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Costs and offset effect in panic disorders

L Salvador-Carulla1, J Seguí, P Fernández-Cano

  • 1Facultad de Medicina, Universidad de Cádiz, Spain.

The British Journal of Psychiatry. Supplement
|April 1, 1995
PubMed
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Effective panic disorder (PD) treatment significantly reduces costs, with a 94% offset effect observed. Early diagnosis of PD is crucial to mitigate substantial pre-diagnosis healthcare expenses.

Area of Science:

  • Psychiatry
  • Health Economics

Background:

  • Panic disorder (PD) poses significant economic burdens.
  • Understanding pre-diagnosis and post-treatment costs is essential for effective healthcare management.

Purpose of the Study:

  • To assess the economic impact of panic disorder before and after diagnosis and treatment.
  • To quantify the offset effect of psychiatric care on overall costs.

Main Methods:

  • A 24-month pre-post design was employed.
  • Data collected included clinical status, healthcare utilization, and lost workdays for 61 PD patients.
  • Standardized assessments (SCID-UP) evaluated functioning, improvement, symptom severity, and disability.

Main Results:

  • Total direct healthcare costs increased from US$29,158 to US$46,256 post-diagnosis.

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  • Indirect costs due to lost productivity decreased significantly from US$65,643 to US$13,883.
  • A substantial 94% offset effect was observed, indicating treatment cost-effectiveness.

    • Conclusions:

    • Effective treatment for panic disorder yields a significant cost offset.
    • The economic burden of delayed diagnosis for PD is substantial and often underestimated.
    • Improving early detection methods for PD can lead to considerable cost reductions.