New insights into the burden and costs of multiple sclerosis in Europe: Results for Italy.

Autor: Battaglia, Mario, Kobelt, Gisela, Ponzio, Michela, Berg, Jenny, Capsa, Daniela, Dalén, Johan
Předmět:
Zdroj: Multiple Sclerosis Journal; 2017 Supplement 2, Vol. 23, p104-116, 13p, 4 Charts, 7 Graphs
Abstrakt: Introduction: In order to estimate the value of interventions in multiple sclerosis (MS) – where lifetime costs and outcomes cannot be observed – outcome data have to be combined with costs. This requires that cost data be regularly updated. Objectives and methods: This study is part of a cross-sectional retrospective study in 16 countries collecting data on resource consumption and work capacity, health-related quality of life (HRQoL) and prevalent symptoms for patients with MS. Descriptive analyses are presented by level of severity, from the societal perspective, in EUR 2015. Results: A total of 1010 patients (mean age = 45 years) participated in Italy. In total, 94% were below retirement age, and of these, 56% were employed. Employment was related to disability, and MS affected productivity at work in 77% of the patients. Overall, 96% and 65% of the patients experienced fatigue and cognitive difficulties as a problem, respectively. Mean utility and total annual costs were 0.735 and €22,900 at Expanded Disability Status Scale (EDSS) of 0–3, 0.534 and €40,100 at EDSS of 4–6.5, and 0.135 and €53,300 at EDSS of 7–9. The mean cost of a relapse was estimated to be €2600. Conclusion: This study illustrates the burden of MS on Italian patients and provides current data on MS that are important for the development of health policies. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index