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Costs and resource ...
Costs and resource utilization for diagnosis and treatment during the initial year in a European inflammatory bowel disease inception cohort : an ECCO-EpiCom Study
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- Burisch, Johan (författare)
- Digestive Disease Centre, Medical Section, Herlev University Hospital, Copenhagen, Denmark
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- Vardi, Hillel (författare)
- Department of Public Health, Faculty of Health Sciences, Ben Gurion University of the Negev, Beer Sheva, Israel
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- Pedersen, Natalia (författare)
- Digestive Disease Centre, Medical Section, Herlev University Hospital, Copenhagen, Denmark
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- Brinar, Marko (författare)
- Division of Gastroenterology and Hepatology, University Hospital Center Zagreb, University of Zagreb School of Medicine, Zagreb, Croatia
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- Cukovic-Cavka, Silvja (författare)
- Division of Gastroenterology and Hepatology, University Hospital Center Zagreb, University of Zagreb School of Medicine, Zagreb, Croatia
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- Kaimakliotis, Ioannis (författare)
- Private Practice, Nicosia, Cyprus
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- Duricova, Dana (författare)
- IBD Center ISCARE, Charles University, Prague, Czech Republic
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- Bortlik, Martin (författare)
- IBD Center ISCARE, Charles University, Prague, Czech Republic
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- Shonová, Olga (författare)
- Department of Gastroenterology, Hospital Ceske Budejovice, Ceske Budejovice, Czech Republic
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- Vind, Ida (författare)
- Department of Medicine, Amager Hospital, Amager, Denmark
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- Avnstrøm, Søren (författare)
- Department of Medicine, Amager Hospital, Amager, Denmark
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- Thorsgaard, Niels (författare)
- Department of Medicine, Herning Central Hospital, Herning, Denmark
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- Krabbe, Susanne (författare)
- Medical Department, Viborg Regional Hospital, Viborg, Denmark
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- Andersen, Vibeke (författare)
- Medical Department, Viborg Regional Hospital, Viborg, Denmark; Organ Center, Hospital of Southern Jutland, Aabenraa, Denmark; Institute of Regional Health Research, University of Southern Denmark, Odense, Denmark
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- Dahlerup, Jens F (författare)
- Department of Medicine V (Hepatology and Gastroenterology), Aarhus University Hospital, Arhus, Denmark
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- Kjeldsen, Jens (författare)
- Department of Medical Gastroenterology, Odense University Hospital, Odense, Denmark
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- Salupere, Riina (författare)
- Division of Endocrinology and Gastroenterology, Tartu University Hospital, Tartu, Estonia
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- Olsen, Jónger (författare)
- Medical Department, The National Hospital of the Faroe Islands, Torshavn, Faroe Islands
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- Nielsen, Kári R (författare)
- Medical Department, The National Hospital of the Faroe Islands, Torshavn, Faroe Islands
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- Manninen, Pia (författare)
- Department of Gastroenterology and Alimentary Tract Surgery, Tampere University Hospital, Tampere, Finland
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- Collin, Pekka (författare)
- Department of Gastroenterology and Alimentary Tract Surgery, Tampere University Hospital, Tampere, Finland
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- Katsanos, Konstantinnos H (författare)
- First Division of Internal Medicine and Hepato-Gastroenterology Unit, University Hospital, Ioannina, Greece
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- Tsianos, Epameinondas V (författare)
- First Division of Internal Medicine and Hepato-Gastroenterology Unit, University Hospital, Ioannina, Greece
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- Ladefoged, Karin (författare)
- Medical Department, Dronning Ingrids Hospital, Nuuk, Greenland
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- Lakatos, Laszlo (författare)
- First Department of Medicine, Semmelweis University, Budapest, Hungary
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- Bailey, Yvonne (författare)
- Department of Gastroenterology, Adelaide and Meath Hospital, TCD, Dublin, Ireland
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- OʼMorain, Colm (författare)
- Department of Gastroenterology, Adelaide and Meath Hospital, TCD, Dublin, Ireland
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- Schwartz, Doron (författare)
