Cost burden for healthcare and patients related to the unawareness towards laryngopharyngeal reflux.

Awareness Burden Cost Gastroesophageal reflux disease Healthcare Laryngopharyngeal Reflux Unawareness

Journal

European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
ISSN: 1434-4726
Titre abrégé: Eur Arch Otorhinolaryngol
Pays: Germany
ID NLM: 9002937

Informations de publication

Date de publication:
30 Aug 2024
Historique:
received: 01 04 2024
accepted: 29 07 2024
medline: 31 8 2024
pubmed: 31 8 2024
entrez: 30 8 2024
Statut: aheadofprint

Résumé

To investigate the impact of physician unawareness towards laryngopharyngeal reflux (LPR) on healthcare costs. Patients with a confirmed LPR diagnosis were consecutively recruited from Belgian Hospitals. Demographics and clinical outcomes (impedance-pH testing features, reflux symptom score, and reflux sign assessment) were extracted. The past consultations and additional examinations dedicated to the investigation of laryngopharyngeal symptoms and findings without suspicion of LPR were collected. The estimated costs of consultations and procedures were those indicated in the National Health Insurance Institute's Charges for 2022. Part was reimbursed by the social security system, and the rest was paid by patients. Seventy-six patients were recruited. Seventeen patients (22.4%) had no previous consultation or additional examination for their LPR-symptoms. The estimated mean (standard deviation) costs related to the unawareness of LPR for the healthcare system and patient, were 310.06 ± 370.49 €, and 54.05 ± 46.28 €, respectively. The highest estimated costs were related to gastroenterology consultations and procedures, which did not lead to a confirmation of LPR diagnosis. The total estimated cost for the Belgian healthcare system and patients (11,590,000 million), could range from 359 359 540 € to 1 078 078 620 €; and 62 643 950 € to 187 931 850 €, respectively. The estimated costs related to gastroenterology practice of patients with severe disease were significantly higher than patients with mild disease. The unawareness of practitioners toward LPR leads to significant costs for healthcare system and patients. The teaching and awareness towards LPR need to be improved in medical schools and clinical practice.

Identifiants

pubmed: 39212703
doi: 10.1007/s00405-024-08881-w
pii: 10.1007/s00405-024-08881-w
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.

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Auteurs

Jerome R Lechien (JR)

Division of Laryngology and Bronchoesophagology, Department of Otolaryngology Head and Neck Surgery, UMONS Research Institute for Health Sciences and Technology, University of Mons (UMons), Mons, Belgium. Jerome.Lechien@umons.ac.be.
Department of Otolaryngology, Elsan Polyclinic of Poitiers, Poitiers, France. Jerome.Lechien@umons.ac.be.
Department of Otolaryngology-Head Neck Surgery, CHU Saint-Pierre, Brussels, Belgium. Jerome.Lechien@umons.ac.be.
Department of Otolaryngology-Head Neck Surgery, School of Medicine, Foch Hospital, UFR Simone Veil, Université Versailles Saint-Quentin-en-Yvelines (Paris Saclay University), Paris, France. Jerome.Lechien@umons.ac.be.

Pol Leclercq (P)

Health Economics, Hospital Management and Nursing Research Dept, Free University of Brussels, Brussels, Belgium.

Jonathan Brauner (J)

Health Economics, Hospital Management and Nursing Research Dept, Free University of Brussels, Brussels, Belgium.
Department of Clinical Biology, EpiCURA Hospital, Baudour, Belgium.

Magali Pirson (M)

Health Economics, Hospital Management and Nursing Research Dept, Free University of Brussels, Brussels, Belgium.

Classifications MeSH