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Economic Burden of Juvenile Idiopathic Arthritis in India

Moksuda Khatun1, Debadyuti Datta2, Avijit Hazra3

  • 1Department of Pediatrics, Medical College Kolkata, Kolkata, West Bengal, India.

Indian Pediatrics
|October 9, 2020
PubMed

Insights

Juvenile idiopathic arthritis (JIA) significantly impacts families financially, with medication costs being the highest expense. Systemic onset JIA presents the greatest economic challenge for Indian families.

Area of Science:

  • Pediatric Rheumatology
  • Health Economics
  • Clinical Pediatrics

Background:

  • Limited data exists on the economic burden of juvenile idiopathic arthritis (JIA) in India.
  • JIA affects children, necessitating comprehensive cost analysis.

Purpose of the Study:

  • To assess the direct and indirect economic burden of JIA in Indian pediatric patients.
  • To identify cost drivers and variations across JIA subtypes.

Main Methods:

  • Prospective observational study of 60 pediatric JIA patients (aged 1-12 years).
  • Evaluation of direct healthcare costs (outpatient visits, tests, medications, hospitalization) and indirect costs (caregiver expenses, lost productivity).

Main Results:

  • Medications (41.7%) and hospitalization (32.7%) constituted the largest direct costs.
  • Systemic onset JIA incurred higher costs for blood tests and medications compared to oligoarticular JIA.
  • Biologic agent use correlated with increased direct and indirect costs.

Conclusions:

  • JIA imposes a substantial economic burden, primarily driven by medication expenses.
  • Systemic onset JIA represents the most economically demanding subtype.
  • Understanding these costs is crucial for resource allocation and patient support.
Abstract

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