Galimberti María Laura, Vacas Aldana S, Hernández Barbara A, Bollea Garlatti María L, Cura María J, Galimberti Ricardo L
Dermatology Department, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.
Dermatology Department, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.
An Bras Dermatol. 2020 Jan-Feb;95(1):20-24. doi: 10.1016/j.abd.2019.04.007. Epub 2019 Dec 6.
Despite the economic burden of psoriasis for patients and societies, scant information exists regarding the impact and burden of the disease in Argentina.
The objective of this study was to estimate medical resource consumption and direct health care costs for patients with moderate/severe psoriasis in Buenos Aires, Argentina from the perspective of the payer.
Adults with moderate/severe psoriasis (severity was defined as receiving systemic treatment), during January 2010-January 2014, aged 18 years and older, members of the Italian Hospital Medical Care Program with at least 18 months of follow-up were included. All data on hospitalizations, drug prescription, outpatient episodes, consultations, and investigations/tests in the 12 months before inclusion in the study were considered for the estimation of medical resource consumption and direct health care costs. First-quarter 2018 costs were obtained from the IHMCP and converted into US dollars (using the January 2018 exchange rate).
A total of 791 patients were included. The mean age at diagnosis was 34±12 years. Almost 65% of the patients had a dermatologist as their usual source of care, 43% had internists, and 14% had rheumatologists. The average yearly direct cost was US$ 5326 (95% CI: 4125-7896) per patient per year.
The single center design and the retrospective nature are the main limitations.
This is the first Argentine study that evaluated the costs of moderate/severe psoriasis by taking into consideration the direct medical costs of the disease.
尽管银屑病给患者和社会带来了经济负担,但关于该疾病在阿根廷的影响和负担的信息却很少。
本研究的目的是从支付方的角度估计阿根廷布宜诺斯艾利斯中度/重度银屑病患者的医疗资源消耗和直接医疗费用。
纳入2010年1月至2014年1月期间年龄在18岁及以上、参加意大利医院医疗保健计划且至少有18个月随访记录的中度/重度银屑病成人患者(严重程度定义为接受全身治疗)。在纳入研究前12个月内的所有住院、药物处方、门诊就诊、会诊和检查/测试数据均用于估计医疗资源消耗和直接医疗费用。2018年第一季度的费用来自意大利医院医疗保健计划,并换算成美元(使用2018年1月的汇率)。
共纳入791例患者。诊断时的平均年龄为34±12岁。近65%的患者通常由皮肤科医生诊治,43%由内科医生诊治,14%由风湿病学家诊治。每位患者每年的平均直接费用为5326美元(95%可信区间:4125-7896美元)。
单中心设计和回顾性研究性质是主要局限性。
这是阿根廷第一项通过考虑该疾病的直接医疗费用来评估中度/重度银屑病费用的研究。