| Autor: |
Malakhova AR; N. A. Semashko National Research Institute of Public Health, 105064, Moscow, Russia, malakhovaar@nriph.ru., Krysanov IS; N. A. Semashko National Research Institute of Public Health, 105064, Moscow, Russia., Vasilieva TP; N. A. Semashko National Research Institute of Public Health, 105064, Moscow, Russia., Krasilnikova EY; N. A. Semashko National Research Institute of Public Health, 105064, Moscow, Russia., Aleksandrova OY; N. A. Semashko National Research Institute of Public Health, 105064, Moscow, Russia., Zinchenko RA; The Federal State Budget Scientific Institution «The Academician N. P. Bochkov Medical Genetic Scientific Center», 115522, Moscow, Russia., Kutsev SI; The Federal State Budget Scientific Institution «The Academician N. P. Bochkov Medical Genetic Scientific Center», 115522, Moscow, Russia. |
| Jazyk: |
ruština |
| Zdroj: |
Problemy sotsial'noi gigieny, zdravookhraneniia i istorii meditsiny [Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med] 2021 Jan; Vol. 29 (1), pp. 80-85. |
| DOI: |
10.32687/0869-866X-2021-29-1-80-85 |
| Abstrakt: |
The spinal muscular atrophy is neuromuscular disease caused by mutations in SMN1 gene. The clinical picture of disease is characterized by progressive muscular weakness and atrophy associated with degeneration of spine, and in severe cases by affection of motor neurons of lower bulbar cells. The spinal muscular atrophy progressing course resulting in disability and infant mortality. Actually, specific treatment is at the stage of clinical trials. However, patients are needed in permanent symptomatic arresting of manifestations and pathogenetic treatment preventing development of disease. The article presents calculations of direct medical costs for treatment in pediatric patients (0-17 years old) in Moscow with the main types of spinal muscular atrophy. It is established that the cost of specialized medical care of children with spinal muscular atrophy per single under age patient in Moscow consisted 7,131,185.84 rubles annually, including primary diagnostic, treatment and rehabilitation and medicinal treatment. In total, according to data for 2020 in Moscow, where number of children patients is 144, the cost of specialized medical care of children with spinal muscular atrophy is estimated as 1,024,580,269.16 rubles. At that, data takes into account only direct medical costs for out-patient and in-patient care of children with spinal muscular atrophy, excluding number of exacerbations of disease. Taking into account average numbers of hospitalizations per year because of illness, the cost of in-patient care of single child amounts to 7,844,304.42 rubles annually and 1,127,018,732.08 rubles for all children with spinal muscular atrophy in Moscow (according data of 2020). |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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