美国白病患者的经济负担:一项追溯数据库索赔研究
Khaled Ezzedine1, Ahmed M Soliman2, Chao Li2
1Department of Dermatology, AP-HP, Henri Mondor University Hospital, Université Paris-Est Créteil (UPEC), Créteil, France; Epidemiology in Dermatology and Evaluation of Therapeutics (EpiDermE) - EA 7379, Université Paris-Est Créteil (UPEC), Créteil, France.
The Journal of investigative dermatology
|September 22, 2023
概括
患有白风的患者经历了显著更高的医疗保健成本和资源使用,包括心理健康服务. 这项研究强调了白风的巨大经济负担,强调了需要更好的管理策略.
科学领域:
- 皮肤病学和健康经济学
背景情况:
- Vitiligo 给患者带来直接和间接的成本.
- 目前关于白风经济负担的数据有限且过时.
研究的目的:
- 通过评估医疗保健成本和资源利用,评估美国白风的经济负担.
- 为了比较白风患者和匹配对照者的医疗保健成本和医疗保健资源利用率 (HCRU).
主要方法:
- 使用Merative MarketScan商业数据库 (2007年1月至2021年12月) 进行回顾性队列分析.
- 匹配了49,512名白风患者和99,024名对照患者 (1:2比).
- 分析了全因和白风相关的直接成本和HCRU,包括心理健康,在1年的后索引期.
主要成果:
- 与对照组相比,患有白风的患者的综合成本 (15,551美元与7735美元) 和与白风相关的成本 (3490美元与54美元) 显著增加 (P < .0001).
- 在白风队列中,全因和精神健康相关的HCRU显著升高 (P < .0001).
- 在接受全身治疗或接受新的心理健康诊断的子组中,成本持续增加.
结论:
- Vitiligo 与直接医疗保健成本和资源利用率的显著增加有关.
- 白风的经济影响延伸到精神卫生服务,突出了全面的疾病负担.
- 调查结果强调需要更新经济数据,并可能改善白风患者的管理策略.
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