The economic burden of stomas in the UK: a retrospective observational study of health records and hospital encounters.
| Autor: | Mthombeni F; Health Economics Manager, Coloplast Ltd, Peterborough., Cawson M; Health Economics Manager, Coloplast Ltd, Peterborough., Chan G; Health Economics Manager, Coloplast Ltd, Peterborough., Boisen EB; Health Economics Manager, Coloplast A/S, Humblebaek, Denmark., Rethmeier LO; Health Economics Manager, Coloplast A/S, Humblebaek, Denmark., Pearson-Stuttard J; Health Economics Manager, Health Analytics, Lane Clark & Peacock LLP, London, Northumbria Healthcare NHS Foundation Trust, and School of Public Health, Imperial College London. |
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| Jazyk: | angličtina |
| Zdroj: | British journal of nursing (Mark Allen Publishing) [Br J Nurs] 2023 Dec 07; Vol. 32 (22), pp. S12-S20. |
| DOI: | 10.12968/bjon.2023.32.22.S12 |
| Abstrakt: | Background: Stomas divert waste from the small intestine (ileostomy), large intestine (colostomy) or ureters (urostomy), and complications are common. Aims: This study evaluated healthcare resource utilisation (HCRU) and costs of stomas from a UK perspective. Methods: This was a retrospective observational study of adults with new stomas (New Stoma Group) or new/existing stomas and >6 months of follow-up (Established Stoma Group) using health records linked with hospital encounters (January 2009-December 2018). Age- and sex-matched controls were identified for each stoma case (1:50). Findings: Both the New ( n =8533) and Established ( n =9397) stoma groups had significantly higher HCRU (all P <0.0001) and associated costs (all P <0.01), driven by inpatient admissions. New Stoma Group: colostomy versus controls, £3227 versus £99 per person; ileostomy, £2576 versus £78 per person; and urostomy, £2850 versus £110 per person (all P <0.0001). Findings were similar in the Established Stoma Group. Conclusion: Stomas are associated with a substantial economic burden in the UK driven by hospital care. (Supplementary data tables can be obtained from the authors.). |
| Databáze: | MEDLINE |
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