Prenzler A, Bokemeyer B, Mittendorf T, von der Schulenburg J-M Graf
Leibniz Universität Hannover, Forschungsstelle für Gesundheitsökonomie, Hannover.
Dtsch Med Wochenschr. 2010 Feb;135(7):281-6. doi: 10.1055/s-0029-1244848. Epub 2010 Feb 9.
Studies estimating the costs of ulcerative colitis (UC) within the German setting are limited. The aim of this cross-sectional study was to collect data on the overall costs arising from the care of patients with UC and to quantify this expenditure as incurred by the German Statutory Health Insurance (SHI).
Between March 2006 and July 2007 patients from 24 ambulatory gastroenterologist practices and two hospitals were enrolled in an internet-based database. Outpatient and inpatient visits, all procedures as well as drug usage were obtained from the collected data and evaluated from the perspective of the SHI, taking also into account statutory discounts and patients' co-payments. The year 2007 was selected as the pricing period.
Data from 519 patients with UC were collected (gender ratio 1:1; average age 46 years). The average annual cost per UC patient to the SHI is 2,477.72 Euro, 74 % of this amount results from drug usage, 10 % from inpatient care and another 10 % from ambulatory procedures. Costs increase with the severity of the disease.
This is the first study to calculate the costs caused by UC and payed by the SHI in Germany. Future research should focus on collecting longitudinal data and also on comparing the resources used in the care of patients with other inflammatory bowel diseases, such as Crohn's disease.
在德国环境下估算溃疡性结肠炎（UC）成本的研究有限。这项横断面研究的目的是收集UC患者护理产生的总体成本数据，并将这笔支出量化为德国法定医疗保险（SHI）所承担的费用。
2006年3月至2007年7月期间，来自24家门诊胃肠病专家诊所和两家医院的患者被纳入一个基于互联网的数据库。从收集的数据中获取门诊和住院就诊、所有诊疗程序以及药物使用情况，并从SHI的角度进行评估，同时考虑法定折扣和患者的自付费用。选择2007年作为定价期。
收集了519例UC患者的数据（性别比1:1；平均年龄46岁）。SHI为每位UC患者支付的年均费用为2477.72欧元，其中74%来自药物使用，10%来自住院护理，另有10%来自门诊诊疗程序。成本随疾病严重程度增加。
这是第一项计算德国UC所致成本及SHI支付费用的研究。未来研究应聚焦于收集纵向数据，以及比较UC患者护理与其他炎症性肠病（如克罗恩病）患者护理所使用的资源。
