frailty with ICERs, ranging from 91.55 \u20ac for non\u2010motor symptoms to 1677.4 \u20ac for frailty.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Telemedicine could be considered an efficient coadjutant intervention for PD, especially for non\u2010motor symptoms, enhancing health outcomes and accessibility.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ene.16561","type":"journal-article","created":{"date-parts":[[2025,1,22]],"date-time":"2025-01-22T06:54:44Z","timestamp":1737528884000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Cost\u2010utility analysis of a coadjutant telemedicine intervention for fall prevention in Parkinson's 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