在瑞典,炎症性肠病的医疗费用增加2007-2020年
Åsa H Everhov1,2, Jonas Söderling2, Gustaf Befrits3
1Department of Clinical Science and Education, Södersjukhuset, Karolinska Institutet, Stockholm, Sweden.
克罗恩病 (CD) 和性结肠炎 (UC) 的社会成本在2007-2020年间从生产力损失转移到医疗保健费用. 增加的药物使用,特别是向治疗,推动了炎症性肠病患者的显著成本增加.
科学领域:
- 胃肠病学和肝病学
- 卫生经济学 卫生经济学
- 公共卫生 公共卫生
背景情况:
- 炎症性肠病 (IBD) 包括克罗恩病 (CD) 和性结肠炎 (UC).
- IBD与医疗保健支出的增加有关.
- 关于IBD更广泛的社会成本的纵向数据有限.
研究的目的:
- 评估瑞典CD和UC流行病患者的社会成本,包括生产力损失.
- 研究期间从2007年到2020年.
- 分析的重点是随着时间的推移,成本组成的变化.
主要方法:
- 利用CD和UC患者的国家注册数据,并匹配对照.
- 估计的年度成本 (住院,门诊,药物,病假,残疾养老金) 以欧元,经通货膨胀调整.
- 计算的超额成本是患者和对照组之间的差异.
主要成果:
- 在2007-2020年期间,由于更严格的病假法规,工作年龄患者的绝对社会成本下降.
- 过度成本从生产力损失转移到医疗保健成本,主要是由于药品支出增加.
- 对TNF抑制剂和向治疗的成本急剧上升,患者治疗比例增加.
结论:
- 从2007年到2020年,CD和UC患者的社会成本从生产力损失转移到直接的医疗保健费用.
- 增加TNF抑制剂和向治疗的利用率和成本显著影响了药物开支.
- 这些发现突显了IBD不断变化的经济负担,强调需要具有成本效益的治疗策略.
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