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  • Burisch, JohanDigestive Disease Centre, Medical Section, Herlev University Hospital, Copenhagen, Denmark (author)

Costs and resource utilization for diagnosis and treatment during the initial year in a European inflammatory bowel disease inception cohort : an ECCO-EpiCom Study

  • Article/chapterEnglish2015

Publisher, publication year, extent ...

  • 2015
  • printrdacarrier

Numbers

  • LIBRIS-ID:oai:DiVA.org:oru-41191
  • https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-41191URI
  • https://doi.org/10.1097/MIB.0000000000000250DOI
  • http://kipublications.ki.se/Default.aspx?queryparsed=id:130677402URI

Supplementary language notes

  • Language:English
  • Summary in:English

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  • Subject category:ref swepub-contenttype
  • Subject category:art swepub-publicationtype

Notes

  • Funding Agencies:Danish Colitis Crohn Patients Organization (CCF)Vibeke Binder and Povl Riis' FoundationScientific Council at Herlev HospitalSigrid Rigmor Moran FoundationAage and Johanne Louis-Hansens FoundationMunkholm FoundationC. C. Klestrup and Henriette Klestrup FoundationKnud and Dagny Gad Andresens FoundationElse and Mogens Wedell-Wedellsborgs FoundationDirektor Jacob Madsen and Olga Madsens FoundationScanVetTorben og Alice Frimodt FoundationLaegernes forsikringsforening afBengt Ihre's foundationÖrebro University Hospital Research FoundationSwedish Society of MedicineResearch Council of South-East SwedenCounty Council of ÖstergötlandSwedish Organization for the study of inflammatory bowel diseaseCompetitive State Research Financing of the Expert Responsibility Area of Tampere University HospitalEuropean Crohn's and Colitis Organization
  • 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.

Subject headings and genre

Added entries (persons, corporate bodies, meetings, titles ...)

