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Economic burden of maternal morbidity – A systematic review of cost-of-illness studies

AIM: To estimate the economic burden of common health problems associated with pregnancy and childbirth, such as incontinence, mental health problems, or gestational diabetes, excluding acute complications of labour or birth, or severe acute adverse maternal outcomes. METHODS: Searches for relevant...

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Autores principales: Moran, Patrick S., Wuytack, Francesca, Turner, Michael, Normand, Charles, Brown, Stephanie, Begley, Cecily, Daly, Deirdre
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6964978/
https://www.ncbi.nlm.nih.gov/pubmed/31945775
http://dx.doi.org/10.1371/journal.pone.0227377
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author Moran, Patrick S.
Wuytack, Francesca
Turner, Michael
Normand, Charles
Brown, Stephanie
Begley, Cecily
Daly, Deirdre
author_facet Moran, Patrick S.
Wuytack, Francesca
Turner, Michael
Normand, Charles
Brown, Stephanie
Begley, Cecily
Daly, Deirdre
author_sort Moran, Patrick S.
collection PubMed
description AIM: To estimate the economic burden of common health problems associated with pregnancy and childbirth, such as incontinence, mental health problems, or gestational diabetes, excluding acute complications of labour or birth, or severe acute adverse maternal outcomes. METHODS: Searches for relevant studies were carried out to November 2019 in Medline, Embase, CINAHL, PsycINFO and EconLit databases. After initial screening, all results were reviewed for inclusion by two authors. An adapted version of a previously developed checklist for cost-of-illness studies was used for quality appraisal. All costs were converted to 2018 Euro using national consumer price indices and purchasing power parity conversion factors. RESULTS: Thirty-eight relevant studies were identified, some of which reported incremental costs for more than one health problem (16 gestational diabetes, 13 overweight/obesity, 8 mental health, 4 hypertensive disorders, 2 nausea and vomiting, 2 epilepsy, 1 intimate partner violence). A high level of heterogeneity was observed in both the methods used, and the incremental cost estimates obtained for each morbidity. Average incremental costs tended to be higher in studies that modelled a hypothetical cohort of women using data from a range of sources (compared to analyses of primary data), and in studies set in the United States. No studies that examined the economic burden of some common pregnancy-related morbidities, such as incontinence, pelvic girdle pain, or sexual health problems, were identified. CONCLUSION: Our findings indicate that maternal morbidity is associated with significant costs to health systems and society, but large gaps remain in the evidence base for the economic burden of some common health problems associated with pregnancy and childbirth. More research is needed to examine the economic burden of a range of common maternal health problems, and future research should adopt consistent methodological approaches to ensure comparability of results.
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spelling pubmed-69649782020-01-26 Economic burden of maternal morbidity – A systematic review of cost-of-illness studies Moran, Patrick S. Wuytack, Francesca Turner, Michael Normand, Charles Brown, Stephanie Begley, Cecily Daly, Deirdre PLoS One Research Article AIM: To estimate the economic burden of common health problems associated with pregnancy and childbirth, such as incontinence, mental health problems, or gestational diabetes, excluding acute complications of labour or birth, or severe acute adverse maternal outcomes. METHODS: Searches for relevant studies were carried out to November 2019 in Medline, Embase, CINAHL, PsycINFO and EconLit databases. After initial screening, all results were reviewed for inclusion by two authors. An adapted version of a previously developed checklist for cost-of-illness studies was used for quality appraisal. All costs were converted to 2018 Euro using national consumer price indices and purchasing power parity conversion factors. RESULTS: Thirty-eight relevant studies were identified, some of which reported incremental costs for more than one health problem (16 gestational diabetes, 13 overweight/obesity, 8 mental health, 4 hypertensive disorders, 2 nausea and vomiting, 2 epilepsy, 1 intimate partner violence). A high level of heterogeneity was observed in both the methods used, and the incremental cost estimates obtained for each morbidity. Average incremental costs tended to be higher in studies that modelled a hypothetical cohort of women using data from a range of sources (compared to analyses of primary data), and in studies set in the United States. No studies that examined the economic burden of some common pregnancy-related morbidities, such as incontinence, pelvic girdle pain, or sexual health problems, were identified. CONCLUSION: Our findings indicate that maternal morbidity is associated with significant costs to health systems and society, but large gaps remain in the evidence base for the economic burden of some common health problems associated with pregnancy and childbirth. More research is needed to examine the economic burden of a range of common maternal health problems, and future research should adopt consistent methodological approaches to ensure comparability of results. Public Library of Science 2020-01-16 /pmc/articles/PMC6964978/ /pubmed/31945775 http://dx.doi.org/10.1371/journal.pone.0227377 Text en © 2020 Moran et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Moran, Patrick S.
Wuytack, Francesca
Turner, Michael
Normand, Charles
Brown, Stephanie
Begley, Cecily
Daly, Deirdre
Economic burden of maternal morbidity – A systematic review of cost-of-illness studies
title Economic burden of maternal morbidity – A systematic review of cost-of-illness studies
title_full Economic burden of maternal morbidity – A systematic review of cost-of-illness studies
title_fullStr Economic burden of maternal morbidity – A systematic review of cost-of-illness studies
title_full_unstemmed Economic burden of maternal morbidity – A systematic review of cost-of-illness studies
title_short Economic burden of maternal morbidity – A systematic review of cost-of-illness studies
title_sort economic burden of maternal morbidity – a systematic review of cost-of-illness studies
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6964978/
https://www.ncbi.nlm.nih.gov/pubmed/31945775
http://dx.doi.org/10.1371/journal.pone.0227377
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