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Social and economic costs and health-related quality of life in stroke survivors in the Canary Islands, Spain

BACKGROUND: Cost-of-illness analysis is the main method of providing an overall vision of the economic impact of a disease. Such studies have been used to set priorities for healthcare policies and inform resource allocation. The aim of this study was to determine the economic burden and health-rela...

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Autores principales: Lopez-Bastida, Julio, Oliva Moreno, Juan, Worbes Cerezo, Melany, Perestelo Perez, Lilisbeth, Serrano-Aguilar, Pedro, Montón-Álvarez, Fernando
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3468368/
https://www.ncbi.nlm.nih.gov/pubmed/22970797
http://dx.doi.org/10.1186/1472-6963-12-315
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author Lopez-Bastida, Julio
Oliva Moreno, Juan
Worbes Cerezo, Melany
Perestelo Perez, Lilisbeth
Serrano-Aguilar, Pedro
Montón-Álvarez, Fernando
author_facet Lopez-Bastida, Julio
Oliva Moreno, Juan
Worbes Cerezo, Melany
Perestelo Perez, Lilisbeth
Serrano-Aguilar, Pedro
Montón-Álvarez, Fernando
author_sort Lopez-Bastida, Julio
collection PubMed
description BACKGROUND: Cost-of-illness analysis is the main method of providing an overall vision of the economic impact of a disease. Such studies have been used to set priorities for healthcare policies and inform resource allocation. The aim of this study was to determine the economic burden and health-related quality of life (HRQOL) in the first, second and third years after surviving a stroke in the Canary Islands, Spain. METHODS: Cross-sectional, retrospective study of 448 patients with stroke based on ICD 9 discharge codes, who received outpatient care at five hospitals. The study was approved by the Research Ethics Committee of Nuestra Señora de la Candelaria University Hospital. Data on demographic characteristics, health resource utilization, informal care, labor productivity losses and HRQOL were collected from the hospital admissions databases and questionnaires completed by stroke patients or their caregivers. Labor productivity losses were calculated from physical units and converted into monetary units with a human capital-based method. HRQOL was measured with the EuroQol EQ-5D questionnaire. Healthcare costs, productivity losses and informal care costs were analyzed with log-normal, probit and ordered probit multivariate models. RESULTS: The average cost for each stroke survivor was €17 618 in the first, €14 453 in the second and €12 924 in the third year after the stroke; the reference year for unit prices was 2004. The largest expenditures in the first year were informal care and hospitalizations; in the second and third years the main costs were for informal care, productivity losses and medication. Mean EQ-5D index scores for stroke survivors were 0.50 for the first, 0.47 for the second and 0.46 for the third year, and mean EQ-5D visual analog scale scores were 56, 52 and 55, respectively. CONCLUSIONS: The main strengths of this study lie in our bottom-up-approach to costing, and in the evaluation of stroke survivors from a broad perspective (societal costs) in the first, second and third years after surviving the stroke. This type of analysis is rare in the Spanish context. We conclude that stroke incurs considerable societal costs among survivors to three years and there is substantial deterioration in HRQOL.
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spelling pubmed-34683682012-10-11 Social and economic costs and health-related quality of life in stroke survivors in the Canary Islands, Spain Lopez-Bastida, Julio Oliva Moreno, Juan Worbes Cerezo, Melany Perestelo Perez, Lilisbeth Serrano-Aguilar, Pedro Montón-Álvarez, Fernando BMC Health Serv Res Research Article BACKGROUND: Cost-of-illness analysis is the main method of providing an overall vision of the economic impact of a disease. Such studies have been used to set priorities for healthcare policies and inform resource allocation. The aim of this study was to determine the economic burden and health-related quality of life (HRQOL) in the first, second and third years after surviving a stroke in the Canary Islands, Spain. METHODS: Cross-sectional, retrospective study of 448 patients with stroke based on ICD 9 discharge codes, who received outpatient care at five hospitals. The study was approved by the Research Ethics Committee of Nuestra Señora de la Candelaria University Hospital. Data on demographic characteristics, health resource utilization, informal care, labor productivity losses and HRQOL were collected from the hospital admissions databases and questionnaires completed by stroke patients or their caregivers. Labor productivity losses were calculated from physical units and converted into monetary units with a human capital-based method. HRQOL was measured with the EuroQol EQ-5D questionnaire. Healthcare costs, productivity losses and informal care costs were analyzed with log-normal, probit and ordered probit multivariate models. RESULTS: The average cost for each stroke survivor was €17 618 in the first, €14 453 in the second and €12 924 in the third year after the stroke; the reference year for unit prices was 2004. The largest expenditures in the first year were informal care and hospitalizations; in the second and third years the main costs were for informal care, productivity losses and medication. Mean EQ-5D index scores for stroke survivors were 0.50 for the first, 0.47 for the second and 0.46 for the third year, and mean EQ-5D visual analog scale scores were 56, 52 and 55, respectively. CONCLUSIONS: The main strengths of this study lie in our bottom-up-approach to costing, and in the evaluation of stroke survivors from a broad perspective (societal costs) in the first, second and third years after surviving the stroke. This type of analysis is rare in the Spanish context. We conclude that stroke incurs considerable societal costs among survivors to three years and there is substantial deterioration in HRQOL. BioMed Central 2012-09-12 /pmc/articles/PMC3468368/ /pubmed/22970797 http://dx.doi.org/10.1186/1472-6963-12-315 Text en Copyright ©2012 López-Bastida et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Lopez-Bastida, Julio
Oliva Moreno, Juan
Worbes Cerezo, Melany
Perestelo Perez, Lilisbeth
Serrano-Aguilar, Pedro
Montón-Álvarez, Fernando
Social and economic costs and health-related quality of life in stroke survivors in the Canary Islands, Spain
title Social and economic costs and health-related quality of life in stroke survivors in the Canary Islands, Spain
title_full Social and economic costs and health-related quality of life in stroke survivors in the Canary Islands, Spain
title_fullStr Social and economic costs and health-related quality of life in stroke survivors in the Canary Islands, Spain
title_full_unstemmed Social and economic costs and health-related quality of life in stroke survivors in the Canary Islands, Spain
title_short Social and economic costs and health-related quality of life in stroke survivors in the Canary Islands, Spain
title_sort social and economic costs and health-related quality of life in stroke survivors in the canary islands, spain
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3468368/
https://www.ncbi.nlm.nih.gov/pubmed/22970797
http://dx.doi.org/10.1186/1472-6963-12-315
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