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Economic burden of cirrhosis in Catalonia: a population-based analysis

Mireia Miquel1,2, Montserrat Clèries3, Mercedes Vergara1,2

  • 1Hepatology Unit, Digestive Disease Department, Parc Tauli Hospital Universitari, Institut d'Investigació i Innovació Parc Taulí I3PT, Universitat Autònoma de Barcelona, Sabadell, Spain.

BMJ Open
|March 5, 2018
PubMed

Insights

Cirrhosis patients incur significant healthcare costs, with hospitalizations being the largest expense. Understanding resource use is crucial for managing this chronic disease effectively.

Area of Science:

  • Hepatology
  • Public Health
  • Health Economics

Background:

  • Cirrhosis is a severe chronic liver disease associated with high morbidity and mortality rates.
  • Limited research exists on the healthcare resource utilization patterns of patients with cirrhosis.

Purpose of the Study:

  • To determine the point prevalence of cirrhosis in Catalonia, Spain, as of December 31, 2012.
  • To analyze healthcare resource use and expenditures in a general population of cirrhosis patients in 2013.
  • To stratify analysis by disease compensation status and comorbidity burden.

Main Methods:

  • Population-based study utilizing International Classification of Diseases, ninth revision (ICD-9) data for cirrhosis diagnosis.
  • Inclusion of all adult patients diagnosed with cirrhosis in Catalonia, Spain, on December 31, 2012.
  • Evaluation of healthcare resource use and expenditures throughout 2013, considering decompensation status prior to or during 2012.

Main Results:

  • Identified 34,740 cirrhosis patients, a point prevalence of 460 per 100,000 inhabitants.
  • Total healthcare expenditures for cirrhosis patients in 2013 reached €142.1 million, 1.8% of Catalonia's healthcare budget.
  • Hospitalizations constituted 35.1% of total expenditures; key predictors of high expenditure included comorbidity burden and prior hospitalizations.

Conclusions:

  • Cirrhosis represents a substantial burden on healthcare resources, particularly concerning hospitalization costs.
  • Comorbidity, HIV infection, and prior healthcare utilization are significant drivers of expenditure in cirrhosis patients.
Abstract

Keywords:
adjusted morbidity groupscirrhosiseconomic expenditurespopulation study

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