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Economic impact of juvenile idiopathic arthritis and familial Mediterranean fever

The aim of the study was to determine the economical impact of juvenile idiopathic arthritis (JIA) and familial Mediterranean fever (FMF) in Turkey. A total of 100 patients (69 F/31 M) with JIA and 100 with FMF (68 F/32 F) who were consecutively seen in the outpatient clinic of the pediatric rheumat...

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Autores principales: Yucel, Ilker Kemal, Seyahi, Emire, Kasapcopur, Ozgur, Arisoy, Nil
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer-Verlag 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3382642/
https://www.ncbi.nlm.nih.gov/pubmed/21461856
http://dx.doi.org/10.1007/s00296-011-1894-y
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author Yucel, Ilker Kemal
Seyahi, Emire
Kasapcopur, Ozgur
Arisoy, Nil
author_facet Yucel, Ilker Kemal
Seyahi, Emire
Kasapcopur, Ozgur
Arisoy, Nil
author_sort Yucel, Ilker Kemal
collection PubMed
description The aim of the study was to determine the economical impact of juvenile idiopathic arthritis (JIA) and familial Mediterranean fever (FMF) in Turkey. A total of 100 patients (69 F/31 M) with JIA and 100 with FMF (68 F/32 F) who were consecutively seen in the outpatient clinic of the pediatric rheumatology department at Cerrahpasa Medical School between August 2008 and January 2009 were studied. Cost data were collected through a questionnaire filled out by the parents. The mean age (JIA: 11 ± 5 years; FMF:12 ± 4 years) and mean disease duration (JIA:5 ± 3 years; FMF: 4 ± 3 years) of the patients were similar. JIA patients were assigned to 5 subtypes (polyarticular: n = 45, oligoarticular: n = 30, systemic onset: n = 13, psoriatic: n = 6, and enthesopathy-related JIA: n = 6). Forty-nine percent of the patients with JIA were treated with anti-TNF drugs and 61% with DMARDs. All patients with FMF were using colchicine. The total annual cost of JIA (€3,994 ± 4,101) was considerably higher than that of FMF (€162 ± 77) (P < 0.001). Medication fee was the major determinant of total costs in both diseases constituting 85% in JIA and 39% in FMF. Among the subtypes of JIA, total annual costs were the highest among patients with polyarticular type (€6,045 ± 4,078). Medications especially anti-TNF drugs were the major contributor among all determinants of costs in JIA. The low costs of health care system and prominent changes in the health care policies for the last 5 years in Turkey might have played role in our findings.
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spelling pubmed-33826422012-07-05 Economic impact of juvenile idiopathic arthritis and familial Mediterranean fever Yucel, Ilker Kemal Seyahi, Emire Kasapcopur, Ozgur Arisoy, Nil Rheumatol Int Original Article The aim of the study was to determine the economical impact of juvenile idiopathic arthritis (JIA) and familial Mediterranean fever (FMF) in Turkey. A total of 100 patients (69 F/31 M) with JIA and 100 with FMF (68 F/32 F) who were consecutively seen in the outpatient clinic of the pediatric rheumatology department at Cerrahpasa Medical School between August 2008 and January 2009 were studied. Cost data were collected through a questionnaire filled out by the parents. The mean age (JIA: 11 ± 5 years; FMF:12 ± 4 years) and mean disease duration (JIA:5 ± 3 years; FMF: 4 ± 3 years) of the patients were similar. JIA patients were assigned to 5 subtypes (polyarticular: n = 45, oligoarticular: n = 30, systemic onset: n = 13, psoriatic: n = 6, and enthesopathy-related JIA: n = 6). Forty-nine percent of the patients with JIA were treated with anti-TNF drugs and 61% with DMARDs. All patients with FMF were using colchicine. The total annual cost of JIA (€3,994 ± 4,101) was considerably higher than that of FMF (€162 ± 77) (P < 0.001). Medication fee was the major determinant of total costs in both diseases constituting 85% in JIA and 39% in FMF. Among the subtypes of JIA, total annual costs were the highest among patients with polyarticular type (€6,045 ± 4,078). Medications especially anti-TNF drugs were the major contributor among all determinants of costs in JIA. The low costs of health care system and prominent changes in the health care policies for the last 5 years in Turkey might have played role in our findings. Springer-Verlag 2011-04-03 2012 /pmc/articles/PMC3382642/ /pubmed/21461856 http://dx.doi.org/10.1007/s00296-011-1894-y Text en © The Author(s) 2011 https://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited.
spellingShingle Original Article
Yucel, Ilker Kemal
Seyahi, Emire
Kasapcopur, Ozgur
Arisoy, Nil
Economic impact of juvenile idiopathic arthritis and familial Mediterranean fever
title Economic impact of juvenile idiopathic arthritis and familial Mediterranean fever
title_full Economic impact of juvenile idiopathic arthritis and familial Mediterranean fever
title_fullStr Economic impact of juvenile idiopathic arthritis and familial Mediterranean fever
title_full_unstemmed Economic impact of juvenile idiopathic arthritis and familial Mediterranean fever
title_short Economic impact of juvenile idiopathic arthritis and familial Mediterranean fever
title_sort economic impact of juvenile idiopathic arthritis and familial mediterranean fever
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3382642/
https://www.ncbi.nlm.nih.gov/pubmed/21461856
http://dx.doi.org/10.1007/s00296-011-1894-y
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