Health resource use and costs of symptomatic knee and/or hip osteoarthritis.
Osteoarthritis Cartilage
; 27(7): 1011-1017, 2019 07.
Article
em En
| MEDLINE
| ID: mdl-30922982
ABSTRACT
BACKGROUND:
Data on the economic consequences of hip and knee osteoarthritis (OA) are scarce. We aimed to estimate the annual direct and indirect costs for patients followed for hip and/or knee OA in the Knee and Hip Osteoarthritis Long term Assessment (KHOALA) cohort.METHODS:
The KHOALA cohort, set up from 2007 to 2009, is a French multicenter study of 878 individuals with symptomatic knee/hip OA who were 40-75 years old. Resources used were collected annually for 5 years. Costs were assigned by using official sources and expressed in 2018 euros per patient.RESULTS:
The mean annual total costs per patient over the 5-year study period were 2,180 ± 5,305. The mean annual direct medical costs per patient were 2,120 ± 5,275 and mean annual indirect costs per patient 180 ± 1,735 for people of working age. Costs increased slightly over the study period. Drugs were the largest cost share, representing over 50% of all direct costs. However, the proportion attributable to OA drugs accounted for only 10.5% of drug costs. The second cost share was hospitalizations; hip and knee prosthetic surgery accounted for 27% of surgery hospitalization costs. Health professional visits were the third cost share, accounting for 3% of direct medical costs. The median costs induced could be as high as 2 billion /year (IQR 0.7-4.3) in France.CONCLUSION:
Hip and knee OA costs were substantial and increased over the study period in France. However, the costs attributable to OA represented only a small fraction of overall costs.Palavras-chave
Texto completo:
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Bases de dados:
MEDLINE
Assunto principal:
Osteoartrite do Quadril
/
Aceitação pelo Paciente de Cuidados de Saúde
/
Custos de Cuidados de Saúde
/
Osteoartrite do Joelho
Tipo de estudo:
Clinical_trials
/
Diagnostic_studies
/
Health_economic_evaluation
Limite:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
País/Região como assunto:
Europa
Idioma:
En
Revista:
Osteoarthritis Cartilage
Assunto da revista:
ORTOPEDIA
/
REUMATOLOGIA
Ano de publicação:
2019
Tipo de documento:
Article