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西班牙慢性炎症性脱髓鞘性多发性神经病:医院发病率及医疗费用的回顾性分析

Chronic inflammatory demyelinating polyneuropathy in Spain: a retrospective analysis of hospital incidence and medical costs.

作者信息

Darbà Josep, Marsà Alicia

机构信息

Department of Economics, Universitat de Barcelona, Barcelona, Spain.

Department of Health Economics, BCN Health Economics & Outcomes Research S.L, Barcelona, Spain.

出版信息

Expert Rev Pharmacoecon Outcomes Res. 2022 Jun;22(4):665-670. doi: 10.1080/14737167.2022.2000862. Epub 2021 Nov 10.

DOI:10.1080/14737167.2022.2000862
PMID:34720023
Abstract

BACKGROUND

Chronic inflammatory demyelinating polyneuropathy (CIDP) is a rare disorder that usually involves long-term impairment. Despite the chronic health-care needs that are often associated, research evaluating the economic burden of this disorder is still scarce. This study aimed to assess the characteristics of patients admitted with CIDP in Spanish hospitals and to determine the associated medical costs.

METHODS

A retrospective multicenter study was designed analyzing records of hospital and ambulatory visits of patients with CIDP in Spanish hospitals between 2004 and 2018. Medical costs registered in hospital facilities were evaluated.

RESULTS

Admission files corresponding to 2805 patients diagnosed with CIDP were extracted from the database: 64.7% of patients were males, and median age was 60 years. Patients presented comorbidities that included essential hypertension, hypercholesterolemia, and diabetes mellitus. The raw number of admissions for CIDP increased significantly over the study period, similarly to mean admission costs for all age groups. Consequently, total hospital medical costs associated with CIDP increased over the study period. The mean medical cost per admission was €3953.

CONCLUSIONS

The increasing number of hospital cases of CIDP is associated with rising medical costs. Further research will be required to fully evaluate the medical and societal burdens of this disorder.

摘要

背景

慢性炎症性脱髓鞘性多发性神经病(CIDP)是一种罕见疾病,通常会导致长期功能障碍。尽管常常伴有长期的医疗保健需求,但评估这种疾病经济负担的研究仍然很少。本研究旨在评估西班牙医院收治的CIDP患者的特征,并确定相关的医疗费用。

方法

设计了一项回顾性多中心研究,分析2004年至2018年间西班牙医院中CIDP患者的住院和门诊记录。对医院设施中记录的医疗费用进行了评估。

结果

从数据库中提取了2805例诊断为CIDP患者的入院档案:64.7%的患者为男性,中位年龄为60岁。患者存在合并症,包括原发性高血压、高胆固醇血症和糖尿病。在研究期间,CIDP的入院总数显著增加,所有年龄组的平均入院费用也同样如此。因此,与CIDP相关的医院总医疗费用在研究期间有所增加。每次入院的平均医疗费用为3953欧元。

结论

CIDP住院病例数的增加与医疗费用的上升相关。需要进一步研究以全面评估这种疾病的医疗和社会负担。

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