- Department of Gastroenterology and Hepatology, Soroka Medical Center, Ben Gurion University of the Negev, Beer Sheva, Israel
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- Lupinacci, Guido (författare)
- U.O. di Gastroenterologia e Endoscopia Digestiva, Az.Ospedaliera Ospedale Maggiore di Crema, Crema, Italy; EpiCom Northern Italy centre based in Crema and Cremona, Firenze, Forli, Padova and Reggio Emilia, Italy
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- De Padova, Angelo (författare)
- EpiCom Northern Italy centre based in Crema and Cremona, Firenze, Forli, Padova and Reggio Emilia, Italy; U.O. Gastroenterologia ed Endoscopia Digestiva, Ospedale Morgagni, Pierantoni, Forli, Italy
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- Jonaitis, Laimas (författare)
- Institute for Digestive Research, Lithuanian University of Health Sciences, Kaunas, Lithuania
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- Kupcinskas, Limas (författare)
- Institute for Digestive Research, Lithuanian University of Health Sciences, Kaunas, Lithuania
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- Turcan, Svetlana (författare)
- Department of Gastroenterology, State University of Medicine and Pharmacy of the Republic of Moldova, Chisinau, Republic of Moldova
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- Barros, Louisa (författare)
- Department of Medicine, Hospital de Vale de Sousa, Porto, Portugal
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- Magro, Fernando (författare)
- Department of Gastroenterology, Hospital de Sao Joao, Porto, Portugal; Institute of Pharmacology and Therapeutics, Oporto Medical School, Porto, Portugal; Institute for molecular and cell biology, University of Porto, Porto, Portugal
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- Lazar, Daniela (författare)
- Clinic of Gastroenterology, University of Medicine "Victor Babes," Timisoara, Romania
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- Goldis, Adrian (författare)
- Clinic of Gastroenterology, University of Medicine "Victor Babes," Timisoara, Romania
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- Nikulina, Inna (författare)
- Department of Gastroenterology, Moscow Regional Research Clinical Institute, Moscow, Russia
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- Belousova, Elena (författare)
- Department of Gastroenterology, Moscow Regional Research Clinical Institute, Moscow, Russia
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- Fernandez, Alberto (författare)
- Gastroenterology Department, POVISA Hospital, Vigo, Spain
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- Pineda, Juan R (författare)
- Gastroenterology Department, Complexo Hospitalario Universitario de Vigo, Vigo, Spain
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- Almer, Sven (författare)
- Karolinska Institutet
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- Halfvarson, Jonas, 1970- (författare)
- Örebro universitet,Institutionen för läkarutbildning,Department of Medicine, Division of Gastroenterology, Örebro University Hospital, Örebro, Sweden; School of Health and Medical Sciences, Örebro University, Örebro, Sweden
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- Tsai, Her-Hsin (författare)
- Hull and East Yorkshire NHS Trust and Hull and York Medical School, Hull Royal Infirmary, Hull, United Kingdom
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- Sebastian, Shaji (författare)
- Hull and East Yorkshire NHS Trust and Hull and York Medical School, Hull Royal Infirmary, Hull, United Kingdom
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- Friger, Michael (författare)
- Department of Public Health, Faculty of Health Sciences, Ben Gurion University of the Negev, Beer Sheva, Israel
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- Greenberg, Dan (författare)
- Department of Health Systems Management, Faculty of Health Sciences, Ben Gurion University of the Negev, Beer Sheva, Israel; Guilford Glazer Faculty of Business and Management, Ben Gurion University of the Negev, Beer Sheva, Israel
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- Lakatos, Peter L (författare)
- First Department of Medicine, Semmelweis University, Budapest, Hungary
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- Langholz, Ebbe (författare)
- Department of Medical Gastroenterology, Gentofte Hospital, Copenhagen, Denmark
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- Odes, Selwyn (författare)
- Department of Gastroenterology and Hepatology, Soroka Medical Center, Ben Gurion University of the Negev, Beer Sheva, Israel
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- Munkholm, Pia (författare)
- Digestive Disease Centre, Medical Section, Herlev University Hospital, Copenhagen, Denmark
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(creator_code:org_t)
- 2015
- 2015
- Engelska.
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Ingår i: Inflammatory Bowel Diseases. - 1078-0998 .- 1536-4844. ; 21:1, s. 121-131
- Relaterad länk:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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http://kipublication...
