Costs and consequences of botulinum toxin type A use. Management of children with cerebral palsy in Germany
Autor: | Alison M. Davie, Karen Güttler, Julian F. Guest, Olaf Schlüter, Götz Dreiss, Almut Lehmann, Francis J. Ruiz |
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Rok vydání: | 2005 |
Předmět: |
Male
medicine.medical_specialty Pediatrics Time Factors Adolescent Economics Econometrics and Finance (miscellaneous) Cerebral palsy Cohort Studies Retrospective survey Germany medicine Humans Botulinum Toxins Type A Child Retrospective Studies Health economics business.industry Health Policy Public health Cerebral Palsy Patient Selection Length of Stay medicine.disease Botulinum toxin Treatment Outcome Neuromuscular Agents Child Preschool Cohort Multivariate Analysis Costs and Cost Analysis Resource use Health Resources Female business medicine.drug Botulinum toxin type |
Zdroj: | The European journal of health economics : HEPAC : health economics in prevention and care. 5(3) |
ISSN: | 1618-7598 |
Popis: | This study was a retrospective survey of the management of a cohort of children with cerebral palsy at Seepark Hospital, Germany, who did (cases; n=107) and did not (controls; n=107) receive botulinum toxin injections. Data on healthcare resource use and clinical outcomes over 12 months were collected from the date cases received their first injection and from the date controls were first admitted into hospital. Botulinum toxin use led to an 85% reduction in the number of children requiring surgery. Additionally, controls used significantly more healthcare resources than cases, particularly hospital bed days (69.2+/-34.1 vs. 27.5+/-27.9 days; p0.0001). The total cost of managing cases and controls waseuro16,700 andeuro33,800, respectively. In conclusion, use of botulinum toxin released resources for alternative use during the first year following treatment, without any loss of clinical improvement. However, it is unknown how botulinum toxin affected the need for surgery and associated outcomes in subsequent years. |
Databáze: | OpenAIRE |
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