Cost-of-illness studies in nine Central and Eastern European countries.

Austria Bulgaria Central and Eastern Europe Cost-of-illness Croatia Disease burden Hungary Poland Romania Slovakia Slovenia The Czech Republic

Journal

The European journal of health economics : HEPAC : health economics in prevention and care
ISSN: 1618-7601
Titre abrégé: Eur J Health Econ
Pays: Germany
ID NLM: 101134867

Informations de publication

Date de publication:
Jun 2019
Historique:
received: 30 03 2019
accepted: 15 04 2019
pubmed: 20 5 2019
medline: 3 1 2020
entrez: 20 5 2019
Statut: ppublish

Résumé

To date, a multi-country review evaluating the cost-of-illness (COI) studies from the Central and Eastern European (CEE) region has not yet been published. Our main objective was to provide a general description about published COI studies from CEE. A systematic search was performed between 1 January 2006 and 1 June 2017 in Medline, EMBASE, The Cochrane Library, CINAHL, and Web of Science to identify all relevant COI studies from nine CEE countries. COI studies reporting costs without any restrictions by age, co-morbidities, or treatment were included. Methodology, publication standards, and cost results were analysed. We identified 58 studies providing 83 country-specific COI results: Austria (n = 9), Bulgaria (n = 16), Croatia (n = 3), the Czech Republic (n = 10), Hungary (n = 24), Poland (n = 11), Romania (n = 3), Slovakia (n = 3), and Slovenia (n = 4). Endocrine, nutritional, and metabolic diseases (18%), neoplasms (12%), infections (11%), and neurological disorders (11%) were the most frequently studied clinical areas, and multiple sclerosis was the most commonly studied disease. Overall, 57 (98%) of the studies explicitly stated the source of resource use data, 45 (78%) the study perspective, 34 (64%) the costing method, and 24 (58%) reported at least one unit costs. Regardless of methodological differences, a positive relationship was observed between costs of diseases and countries' per capita GDP. Cost-of-illness studies varied considerably in terms of methodology, publication practice, and clinical areas. Due to these heterogeneities, transferability of the COI results is limited across Central and Eastern European countries.

Sections du résumé

BACKGROUND BACKGROUND
To date, a multi-country review evaluating the cost-of-illness (COI) studies from the Central and Eastern European (CEE) region has not yet been published. Our main objective was to provide a general description about published COI studies from CEE.
METHODS METHODS
A systematic search was performed between 1 January 2006 and 1 June 2017 in Medline, EMBASE, The Cochrane Library, CINAHL, and Web of Science to identify all relevant COI studies from nine CEE countries. COI studies reporting costs without any restrictions by age, co-morbidities, or treatment were included. Methodology, publication standards, and cost results were analysed.
RESULTS RESULTS
We identified 58 studies providing 83 country-specific COI results: Austria (n = 9), Bulgaria (n = 16), Croatia (n = 3), the Czech Republic (n = 10), Hungary (n = 24), Poland (n = 11), Romania (n = 3), Slovakia (n = 3), and Slovenia (n = 4). Endocrine, nutritional, and metabolic diseases (18%), neoplasms (12%), infections (11%), and neurological disorders (11%) were the most frequently studied clinical areas, and multiple sclerosis was the most commonly studied disease. Overall, 57 (98%) of the studies explicitly stated the source of resource use data, 45 (78%) the study perspective, 34 (64%) the costing method, and 24 (58%) reported at least one unit costs. Regardless of methodological differences, a positive relationship was observed between costs of diseases and countries' per capita GDP.
CONCLUSIONS CONCLUSIONS
Cost-of-illness studies varied considerably in terms of methodology, publication practice, and clinical areas. Due to these heterogeneities, transferability of the COI results is limited across Central and Eastern European countries.

Identifiants

pubmed: 31104219
doi: 10.1007/s10198-019-01066-x
pii: 10.1007/s10198-019-01066-x
pmc: PMC6544593
doi:

Types de publication

Journal Article Systematic Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

155-172

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Auteurs

Valentin Brodszky (V)

Department of Health Economics, Corvinus University of Budapest, Fővám tér 8., 1093, Budapest, Hungary. valentin.brodszky@uni-corvinus.hu.

Zsuzsanna Beretzky (Z)

Department of Health Economics, Corvinus University of Budapest, Fővám tér 8., 1093, Budapest, Hungary.
Doctoral School of Business and Management, Corvinus University of Budapest, Fővám tér 8., 1093, Budapest, Hungary.

Petra Baji (P)

Department of Health Economics, Corvinus University of Budapest, Fővám tér 8., 1093, Budapest, Hungary.

Fanni Rencz (F)

Department of Health Economics, Corvinus University of Budapest, Fővám tér 8., 1093, Budapest, Hungary.
Hungarian Academy of Sciences, Premium Postdoctoral Research Program, Nádor u. 7, 1051, Budapest, Hungary.

Márta Péntek (M)

Department of Health Economics, Corvinus University of Budapest, Fővám tér 8., 1093, Budapest, Hungary.

Alexandru Rotar (A)

Department of Social Medicine, University of Amsterdam, Meibergdreef 9, 22660, 1100 DD, Amsterdam, The Netherlands.

Konstantin Tachkov (K)

Department of Social Pharmacy and Pharmacoeconomics, Faculty of Pharmacy, Medical University of Sofia, 2, Dunav str., 1000, Sofia, Bulgaria.

Susanne Mayer (S)

Department of Health Economics, Center for Public Health, Medical University of Vienna, Kinderspitalgasse 15/1, Vienna, 1090, Austria.

Judit Simon (J)

Department of Health Economics, Center for Public Health, Medical University of Vienna, Kinderspitalgasse 15/1, Vienna, 1090, Austria.
Ludwig Boltzmann Institute Applied Diagnostics, Währinger Gürtel 18-20, Vienna, 1090, Austria.

Maciej Niewada (M)

Department of Experimental and Clinical Pharmacology, Medical University of Warsaw, Banacha 1b, 02-097, Warsaw, Poland.

Rok Hren (R)

Institute of Mathematics, Physics, and Mechanics, Jadranska 19, 1000, Ljubljana, Slovenia.
Department of Physics, University of Ljubljana, Jadranska 19, 1000, Ljubljana, Slovenia.

László Gulácsi (L)

Department of Health Economics, Corvinus University of Budapest, Fővám tér 8., 1093, Budapest, Hungary.

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