Cost of health care for paediatric patients with sickle cell disease: An analysis of resource use and costs in a European country.
Pediatr Blood Cancer
; 67(9): e28588, 2020 09.
Article
en En
| MEDLINE
| ID: mdl-32672889
ABSTRACT
BACKGROUND:
While multiple studies have examined the cost of health care for one aspect of sickle cell disease care, few have focussed on the overall cost of comprehensive care for sickle cell disease.METHODS:
We conducted a retrospective cohort study of children with sickle cell disease treated in a comprehensive care centre from 1 January 2015 to 31 December 2016. Health care utilisation of included patients was based upon data from two main sources. The clinical practice guideline was used to determine the expected resource use of routine comprehensive care (planned elective care), and the financial claims database was used to estimate real-world resource use associated with acute and inpatient care (additional care).RESULTS:
A total of 125 children with sickle cell disease were analysed. Expenditures for these patients averaged 5049 [standard deviation (SD) 1634] per child per year. Total yearly costs per patient varied considerably, ranging from 669 to 84 010, and less than 15% of patients were responsible for 50% of the health care costs. The majority (37%) of costs was associated with inpatient hospital care, which increased by age group, 27% with diagnostics, 19% with treatment, 11% with outpatients' visits and 6% with emergency care.CONCLUSION:
We have described real-world resource use and expenditures for children with sickle cell disease in a European comprehensive care centre. It seems that costs of a comprehensive approach with effective management in the outpatient setting is favourable when compared to episodic health care.Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Aceptación de la Atención de Salud
/
Costos de la Atención en Salud
/
Atención a la Salud
/
Recursos en Salud
/
Hospitales Pediátricos
/
Anemia de Células Falciformes
Tipo de estudio:
Diagnostic_studies
/
Guideline
/
Health_economic_evaluation
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Adolescent
/
Adult
/
Child
/
Child, preschool
/
Female
/
Humans
/
Infant
/
Male
País/Región como asunto:
Europa
Idioma:
En
Revista:
Pediatr Blood Cancer
Asunto de la revista:
HEMATOLOGIA
/
NEOPLASIAS
/
PEDIATRIA
Año:
2020
Tipo del documento:
Article
País de afiliación:
Países Bajos