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Cost differences for COPD with and without physician-diagnosis

Jansson, Sven Arne ; Lindberg, Anne ; Ericsson, Åsa ; Borg, Sixten LU ; Rönmark, Eva ; Andersson, Fredrik and Lundbäck, Bo (2005) In COPD: Journal of Chronic Obstructive Pulmonary Disease 2(4). p.427-434
Abstract

Previous studies have presented divergent estimates of the cost of illness of COPD due to differences in methodology. The objective of this study was to examine differences between register-based estimates versus population-based estimates on the burden of COPD. This study therefore examined differences in costs of COPD among physician-diagnosed and un-diagnosed subjects. During a one-year period, four telephone interviews were made with 212 randomly selected subjects with COPD derived from the Obstructive Lung Disease in Northern Sweden (OLIN) studies. Health care resource utilization and productivity losses were measured, and the costs were also transformed with the estimated COPD prevalence in Sweden. Average annual costs were SEK... (More)

Previous studies have presented divergent estimates of the cost of illness of COPD due to differences in methodology. The objective of this study was to examine differences between register-based estimates versus population-based estimates on the burden of COPD. This study therefore examined differences in costs of COPD among physician-diagnosed and un-diagnosed subjects. During a one-year period, four telephone interviews were made with 212 randomly selected subjects with COPD derived from the Obstructive Lung Disease in Northern Sweden (OLIN) studies. Health care resource utilization and productivity losses were measured, and the costs were also transformed with the estimated COPD prevalence in Sweden. Average annual costs were SEK 18,252 (USD 2,207, EUR 2,072), and SEK 9,327 (USD 1,128, EUR 1,059) for subjects with and without a physician-diagnosis, respectively. Although lower per individual, the costs of undiagnosed subjects accounted for approximately 40% of the total costs in Sweden, since the majority of subjects with COPD in Sweden lack a physician-diagnosed disease. In conclusion, we found that the costs due to COPD differed considerably between those with and without physician-diagnosed disease. This study indicates that register-based studies result in underestimated costs of COPD.

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author
publishing date
type
Contribution to journal
publication status
published
keywords
COPD, Cost of illness, Diagnosis, Underestimation
in
COPD: Journal of Chronic Obstructive Pulmonary Disease
volume
2
issue
4
pages
8 pages
publisher
Taylor & Francis
external identifiers
  • scopus:33745110534
  • pmid:17147008
ISSN
1541-2555
DOI
10.1080/15412550500346501
language
English
LU publication?
no
id
0a77ceb8-c282-4c83-930a-2f54d3337029
date added to LUP
2018-10-20 11:29:14
date last changed
2020-01-13 01:04:59
@article{0a77ceb8-c282-4c83-930a-2f54d3337029,
  abstract     = {<p>Previous studies have presented divergent estimates of the cost of illness of COPD due to differences in methodology. The objective of this study was to examine differences between register-based estimates versus population-based estimates on the burden of COPD. This study therefore examined differences in costs of COPD among physician-diagnosed and un-diagnosed subjects. During a one-year period, four telephone interviews were made with 212 randomly selected subjects with COPD derived from the Obstructive Lung Disease in Northern Sweden (OLIN) studies. Health care resource utilization and productivity losses were measured, and the costs were also transformed with the estimated COPD prevalence in Sweden. Average annual costs were SEK 18,252 (USD 2,207, EUR 2,072), and SEK 9,327 (USD 1,128, EUR 1,059) for subjects with and without a physician-diagnosis, respectively. Although lower per individual, the costs of undiagnosed subjects accounted for approximately 40% of the total costs in Sweden, since the majority of subjects with COPD in Sweden lack a physician-diagnosed disease. In conclusion, we found that the costs due to COPD differed considerably between those with and without physician-diagnosed disease. This study indicates that register-based studies result in underestimated costs of COPD.</p>},
  author       = {Jansson, Sven Arne and Lindberg, Anne and Ericsson, Åsa and Borg, Sixten and Rönmark, Eva and Andersson, Fredrik and Lundbäck, Bo},
  issn         = {1541-2555},
  language     = {eng},
  month        = {12},
  number       = {4},
  pages        = {427--434},
  publisher    = {Taylor & Francis},
  series       = {COPD: Journal of Chronic Obstructive Pulmonary Disease},
  title        = {Cost differences for COPD with and without physician-diagnosis},
  url          = {http://dx.doi.org/10.1080/15412550500346501},
  doi          = {10.1080/15412550500346501},
  volume       = {2},
  year         = {2005},
}