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中国接受生物制剂治疗的银屑病患者的经济负担和生活质量。

The economic burden and quality of life of patients with psoriasis treated with biologics in China.

机构信息

Department of Dermatology, The Affilited Hospital of XuZhou Medical University, Xuzhou, China.

Department of Dermatology, Maanshan People's Hospital, Maanshan, China.

出版信息

J Dermatolog Treat. 2023 Dec;34(1):2247106. doi: 10.1080/09546634.2023.2247106.

Abstract

BACKGROUND

Although biologics improve the quality of life of psoriasis patients, they also impose a substantial economic burden. There is a lack of research addressing the economic and humanistic impact of biologics in China.

OBJECTIVE

This cross-sectional investigation aims to assess the economic cost, quality of life, and patient satisfaction among individuals with psoriasis treated with biologics and non-biologics.

METHODS

From July 2021 to December 2022, eligible patients with psoriasis were recruited through both on-site and online questionnaire completion. The questionnaires collected sociodemographic data, clinical characteristics of psoriasis, economic costs associated with treatment, and the Dermatological Life Quality Index (DLQI).

RESULTS

481 patients with a mean age of 40.8 ± 13.4 years old were included and classified into a non-biologic ( = 195) and biologic ( = 286) treatment group. The direct medical cost for non-biologics patients was 7,249 CNY, accounting for 70.0% of the total cost, while biologics patients incurred 15,176 CNY, making up 94.3% of the total cost. The non-biologic group had higher costs related to hospitalization, self-purchase of drugs, and indirect costs than the biologic treatment group. Additionally, DLQI scores were higher in the non-biologic group.

CONCLUSION

Patients in the biologic group experienced a higher economic burden and better quality of life than those in the non-biologic group.

摘要

背景

尽管生物制剂改善了银屑病患者的生活质量,但它们也带来了巨大的经济负担。目前,中国在生物制剂的经济和人文影响方面的研究还比较缺乏。

目的

本横断面研究旨在评估接受生物制剂和非生物制剂治疗的银屑病患者的经济成本、生活质量和患者满意度。

方法

2021 年 7 月至 2022 年 12 月,通过现场和在线问卷调查的方式招募了符合条件的银屑病患者。调查问卷收集了社会人口统计学数据、银屑病的临床特征、与治疗相关的经济成本以及皮肤病生活质量指数(DLQI)。

结果

共纳入 481 名年龄 40.8±13.4 岁的患者,分为非生物制剂(n=195)和生物制剂(n=286)治疗组。非生物制剂患者的直接医疗费用为 7249 元,占总费用的 70.0%,而生物制剂患者的直接医疗费用为 15176 元,占总费用的 94.3%。非生物制剂组的住院费用、自购药物费用和间接费用均高于生物制剂组,且 DLQI 评分更高。

结论

生物制剂组患者的经济负担更高,但生活质量更好。

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