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Long-term cardiovas...
Long-term cardiovascular outcome, use of resources, and healthcare costs in patients with peripheral artery disease : results from a nationwide Swedish study
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- Hasvold, Pal (author)
- AstraZeneca Nord Balt, Dept Med, S-15185 Sodertalje, Sweden.;Univ Oslo, Fac Med, POB 1078, N-0316 Oslo, Norway.
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- Nordanstig, Joakim (author)
- Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine
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- Kragsterman, Björn (author)
- Uppsala universitet,Kärlkirurgi
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- Kristensen, Thomas (author)
- AstraZeneca Nord Balt, Dept Med, S-15185 Sodertalje, Sweden.
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- Falkenberg, Mårten, 1959 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för radiologi,Institute of Clinical Sciences, Department of Radiology
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- Johansson, Saga (author)
- AstraZeneca Gothenburg, AstraZeneca R&D, Pepparedsleden 1, S-43153 Molndal, Sweden.
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- Thuresson, Marcus (author)
- Statisticon AB, Ostra Agatan 31, S-75322 Uppsala, Sweden.
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- Sigvant, Birgitta (author)
- Karlstad Cent Hosp, Dept Vasc Surg, Rosenborgsgatan 2, S-65230 Karlstad, Sweden.;Karolinska Inst, Sodersjukhuset, Dept Clin Sci & Educ, Solnavagen 1, S-17177 Stockholm, Sweden.
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AstraZeneca Nord Balt, Dept Med, S-15185 Sodertalje, Sweden;Univ Oslo, Fac Med, POB 1078, N-0316 Oslo, Norway. Institutionen för medicin, avdelningen för molekylär och klinisk medicin (creator_code:org_t)
- 2017-08-16
- 2018
- English.
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In: European Heart Journal - Quality of Care and Clinical Outcomes. - : OXFORD UNIV PRESS. - 2058-5225 .- 2058-1742. ; 4:1, s. 10-17
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Abstract
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- Aims: Data on long-term healthcare costs of patients with peripheral artery disease (PAD) is limited, and the aim of this study was to investigate healthcare costs for PAD patients at a nationwide level.Methods and results: A cohort study including all incident patients diagnosed with PAD in the Swedish National Patient Register between 2006-2014, and linked to cause of death-and prescribed drug registers. Mean per-patient annual healthcare costs (2015 Euros (sic)) (hospitalisations and out-patient visits) were divided into cardiovascular (CV), lower limb and non-CV related cost. Results were stratified by high and low CV risk. The study included 66,189 patients, with 221,953 observation-years. Mean total healthcare costs were (sic)6,577, of which 26% was CV-related ((sic)1,710), during the year prior to the PAD diagnosis. First year after PAD diagnosis, healthcare costs were (sic)12,549, of which (sic)3,824 (30%) was CV-related and (sic)3,201 (26%) lower limb related. Highrisk CV patients had a higher annual total healthcare and CV related costs compared to low risk CV patients during follow-up ((sic)7,439 and (sic)1,442 versus (sic)4,063 and (sic)838). Annual lower limb procedure costs were (sic)728 in the PAD population, with lower limb revascularisations as key cost driver ((sic)474).Conclusion: Non-CV related hospitalizations and outpatient visits were the largest cost contributors for PAD patients. There is a substantial increase in healthcare costs in the first year after being diagnosed with PAD, driven by PAD follow-up and lower limb related procedures. Among the CV-related costs, hospitalisations and outpatient visits related to PAD represented the largest costs.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine (hsv//eng)
Keyword
- Nationwide register data
- peripheral artery disease
- healthcare resource use
- healthcare costs
Publication and Content Type
- ref (subject category)
- art (subject category)
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