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Abstract
Ämnesord
Stäng
- BACKGROUND: No direct comparison of health care cost in patients with inflammatory bowel disease across the European continent exists. The aim of this study was to assess the costs of investigations and treatment for diagnostics and during the first year after diagnosis in Europe.METHODS: The EpiCom cohort is a prospective population-based inception cohort of unselected inflammatory bowel disease patients from 31 Western and Eastern European centers. Patients were followed every third month from diagnosis, and clinical data regarding treatment and investigations were collected. Costs were calculated in euros (&OV0556;) using the Danish Health Costs Register.RESULTS: One thousand three hundred sixty-seven patients were followed, 710 with ulcerative colitis, 509 with Crohn's disease, and 148 with inflammatory bowel disease unclassified. Total expenditure for the cohort was &OV0556;5,408,174 (investigations: &OV0556;2,042,990 [38%], surgery: &OV0556;1,427,648 [26%], biologicals: &OV0556;781,089 [14%], and standard treatment: &OV0556;1,156,520 [22%)]). Mean crude expenditure per patient in Western Europe (Eastern Europe) with Crohn's disease: investigations &OV0556;1803 (&OV0556;2160) (P = 0.44), surgery &OV0556;11,489 (&OV0556;13,973) (P = 0.14), standard treatment &OV0556;1027 (&OV0556;824) (P = 0.51), and biologicals &OV0556;7376 (&OV0556;8307) (P = 0.31). Mean crude expenditure per patient in Western Europe (Eastern Europe) with ulcerative colitis: investigations &OV0556;1189 (&OV0556;1518) (P < 0.01), surgery &OV0556;18,414 (&OV0556;12,395) (P = 0.18), standard treatment &OV0556;896 (&OV0556;798) (P < 0.05), and biologicals &OV0556;5681 (&OV0556;72) (P = 0.51).CONCLUSIONS: In this population-based unselected cohort, costs during the first year of disease were mainly incurred by investigative procedures and surgeries. However, biologicals accounted for >15% of costs. Long-term follow-up of the cohort is needed to assess the cost-effectiveness of biological agents.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Gastroenterologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Gastroenterology and Hepatology (hsv//eng)
Nyckelord
- epidemiology; outcomes research; Crohn's disease; ulcerative colitis; economics of IBD therapies
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- ref (ämneskategori)
- art (ämneskategori)
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- Av författaren/redakt...
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Burisch, Johan
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Vardi, Hillel
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Pedersen, Natali ...
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Brinar, Marko
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Cukovic-Cavka, S ...
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Kaimakliotis, Io ...
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Duricova, Dana
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Bortlik, Martin
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Shonová, Olga
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Vind, Ida
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Avnstrøm, Søren
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Thorsgaard, Niel ...
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Krabbe, Susanne
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Andersen, Vibeke
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Dahlerup, Jens F
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Kjeldsen, Jens
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Salupere, Riina
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Olsen, Jónger
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Nielsen, Kári R
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Manninen, Pia
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Collin, Pekka
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Katsanos, Konsta ...
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Tsianos, Epamein ...
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Ladefoged, Karin
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Lakatos, Laszlo
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Bailey, Yvonne
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OʼMorain, Colm
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Schwartz, Doron
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Lupinacci, Guido
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De Padova, Angel ...
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Jonaitis, Laimas
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Kupcinskas, Lima ...
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Turcan, Svetlana
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Barros, Louisa
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Magro, Fernando
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Lazar, Daniela
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Goldis, Adrian
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Nikulina, Inna
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Belousova, Elena
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Fernandez, Alber ...
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Pineda, Juan R
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Almer, Sven
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Halfvarson, Jona ...
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Tsai, Her-Hsin
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Sebastian, Shaji
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Friger, Michael
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Greenberg, Dan
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Lakatos, Peter L
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Langholz, Ebbe
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Odes, Selwyn
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Munkholm, Pia
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Klinisk medicin
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och Gastroenterologi
- Artiklar i publikationen
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Inflammatory Bow ...
- Av lärosätet
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Örebro universitet
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Karolinska Institutet