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The cost of childhood atopic dermatitis in a multi-ethnic Asian population: a cost-of-illness study

M Olsson1,2, R Bajpai1,3, L W Y Wee4

  • 1Centre for Population Health Sciences (CePHaS), Lee Kong Chian School of Medicine, Nanyang Technological University, Clinical Sciences Building, 11 Mandalay Road, Singapore, 308232, Singapore.

The British Journal of Dermatology
|August 18, 2019
PubMed

Insights

Childhood atopic dermatitis incurs significant costs, primarily from informal caregiving and out-of-pocket expenses. Disease severity strongly influences the economic burden on families and healthcare systems.

Area of Science:

  • Health Economics
  • Pediatric Dermatology
  • Public Health

Background:

  • Childhood atopic dermatitis significantly impacts quality of life and incurs substantial healthcare costs.
  • Existing cost estimations for childhood atopic dermatitis are often outdated or limited in scope.

Purpose of the Study:

  • To comprehensively estimate the economic burden of childhood atopic dermatitis in Singapore.
  • To identify factors associated with the economic impact of childhood atopic dermatitis.

Main Methods:

  • A cross-sectional cost-of-illness study was conducted from a societal perspective in Singapore.
  • Data on sociodemographics, clinical characteristics, healthcare utilization, and caregiving time were collected from caregivers of children under 16 with atopic dermatitis.
  • The study period was from December 2016 to December 2017.

Main Results:

  • The average annual cost per child was estimated at USD 7943, with costs varying by severity (mild USD 6651, moderate USD 7935, severe USD 14,335).
  • Informal caregiving constituted the largest cost component (46%), followed by out-of-pocket expenses (37%).
  • Healthcare utilization accounted for 17% of total costs, with medications being a significant factor (43% of healthcare costs).

Conclusions:

  • Childhood atopic dermatitis imposes a substantial economic burden, largely driven by informal caregiving and out-of-pocket expenditures.
  • The economic impact of atopic dermatitis is closely linked to disease severity.
  • Findings provide crucial data for policymakers to develop targeted support for affected families.
Abstract

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