  • Vardi, HillelDepartment of Public Health, Faculty of Health Sciences, Ben Gurion University of the Negev, Beer Sheva, Israel (author)
  • Pedersen, NataliaDigestive Disease Centre, Medical Section, Herlev University Hospital, Copenhagen, Denmark (author)
  • Brinar, MarkoDivision of Gastroenterology and Hepatology, University Hospital Center Zagreb, University of Zagreb School of Medicine, Zagreb, Croatia (author)
  • Cukovic-Cavka, SilvjaDivision of Gastroenterology and Hepatology, University Hospital Center Zagreb, University of Zagreb School of Medicine, Zagreb, Croatia (author)
  • Kaimakliotis, IoannisPrivate Practice, Nicosia, Cyprus (author)
  • Duricova, DanaIBD Center ISCARE, Charles University, Prague, Czech Republic (author)
  • Bortlik, MartinIBD Center ISCARE, Charles University, Prague, Czech Republic (author)
  • Shonová, OlgaDepartment of Gastroenterology, Hospital Ceske Budejovice, Ceske Budejovice, Czech Republic (author)
  • Vind, IdaDepartment of Medicine, Amager Hospital, Amager, Denmark (author)
  • Avnstrøm, SørenDepartment of Medicine, Amager Hospital, Amager, Denmark (author)
  • Thorsgaard, NielsDepartment of Medicine, Herning Central Hospital, Herning, Denmark (author)
  • Krabbe, SusanneMedical Department, Viborg Regional Hospital, Viborg, Denmark (author)
  • Andersen, VibekeMedical 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 (author)
  • Dahlerup, Jens FDepartment of Medicine V (Hepatology and Gastroenterology), Aarhus University Hospital, Arhus, Denmark (author)
  • Kjeldsen, JensDepartment of Medical Gastroenterology, Odense University Hospital, Odense, Denmark (author)
  • Salupere, RiinaDivision of Endocrinology and Gastroenterology, Tartu University Hospital, Tartu, Estonia (author)
  • Olsen, JóngerMedical Department, The National Hospital of the Faroe Islands, Torshavn, Faroe Islands (author)
  • Nielsen, Kári RMedical Department, The National Hospital of the Faroe Islands, Torshavn, Faroe Islands (author)
  • Manninen, PiaDepartment of Gastroenterology and Alimentary Tract Surgery, Tampere University Hospital, Tampere, Finland (author)
  • Collin, PekkaDepartment of Gastroenterology and Alimentary Tract Surgery, Tampere University Hospital, Tampere, Finland (author)
  • Katsanos, Konstantinnos HFirst Division of Internal Medicine and Hepato-Gastroenterology Unit, University Hospital, Ioannina, Greece (author)
  • Tsianos, Epameinondas VFirst Division of Internal Medicine and Hepato-Gastroenterology Unit, University Hospital, Ioannina, Greece (author)
  • Ladefoged, KarinMedical Department, Dronning Ingrids Hospital, Nuuk, Greenland (author)
  • Lakatos, LaszloFirst Department of Medicine, Semmelweis University, Budapest, Hungary (author)
  • Bailey, YvonneDepartment of Gastroenterology, Adelaide and Meath Hospital, TCD, Dublin, Ireland (author)
  • OʼMorain, ColmDepartment of Gastroenterology, Adelaide and Meath Hospital, TCD, Dublin, Ireland (author)
  • Schwartz, DoronDepartment of Gastroenterology and Hepatology, Soroka Medical Center, Ben Gurion University of the Negev, Beer Sheva, Israel (author)
  • Lupinacci, GuidoU.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 (author)
  • De Padova, AngeloEpiCom 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 (author)
  • Jonaitis, LaimasInstitute for Digestive Research, Lithuanian University of Health Sciences, Kaunas, Lithuania (author)
  • Kupcinskas, LimasInstitute for Digestive Research, Lithuanian University of Health Sciences, Kaunas, Lithuania (author)
  • Turcan, SvetlanaDepartment of Gastroenterology, State University of Medicine and Pharmacy of the Republic of Moldova, Chisinau, Republic of Moldova (author)
  • Barros, LouisaDepartment of Medicine, Hospital de Vale de Sousa, Porto, Portugal (author)
  • Magro, FernandoDepartment 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 (author)
  • Lazar, DanielaClinic of Gastroenterology, University of Medicine "Victor Babes," Timisoara, Romania (author)
  • Goldis, AdrianClinic of Gastroenterology, University of Medicine "Victor Babes," Timisoara, Romania (author)
  • Nikulina, InnaDepartment of Gastroenterology, Moscow Regional Research Clinical Institute, Moscow, Russia (author)
  • Belousova, ElenaDepartment of Gastroenterology, Moscow Regional Research Clinical Institute, Moscow, Russia (author)
  • Fernandez, AlbertoGastroenterology Department, POVISA Hospital, Vigo, Spain (author)
  • Pineda, Juan RGastroenterology Department, Complexo Hospitalario Universitario de Vigo, Vigo, Spain (author)
  • Almer, SvenKarolinska Institutet (author)
  • Halfvarson, Jonas,1970-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(Swepub:oru)jshn (author)
  • Tsai, Her-HsinHull and East Yorkshire NHS Trust and Hull and York Medical School, Hull Royal Infirmary, Hull, United Kingdom (author)
  • Sebastian, ShajiHull and East Yorkshire NHS Trust and Hull and York Medical School, Hull Royal Infirmary, Hull, United Kingdom (author)
  • Friger, MichaelDepartment of Public Health, Faculty of Health Sciences, Ben Gurion University of the Negev, Beer Sheva, Israel (author)
  • Greenberg, DanDepartment 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 (author)
  • Lakatos, Peter LFirst Department of Medicine, Semmelweis University, Budapest, Hungary (author)
  • Langholz, EbbeDepartment of Medical Gastroenterology, Gentofte Hospital, Copenhagen, Denmark (author)
  • Odes, SelwynDepartment of Gastroenterology and Hepatology, Soroka Medical Center, Ben Gurion University of the Negev, Beer Sheva, Israel (author)
  • Munkholm, PiaDigestive Disease Centre, Medical Section, Herlev University Hospital, Copenhagen, Denmark (author)
  • Digestive Disease Centre, Medical Section, Herlev University Hospital, Copenhagen, DenmarkDepartment of Public Health, Faculty of Health Sciences, Ben Gurion University of the Negev, Beer Sheva, Israel (creator_code:org_t)

Related titles

  • In:Inflammatory Bowel Diseases21:1, s. 121-1311078-09981536-4844

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