Please use this identifier to cite or link to this item:
Title: Direct and indirect costs of Multiple Sclerosis in Baix Llobregat (Catalonia, Spain), according to disability
Author: Casado Ruiz, Virginia
Martínez Yélamos, Sergio
Martínez Yélamos, Antonio
Carmona i Codina, Olga
Alonso, Lucia
Romero Pinel, Lucía María
Moral, Esther
Gubieras, Laura
Arbizu Urdiain, Txomin
Keywords: Baix Llobregat (Catalunya)
Estat del benestar
Esclerosi múltiple
Malalties cròniques
Serveis sanitaris
Baix Llobregat (Catalonia)
Welfare state
Multiple sclerosis
Chronic diseases
Health services
Issue Date: Nov-2006
Publisher: BioMed Central
Abstract: Background: Multiple sclerosis (MS) is an incurable chronic disease that predominantly affects young adults. It has a high socio-economic impact which increases as disability progresses. An assessment of the real costs of MS may contribute to our knowledge of the disease and to treat it more efficiently. Our objective is to assess the direct and indirect costs of MS from a societal perspective, in patients monitored in our MS Unit (Baix Llobregat, Catalonia) and grouped according to their disability (EDSS). Methods: We analysed data from 200 MS patients, who answered a questionnaire on resource consumption, employment and economical status. Mean age was 41.6 years, mean EDSS 2.7, 65.5% of patients were female, 79.5% had a relapsing-remitting course, and 67.5% of them were receiving immunomodulatory treatment (IT). Patients were grouped into five EDSS stages. Data from the questionnaires, hospital charts, Catalan Health Service tariffs, and figures from Catalan Institute of Statistics were used to calculate the direct and indirect costs. The cost-of-illness method, and the human capital approach for indirect costs, were applied. Sensitivity analyses were performed to strengthen results. Results: The mean total annual cost of MS per patient results 24272 euros. This cost varied according to EDSS: 14327 euros (EDSS = 0), 18837 euros (EDSS = 1-3), 27870 euros (EDSS = 3.5-5.5), 41198 euros (EDSS = 6-7) and 52841 euros (EDSS>7.5). When the mean total annual costs was adjusted by the mean % of patients on IT in our Unit (31%) the result was 19589 euros. The key-drivers for direct costs were IT in low EDSS stages, and caregiver costs in high stages. Indirect costs were assessed in terms of the loss of productivity when patients stop working. Direct costs accounted for around 60% of total costs in all EDSS groups. IT accounts from 78% to 11% of direct costs, and decreased as disability progressed. Conclusion: The total mean social costs of MS in a cohort from Baix Llobregat (Catalonia) were estimated at 24272 euros per patient/year, and ranged between 14327 euros (EDSS = 0) and 52841 euros (EDSS = 7.5-9.5). Total costs, and particularly informal and direct costs, increased as the disability progressed. IT should be able to delay the progression of disability to be efficient and not only effective.
Note: Reproducció del document publicat a:
It is part of: BMC Health Services Research, 2006, vol. 6, p. 143
Related resource:
ISSN: 1472-6963
Appears in Collections:Articles publicats en revistes (Ciències Clíniques)
Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))

Files in This Item:
File Description SizeFormat 
625836.pdf259.35 kBAdobe PDFView/Open

This item is licensed under a Creative Commons License Creative Commons