[Cost evaluation of therapeutic management of patients with chronic hepatitis C]
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Hepatitis C treatment costs are high, primarily due to hospitalizations and medications. Early diagnosis and standardized care are crucial for managing this public health issue.
Area of Science:
- Hepatology
- Public Health
- Health Economics
Context:
- Hepatitis C is a significant public health concern in France.
- Interferon alpha is a common treatment for chronic hepatitis C.
- Economic evaluations are vital for understanding healthcare burdens.
Purpose:
- To evaluate the comprehensive cost of care for 55 hepatitis C patients treated with interferon alpha.
- To assess the socio-professional impact of hepatitis C treatment.
- To identify disparities in clinical follow-up for chronic hepatitis C patients.
Summary:
- The total cost of care amounted to 1,155,359 francs, with hospitalization (55%) and pharmaceutical costs (35.8%) being the largest components.
- Blood testing accounted for 9.2% of the total cost.
- Among 36 working patients, 10 altered their work activities due to treatment, with 4 returning to their original roles after cessation.
Impact:
- The study highlights significant variations in clinical management for hepatitis C patients.
- It emphasizes the need for systematic screening of transfused patients for early diagnosis.
- Recommendations include standardizing blood tests, visualizing day-care treatments, and establishing a consensus for comprehensive patient care.
Abstract:
Hepatitis C now poses an important problem of public health in France. The objective of this study was to evaluate the cost of care of 55 patients who were carriers of hepatitis C and treated with interferon alpha. The economic analysis included the blood testing costs, pharmaceutical costs and hospitalization costs. A questionnaire permitted the impact of the treatment on the socio-professional life of each individual to be assessed. The global cost amounted to 1155 359 francs spread among hospitalization costs (55 pour cent), pharmaceutical costs (35.8 pour cent) and blood testing costs (9.2 pour cent). Of 36 actively working patients being treated, 10 modified their activities and 4 of these 10 restarted their initial activities after stopping treatment. This evaluation has shown the disparities which exist in the clinical follow up of patients treated for chronic hepatitis C. It is thus imperative to institute a systematic screening of patients being transfused to permit an early diagnosis, to establish a rigorous standardization of blood testing, to visualise day care treatment and above all to establish a consensus of global care of these patients.
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