Stovner L J, Gjerstad L, Gilhus N E, Storstein A, Zwart J A
Department of Neuroscience, Norwegian University of Science and Technology, and St Olavs Hospital, Norwegian National Headache Centre, Trondheim, Norway.
Acta Neurol Scand Suppl. 2010(190):1-5. doi: 10.1111/j.1600-0404.2010.01367.x.
Little is known about the cost of neurological disorders in Norway.
To estimate the cost of disorders of the brain, including the main psychiatric, neurological and neurosurgical conditions in Norway.
Most of the data are extrapolations from a large European cost study that collected the best available epidemiological and health economical evidence for the year 2004. Some epidemiological data are available from Norway, but very little on costs.
Brain disorders seemed to affect 1.5 million Norwegians in 2004, and the total cost amounted to 5.8 billion Euros. The most prevalent disorders are anxiety disorders and migraine, and the most costly are affective disorders, addiction and dementia. Migraine is the most costly of the purely neurological conditions, followed by stroke, epilepsy and Parkinson's disease. The indirect costs account for more than half of the total costs.
Although the different brain disorders are very dissimilar in appearance, from health economic and public health perspectives, it is relevant to view them as a whole, since many of them share important pathophysiological mechanisms. This means that new insights into one disorder can have relevance for many other disorders.
As a result of the high impact on individuals and society, more resources should be allocated to treatment and research into brain disorders.
挪威神经系统疾病的成本情况鲜为人知。
估算挪威脑部疾病的成本,包括主要的精神、神经和神经外科疾病。
大部分数据是对一项大型欧洲成本研究的推断,该研究收集了2004年可得的最佳流行病学和卫生经济学证据。挪威有一些流行病学数据,但成本数据极少。
2004年脑部疾病似乎影响了150万挪威人,总成本达58亿欧元。最常见的疾病是焦虑症和偏头痛,成本最高的是情感障碍、成瘾和痴呆症。偏头痛是纯粹神经系统疾病中成本最高的,其次是中风、癫痫和帕金森病。间接成本占总成本的一半以上。
尽管不同的脑部疾病在表现上差异很大,但从卫生经济学和公共卫生角度来看,将它们视为一个整体是有意义的,因为它们中的许多都有重要的病理生理机制。这意味着对一种疾病的新见解可能与许多其他疾病相关。
由于对个人和社会的影响巨大,应将更多资源分配给脑部疾病的治疗和研究。