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The Economic Burden of Heart Conditions in Brazil

Bryce Stevens1, Lynne Pezzullo1, Lara Verdian1

  • 1Deloitte Access Economics Pty Ltd, Austrália.

Arquivos Brasileiros De Cardiologia
|August 16, 2018
PubMed

Insights

Heart conditions like myocardial infarction and heart failure significantly impact Brazil

Area of Science:

  • Public Health
  • Health Economics
  • Cardiology

Background:

  • Cardiovascular diseases present significant physical, social, financial, and quality-of-life challenges in Brazil.
  • Understanding the economic burden of prevalent heart conditions is crucial for public health policy.

Purpose of the Study:

  • To quantify the economic burden of hypertension, heart failure, myocardial infarction, and atrial fibrillation in Brazil.
  • To evaluate the cost-effectiveness of telemedicine and structured telephone support for heart failure management.

Main Methods:

  • A cost-of-illness framework analyzed healthcare expenditures, productivity losses, care costs, and wellbeing impacts in 2015.
  • Data sources included literature reviews, data scans, and modeling, validated by 15 Brazilian clinicians and stakeholders.
  • Cost-effectiveness of interventions for heart failure was assessed using meta-analysis and economic evaluation from the Brazilian Unified Healthcare System perspective.

Main Results:

  • Myocardial infarction incurred the highest financial cost (22.4 billion reais/$6.9 billion USD), followed by heart failure (22.1 billion reais/$6.8 billion USD).
  • Hypertension and atrial fibrillation also represented substantial economic burdens (8 billion reais/$2.5 billion USD and 3.9 billion reais/$1.2 billion USD, respectively).
  • Telemedicine and structured telephone support demonstrated cost-effectiveness in managing heart failure.

Conclusions:

  • Heart conditions impose considerable financial costs and wellbeing losses in Brazil.
  • These conditions represent a significant public health priority requiring focused interventions and resource allocation.
Abstract

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