The cost of Lyme borreliosis.
Eur J Public Health
; 27(3): 538-547, 2017 06 01.
Article
em En
| MEDLINE
| ID: mdl-28444236
ABSTRACT
Background:
Lyme borreliosis (LB) is the most frequently reported tick-borne infection in Europe and North America. The aim of this study was to estimate the cost-of-illness of LB in the Netherlands. We used available incidence estimates from 2010 for tick bite consultations and three symptomatic LBoutcomes:
erythema migrans (EM), disseminated LB and Lyme-related persisting symptoms. The cost was estimated using these incidences and the average cost per patient as derived from a patient questionnaire. We estimated the cost from a societal perspective, including healthcare cost, patient cost and production loss, using the friction cost method and a 4% annual discount rate. Tick bites and LB in 2010 led to a societal cost of 19.3 million (95% CI 15.6-23.4; 16.6 million population) for the Netherlands. Healthcare cost and production loss each constituted 48% of the total cost (9.3 and 9.2 million/year), and patient cost 4% (0.8 million/year). Of the total cost, 37% was related to disseminated LB, followed by 27% for persisting symptoms, 22% for tick bites and 14% for EM. Per outcome, for an individual case the mean cost of disseminated LB and Lyme-related persisting symptoms was both around 5700; for EM and GP consultations for tick bites this was 122 and 53. As an alternative to the friction cost method, the human capital method resulted in a total cost of 23.5 million/year. LB leads to a substantial societal cost. Further research should therefore focus on additional preventive interventions.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Doença de Lyme
/
Custos de Cuidados de Saúde
/
Efeitos Psicossociais da Doença
Tipo de estudo:
Health_economic_evaluation
/
Incidence_studies
/
Prognostic_studies
Limite:
Humans
País/Região como assunto:
Europa
Idioma:
En
Revista:
Eur J Public Health
Assunto da revista:
EPIDEMIOLOGIA
/
SAUDE PUBLICA
Ano de publicação:
2017
Tipo de documento:
Article
País de afiliação:
Holanda