SwePub
Sök i LIBRIS databas

  Utökad sökning

onr:"swepub:oai:lup.lub.lu.se:9b621807-7cb1-4430-8d5d-5c8ac9cb2fbc"
 

Sökning: onr:"swepub:oai:lup.lub.lu.se:9b621807-7cb1-4430-8d5d-5c8ac9cb2fbc" > Annual direct medic...

  • Doria, Andrea (författare)

Annual direct medical cost of active systemic lupus erythematosus in five European countries

  • Artikel/kapitelEngelska2014

Förlag, utgivningsår, omfång ...

  • 2012-12-21
  • BMJ,2014

Nummerbeteckningar

  • LIBRIS-ID:oai:lup.lub.lu.se:9b621807-7cb1-4430-8d5d-5c8ac9cb2fbc
  • https://lup.lub.lu.se/record/4272279URI
  • https://doi.org/10.1136/annrheumdis-2012-202443DOI

Kompletterande språkuppgifter

  • Språk:engelska
  • Sammanfattning på:engelska

Ingår i deldatabas

Klassifikation

  • Ämneskategori:art swepub-publicationtype
  • Ämneskategori:ref swepub-contenttype

Anmärkningar

  • Objectives To evaluate the annual direct medical cost of managing adult systemic lupus erythematosus (SLE) patients with active autoantibody positive disease in Europe. Methods A 2-year, retrospective, multicentre, observational study was conducted in five countries (France, Germany, Italy, Spain and the UK). Data included patients' characteristics, disease activity and severity, flare assessments and health resource use (eg, laboratory tests, medications, specialist visits and hospitalisations). Costs were assessed from the public payers' perspective. Cost predictors were estimated by multivariate regression models. Results Thirty-one centres enrolled 427 consecutive eligible patients stratified equally by disease severity. At baseline, mean (SD) age was 44.5 (13.8) years, 90.5% were women and mean (SD) SLE duration was 10.7 (8.0) years. The SELENA-SLEDAI (11.2 vs 5.3) and SLICC/ACR index (1.0 vs 0.7) scores were higher in severe patients. Over the study period, patients experienced on average 1.02 (0.71) flares/year. The mean annual direct medical cost was higher in severe compared to non-severe patients (Euro4748 vs Euro2650, p<0.001). Medication costs were Euro2518 in severe versus Euro1251 in non-severe patients (p<0.001). Medications represented 53% and 47% of the total cost for severe and non-severe patients, respectively, primarily due to immunosuppressants and biologics. Flares, especially severe flares, were identified as the major cost predictor, with each flare increasing the annual total cost by about Euro1002 (p<0.001). Conclusions The annual direct medical cost of SLE patients in Europe is related to disease severity and flares. Medical treatments were the main cost drivers. Severe flares and major organ involvement were identified as important cost predictors.

Ämnesord och genrebeteckningar

Biuppslag (personer, institutioner, konferenser, titlar ...)

  • Amoura, Zahir (författare)
  • Cervera, Ricard (författare)
  • Khamastha, Munther A. (författare)
  • Schneider, Matthias (författare)
  • Richter, Jutta (författare)
  • Guillemin, Francis (författare)
  • Kobelt, GiselaLund University,Lunds universitet,Ortopedi, Lund,Sektion III,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Orthopaedics (Lund),Section III,Department of Clinical Sciences, Lund,Faculty of Medicine(Swepub:lu)med-gak (författare)
  • Maurel, Frederique (författare)
  • Garofano, Anna (författare)
  • Perna, Alessandra (författare)
  • Murray, Miranda (författare)
  • Schmitt, Claude (författare)
  • Boucot, Isabelle (författare)
  • Ortopedi, LundSektion III (creator_code:org_t)

Sammanhörande titlar

  • Ingår i:Annals of the Rheumatic Diseases: BMJ73:1, s. 154-1601468-20600003-4967

Internetlänk

Hitta via bibliotek

Till lärosätets databas

Kungliga biblioteket hanterar dina personuppgifter i enlighet med EU:s dataskyddsförordning (2018), GDPR. Läs mer om hur det funkar här.
Så här hanterar KB dina uppgifter vid användning av denna tjänst.

 
pil uppåt Stäng

Kopiera och spara länken för att återkomma till aktuell vy