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Cost of non-alcohol...
Cost of non-alcoholic steatohepatitis in Europe and the USA: The GAIN study
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- Ratziu, Vladimir (författare)
- Sorbonne University
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- Bugianesi, Elisabetta (författare)
- University of Torino
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- Schattenberg, Joern M. (författare)
- University Medical Center Mainz
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- Anstee, Quentin M. (författare)
- Newcastle University
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- Romero-Gomez, Manuel (författare)
- University of Seville
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- Franks, Bethany (författare)
- HCD Economics
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- Morgan, George (författare)
- HCD Economics
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- Hebditch, Vanessa (författare)
- British Liver Trust
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- Mabhala, Mzwandile (författare)
- University of Chester
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- Jönsson, Bengt (författare)
- Stockholm School of Economics,Handelshögskolan i Stockholm
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- Reic, Tatjana (författare)
- Croatian association for liver diseases Hepatos
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- Van Thiel, Ingo (författare)
- Deutsche Leberhilfe
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- Ruiz-Casas, Leonardo (författare)
- HCD Economics
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- Pedra, Gabriel (författare)
- HCD Economics
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- Dhillon, Harpal (författare)
- HCD Economics
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- Finnegan, Alan (författare)
- University of Chester
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- O'Hara, Jamie (författare)
- University of Chester
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(creator_code:org_t)
- Elsevier, 2020
- 2020
- Engelska.
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Ingår i: JHEP Reports. - : Elsevier. - 2589-5559 .- 2589-5559. ; 2:5
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http://www.jhep-repo...
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https://doi.org/10.1...
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Abstract
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- BackgroundXX1Aims: Non-alcoholic steatohepatitis (NASH) leads to cirrhosis and is associated with a substantial socioeconomic burden, which, coupled with rising prevalence, is a growing public health challenge. However, there are few real-world data available describing the impact of NASH.Methods: The Global Assessment of the Impact of NASH (GAIN) study is a prevalence-based burden of illness study across Europe (France, Germany, Italy, Spain, and the UK) and the USA. Physicians provided demographic, clinical, and economic patient information via an online survey. In total, 3,754 patients found to have NASH on liver biopsy were stratified by fibrosis score and by biomarkers as either early or advanced fibrosis. Per-patient costs were estimated using national unit price data and extrapolated to the population level to calculate the economic burden. Of the patients, 767 (20%) provided information on indirect costs and health-related quality of life using the EuroQOL 5-D (EQ-5D; n = 749) and Chronic Liver Disease Questionnaire - Non-Alcoholic Fatty Liver Disease (CLDQ-NAFLD) (n = 723).Results: Mean EQ-5D and CLDQ-NAFLD index scores were 0.75 and 4.9, respectively. For 2018, the mean total annual per patient cost of NASH was (sic)2,763, (sic)4,917, and (sic)5,509 for direct medical, direct non-medical, and indirect costs, respectively. National per-patient cost was highest in the USA and lowest in France. Costs increased with fibrosis and decompensation, driven by hospitalisation and comorbidities. Indirect costs were driven by work loss.Conclusions: The GAIN study provides real-world data on the direct medical, direct non-medical, and indirect costs associated with NASH, including patient-reported outcomes in Europe and the USA, showing a substantial burden on health services and individuals. (C) 2020 The Author(s). Published by Elsevier B.V. on behalf of European Association for the Study of the Liver (EASL).
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)
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Ratziu, Vladimir
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Bugianesi, Elisa ...
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Schattenberg, Jo ...
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Anstee, Quentin ...
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Romero-Gomez, Ma ...
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Franks, Bethany
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visa fler...
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Morgan, George
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Hebditch, Vaness ...
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Mabhala, Mzwandi ...
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Jönsson, Bengt
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Reic, Tatjana
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Van Thiel, Ingo
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Ruiz-Casas, Leon ...
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Pedra, Gabriel
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Dhillon, Harpal
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Finnegan, Alan
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O'Hara, Jamie
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JHEP Reports
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Handelshögskolan i Stockholm