Economic burden of cirrhosis in Catalonia : a population-based analysis
Miquel Planas, Mireia (Parc Taulí Hospital Universitari. Institut d'Investigació i Innovació Parc Taulí (I3PT))
Cleries, Montserrat (Servei Català de la Salut)
Vergara, Mercedes (Parc Taulí Hospital Universitari. Institut d'Investigació i Innovació Parc Taulí (I3PT))
Vela, Emili (Servei Català de la Salut)
Universitat Autònoma de Barcelona

Date:	2018
Abstract:	Cirrhosis is a chronic disease with high morbidity and mortality. Few studies have evaluated healthcare resource use in patients with cirrhosis. We aimed to describe the point prevalence of cirrhosis on 31 December 2012 and the population-level distribution of healthcare resource use and expenditures in a non-selected population of patients with cirrhosis, stratified by whether their disease was compensated or decompensated, and by comorbidity burden. This population study included all known patients aged >18 years with cirrhosis (according to International Classification of Diseases, ninth revision) in Catalonia, Spain, on 31 December 2012. We evaluated healthcare resource use and expenditure during 2013, taking into account the presence of decompensation before or during 2012. We documented 34 740 patients diagnosed with cirrhosis (58. 7% men; mean age 61. 8±14 years), yielding a point prevalence of 460 per 100 000 inhabitants on 31 December 2012. Annual mortality was 9. 1%. During 2013, healthcare expenditures on patients with cirrhosis totalled €142. 1 million (€4234 per patient), representing 1. 8% of the total 2013 healthcare budget of Catalonia. Hospitalisation costs accounted for 35. 1% of the total expenditure and outpatient care accounted for 22. 4%. MultivariateMultivariate logistic regression identified morbidity burden, HIV infection, hospitalisation and emergency room visits during 2012 as independent predictors of expenditure above the 85th centile (area under the receiver operating curve, 0. 88 (95% CI 0. 883 to 0. 893, P<0. 001)). Cirrhosis accounts for a high proportion of healthcare resource usage and expenditures; hospitalisation accounted for the highest expenditures.
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original.
Language:	Anglès
Document:	Article ; recerca ; Versió publicada
Subject:	Cirrhosis ; Economic expenditures ; Population study ; Adjusted morbidity groups
Published in:	BMJ open, Vol. 8 (march 2018) , ISSN 2044-6055

DOI: 10.1136/bmjopen-2017-018012
PMID: 29502082

10 p, 820.2 KB

The record appears in these collections:
Research literature > UAB research groups literature > Research Centres and Groups (research output) > Health sciences and biosciences > Parc Taulí Research and Innovation Institute (I3PT
Articles > Research articles
Articles > Published articles