Economic burden of drug-induced anaphylaxis: what can we do better?


Journal

Current opinion in allergy and clinical immunology
ISSN: 1473-6322
Titre abrégé: Curr Opin Allergy Clin Immunol
Pays: United States
ID NLM: 100936359

Informations de publication

Date de publication:
01 08 2022
Historique:
entrez: 19 7 2022
pubmed: 20 7 2022
medline: 22 7 2022
Statut: ppublish

Résumé

This systematic review evaluates published data related to the economic burden of drug-induced anaphylaxis (DIA) to understand preventive cost saving measures that could reduce the burden of these conditions. Although DIA has a relevant societal impact, there are limited and heterogenous available data related to its cost. Direct costs related to the management of acute phase of DIA was estimated by $529.6 to $3125, depending on the number of emergency room visits/hospitalizations, emergency kits and transports in ambulance. Direct costs of investigations of DIA varied from $288 to $2292.95 and the desensitization was estimated by $6796. Main variables for this were: personnel, allergy screening procedures, medical consumables and space cost. The mean indirect cost was based on a mean absenteeism of 3 days per DIA corresponding to $381.2. More than reviewing the published data, we were able to identify variables that, if correctly managed, can reduce the economic burden of DIA, such as adjusting the timing of referral and etiological diagnosis, identification of potential risk and/or co-factors, correct written recommendations to patients. The evidence presented highlights the need of optimization of healthcare patients to patients suffering from DIA.

Identifiants

pubmed: 35852897
doi: 10.1097/ACI.0000000000000836
pii: 00130832-202208000-00006
doi:

Types de publication

Journal Article Systematic Review Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

234-241

Informations de copyright

Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.

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Auteurs

Barbara Cardoso (B)

Department of Allergy, CUF, Lisbon, Portugal.

Teresa Moscoso (T)

Department of Allergy, CUF, Lisbon, Portugal.

Mário Morais-Almeida (M)

Department of Allergy, CUF, Lisbon, Portugal.

Pascal Demoly (P)

Institut Desbrest d'Epidémiologie et de Santé Publique, IDESP, University of Montpellier - INSERM.
Department of Allergy, University Hospital of Montpellier.
WHO Collaborating Centre on Scientific Classification Support, Montpellier, France.

Luciana K Tanno (LK)

Institut Desbrest d'Epidémiologie et de Santé Publique, IDESP, University of Montpellier - INSERM.
Department of Allergy, University Hospital of Montpellier.
WHO Collaborating Centre on Scientific Classification Support, Montpellier, France.

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