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Costs and quality of life for psoriatic patients at different degrees of severity in southern Sweden - a cross-sectional study.

Ghatnekar, Ola ; Ljungberg, Anders ; Wirestrand, Lars-Erik and Svensson, Åke LU (2012) In EJD. European Journal of Dermatology 22(2). p.238-245
Abstract
Objectives: Knowledge of the societal costs of psoriasis is limited. This study estimated the cost of care, psoriasis area and severity index (PASI), and quality of life in a defined patient population in Sweden. Methods: A prevalence-based prospective recruitment of patients visiting two Swedish dermatology clinics between September and December 2009 was performed, collecting resource utilization for health care contacts, treatment, travelling, and productivity loss during 1 month. Results: 164 patients were included. Mean total cost per patient-month was 994€. Main cost drivers were outpatient visits and light therapy (49%), biological drugs (20%) and productivity loss (22%). Total cost for topical treatment only (TT; 34%) was 369€,... (More)
Objectives: Knowledge of the societal costs of psoriasis is limited. This study estimated the cost of care, psoriasis area and severity index (PASI), and quality of life in a defined patient population in Sweden. Methods: A prevalence-based prospective recruitment of patients visiting two Swedish dermatology clinics between September and December 2009 was performed, collecting resource utilization for health care contacts, treatment, travelling, and productivity loss during 1 month. Results: 164 patients were included. Mean total cost per patient-month was 994€. Main cost drivers were outpatient visits and light therapy (49%), biological drugs (20%) and productivity loss (22%). Total cost for topical treatment only (TT; 34%) was 369€, light therapy (LT; 24%) 1,274€, traditional systemic treatment (TST; 26%) 1,085€ and biological systemic treatment (BST; 16%) 1,709€ per patient-month. Main cost drivers were: outpatient visits (56%) in TT as well as for LT (78%), productivity loss (40%) in TST, and biological drugs (71%) among BST patients. There was no clear relationship between clinical (PASI) or subjective (DLQI) severity estimations and costs. Conclusions: The one-month cost-of-illness amounted to almost 1,000€/month, with great variations. Despite 1,190€ difference in drug cost for TST vs BST, total cost per month differed by 623€ because of offsets from improved productivity. A trend towards lower severity and reductions in outpatient and topical treatment costs was seen. (Less)
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author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
EJD. European Journal of Dermatology
volume
22
issue
2
pages
238 - 245
publisher
John Libbey Eurotext
external identifiers
  • wos:000302908700014
  • pmid:22361745
  • scopus:84859755815
  • pmid:22361745
ISSN
1167-1122
DOI
10.1684/ejd.2011.1635
language
English
LU publication?
yes
additional info
The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: Department of Dermatology and Venerology (013241320)
id
a87886c3-82ce-4976-bea4-800b8ed7635a (old id 2432544)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/22361745?dopt=Abstract
date added to LUP
2016-04-04 09:12:14
date last changed
2022-03-15 18:10:01
@article{a87886c3-82ce-4976-bea4-800b8ed7635a,
  abstract     = {{Objectives: Knowledge of the societal costs of psoriasis is limited. This study estimated the cost of care, psoriasis area and severity index (PASI), and quality of life in a defined patient population in Sweden. Methods: A prevalence-based prospective recruitment of patients visiting two Swedish dermatology clinics between September and December 2009 was performed, collecting resource utilization for health care contacts, treatment, travelling, and productivity loss during 1 month. Results: 164 patients were included. Mean total cost per patient-month was 994€. Main cost drivers were outpatient visits and light therapy (49%), biological drugs (20%) and productivity loss (22%). Total cost for topical treatment only (TT; 34%) was 369€, light therapy (LT; 24%) 1,274€, traditional systemic treatment (TST; 26%) 1,085€ and biological systemic treatment (BST; 16%) 1,709€ per patient-month. Main cost drivers were: outpatient visits (56%) in TT as well as for LT (78%), productivity loss (40%) in TST, and biological drugs (71%) among BST patients. There was no clear relationship between clinical (PASI) or subjective (DLQI) severity estimations and costs. Conclusions: The one-month cost-of-illness amounted to almost 1,000€/month, with great variations. Despite 1,190€ difference in drug cost for TST vs BST, total cost per month differed by 623€ because of offsets from improved productivity. A trend towards lower severity and reductions in outpatient and topical treatment costs was seen.}},
  author       = {{Ghatnekar, Ola and Ljungberg, Anders and Wirestrand, Lars-Erik and Svensson, Åke}},
  issn         = {{1167-1122}},
  language     = {{eng}},
  number       = {{2}},
  pages        = {{238--245}},
  publisher    = {{John Libbey Eurotext}},
  series       = {{EJD. European Journal of Dermatology}},
  title        = {{Costs and quality of life for psoriatic patients at different degrees of severity in southern Sweden - a cross-sectional study.}},
  url          = {{http://dx.doi.org/10.1684/ejd.2011.1635}},
  doi          = {{10.1684/ejd.2011.1635}},
  volume       = {{22}},
  year         = {{2012}},
}