Ni Riordain Richeal, Christou Joanna, Pinder Denise, Squires Vanessa, Hodgson Tim
University Hospital Limerick, Limerick, Ireland.
UCLH NHS Foundation Trust Eastman Dental Hospital, London, UK.
J Oral Pathol Med. 2016 May;45(5):381-4. doi: 10.1111/jop.12415. Epub 2016 Jan 11.
To assess the economic burden of oral lichen planus (OLP) from the perspective of the healthcare provider in a U.K. population.
This prevalence-based cost-of-illness analysis was carried out via a cross-sectional study conducted in the Oral Medicine Unit of the Eastman Dental Hospital. This study was conducted in three phases - phase 1 involved framing of the cost-of-illness analysis, development of the cost inventory and design of the patient questionnaire for ease of data collection. Data collected from patients were inputted during phase 2, and costings were determined. The final phase consisted of the calculation of the cost of illness of OLP.
One hundred patients were enrolled in the study, 30 males and 70 females, with an average age of 59.9 years (±13.4 years). The average OLP patient, based on our cohort, attends the oral medicine unit 2.64 times per year, their general medical practitioner 1.13 times annually, their general dental practitioner 0.82 times in a year and fills on average 3.37 prescriptions annually. This leads to an average annual cost of £398.58 (€541.16) per patient per year from the perspective of the healthcare provider.
The annual average cost of OLP to the healthcare provider in the U.K. is substantial. The prevalence-based cost-of-illness data generated in this study will facilitate comparison with other chronic oral mucosal diseases and with chronic diseases managed in allied medical specialties.
从医疗服务提供者的角度评估英国人群中口腔扁平苔藓(OLP)的经济负担。
这项基于患病率的疾病成本分析是通过在伊斯特曼牙科医院口腔医学科进行的横断面研究来开展的。本研究分三个阶段进行——第一阶段涉及构建疾病成本分析框架、制定成本清单以及设计便于数据收集的患者问卷。在第二阶段输入从患者收集的数据,并确定成本计算。最后阶段包括计算OLP的疾病成本。
100名患者纳入研究,其中男性30名,女性70名,平均年龄59.9岁(±13.4岁)。基于我们的队列,OLP患者平均每年就诊口腔医学科2.64次,每年看全科医生1.13次,每年看普通牙医0.82次,平均每年开具3.37张处方。从医疗服务提供者的角度来看,这导致每位患者每年的平均成本为398.58英镑(541.16欧元)。
在英国,医疗服务提供者治疗OLP的年度平均成本很高。本研究中生成的基于患病率的疾病成本数据将有助于与其他慢性口腔黏膜疾病以及相关医学专科管理的慢性疾病进行比较。