Systematic review: societal cost of illness of inflammatory bowel disease is increasing due to biologics and varies between continents

Autor:	Jan A. Hazelzet, Désirée van Noord, C. Janneke van der Woude, Christa D. Niehot, Reinier Cornelis Anthonius van Linschoten, Elyke Visser, Rachel L. West
Rok vydání:	2021
Předmět:	Systematic Reviews Population Disease Inflammatory bowel disease 03 medical and health sciences 0302 clinical medicine Cost of Illness Crohn Disease SDG 3 - Good Health and Well-being Environmental health Health care Humans Medicine Pharmacology (medical) 030212 general & internal medicine education health care economics and organizations Health policy Biological Products education.field_of_study Hepatology business.industry Gastroenterology Health Care Costs Inflammatory Bowel Diseases medicine.disease Cost driver Presenteeism Absenteeism Colitis Ulcerative 030211 gastroenterology & hepatology Systematic Review business
Zdroj:	Alimentary Pharmacology & Therapeutics
ISSN:	1365-2036 0269-2813
Popis:	Summary Background Knowledge of the cost of illness of inflammatory bowel disease (IBD) is essential for health policy makers worldwide. Aim To assess the cost of illness of IBD from the societal perspective taking into account time trends and geographical differences. Methods A systematic review of all population‐based studies on cost of illness of IBD published in Embase, Medline, Web of Science and Google Scholar. Methodology of included studies was assessed and costs were adjusted to 2018 US dollars. Results Study methodologies differed considerably, with large differences in perspective, valuation method and population. For prevalent Crohn's disease (CD) cases in the last ten years annual healthcare costs were in Asia $4417 (range $1230‐$31 161); Europe $12 439 ($7694‐$15 807) and North America $17 495 ($14 454‐$20 535). For ulcerative colitis (UC), these were $1606 ($309‐$14 572), $7224 ($3228‐$9779) and $13 559 ($13 559‐$13 559). The main cost driver was medication, the cost of which increased considerably between 1985 and 2018, while outpatient and inpatient costs remained stable. IBD had a negative impact on work productivity. Annual costs of absenteeism for CD and UC were in Asia (with presenteeism) $5638 ($5638‐$5638) and $4828 ($4828‐$4828); Europe $2660 ($641‐$5277) and $2394 ($651‐$5992); North America $752 ($307‐$1303) and $1443 ($85‐$2350). Conclusion IBD societal cost of illness is increasing, driven by growing costs of medication, and varies considerably between continents. While biologic therapy was expected to decrease inpatient costs by reducing hospitalisations and surgery, these costs have not declined. Costs of IBD are increasing due to biologics and vary between continents. Biologics do not reduce inpatient costs.
Databáze:	OpenAIRE
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