Economic burden assessment for the management of asthma patients at Mexico’s National Institute for Respiratory Diseases

Background. In Mexico, asthma is one of the top twenty causes of disease with 254,713 new cases reported in 2019. According to Phase 3 of the International Study of Asthma and Allergies in Childhood, the prevalence of asthma ranged from 5 to 14% in 6 Mexican cities with varied geographic conditions...

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Main Authors: Maria del Carmen Cano Salas, José Luis Miguel Reyes, Karen Sánchez Trejo, Erika del Carmen López Estrada, Jorge Salas Hernández, Monserrat Evelia Arroyo Rojas, Mauricio Castañeda Valdivia, Monserrat Escobar Preciado, Silvia Guzmán Vázquez, Sergio Ricardo García-García, Herman Soto Molina
Format: Article
Language:English
Published: Colegio Mexicano de Inmunología Clínica y Alergia, A.C. 2024-04-01
Series:Revista Alergia México
Subjects:
Online Access:https://revistaalergia.mx/ojs/index.php/ram/article/view/1279
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author Maria del Carmen Cano Salas
José Luis Miguel Reyes
Karen Sánchez Trejo
Erika del Carmen López Estrada
Jorge Salas Hernández
Monserrat Evelia Arroyo Rojas
Mauricio Castañeda Valdivia
Monserrat Escobar Preciado
Silvia Guzmán Vázquez
Sergio Ricardo García-García
Herman Soto Molina
author_facet Maria del Carmen Cano Salas
José Luis Miguel Reyes
Karen Sánchez Trejo
Erika del Carmen López Estrada
Jorge Salas Hernández
Monserrat Evelia Arroyo Rojas
Mauricio Castañeda Valdivia
Monserrat Escobar Preciado
Silvia Guzmán Vázquez
Sergio Ricardo García-García
Herman Soto Molina
author_sort Maria del Carmen Cano Salas
collection DOAJ
description Background. In Mexico, asthma is one of the top twenty causes of disease with 254,713 new cases reported in 2019. According to Phase 3 of the International Study of Asthma and Allergies in Childhood, the prevalence of asthma ranged from 5 to 14% in 6 Mexican cities with varied geographic conditions. The burden of this disease impacts the health system in terms of direct costs through increased hospitalization and treatment costs; and indirect costs such as school and work absenteeism. Methods. A retrospective, longitudinal observational study comprised by data from 247 female asthma patients, annual direct costs were estimated including: visits, laboratory tests, pharmacological treatment and management of crisis or exacerbations, to determine the annal burden of the disease from an institutional perspective and according to Global Initiative for Asthma classification. Results. The average annual cost was $43,813.92, which increased in relation to the need of inhaled corticosteroids and long-acting beta agonists dosage increase. The average doctor’s appointment cost was $2,004.57, $982.82  for crisis management and $2,645.95 for laboratory testing. Pharmacological treatment represented the main economic burden with an annual average cost of $38,180.58. Conclusions. The present analysis shows the severity of asthma and auxiliary treatments like biologics were the main factors that increased direct attention costs. The results highlight a high economic burden for asthma within the context of the third level of care in Mexico’s public health system.
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spelling doaj.art-5dc897bbd1c84ed7b68c88b51e5a3cb72024-04-23T14:21:05ZengColegio Mexicano de Inmunología Clínica y Alergia, A.C.Revista Alergia México0002-51512448-91902024-04-0171110.29262/ram.v71i1.1279Economic burden assessment for the management of asthma patients at Mexico’s National Institute for Respiratory DiseasesMaria del Carmen Cano Salas0José Luis Miguel Reyes1Karen Sánchez Trejo2Erika del Carmen López Estrada3Jorge Salas Hernández4Monserrat Evelia Arroyo Rojas5Mauricio Castañeda Valdivia6Monserrat Escobar Preciado7Silvia Guzmán Vázquez8Sergio Ricardo García-García9Herman Soto Molina10Instituto Nacional de Enfermedades Respiratorias Ismael Cosío Villegas, Ciudad de México, MéxicoInstituto Nacional de Enfermedades Respiratorias Ismael Cosío Villegas, Ciudad de México, MéxicoInstituto Nacional de Enfermedades Respiratorias Ismael Cosío Villegas, Ciudad de México, MéxicoInstituto Nacional de Enfermedades Respiratorias Ismael Cosío Villegas, Ciudad de México, MéxicoInstituto Nacional de Enfermedades Respiratorias Ismael Cosío Villegas, Ciudad de México, MéxicoInstituto Nacional de Enfermedades Respiratorias Ismael Cosío Villegas, Ciudad de México, MéxicoInstituto Nacional de Enfermedades Respiratorias Ismael Cosío Villegas, Ciudad de México, MéxicoInstituto Nacional de Enfermedades Respiratorias Ismael Cosío Villegas, Ciudad de México, MéxicoHS Estudios FarmacoeconómicosHS Estudios FarmacoeconómicosHS Estudios Farmacoeconómicos Background. In Mexico, asthma is one of the top twenty causes of disease with 254,713 new cases reported in 2019. According to Phase 3 of the International Study of Asthma and Allergies in Childhood, the prevalence of asthma ranged from 5 to 14% in 6 Mexican cities with varied geographic conditions. The burden of this disease impacts the health system in terms of direct costs through increased hospitalization and treatment costs; and indirect costs such as school and work absenteeism. Methods. A retrospective, longitudinal observational study comprised by data from 247 female asthma patients, annual direct costs were estimated including: visits, laboratory tests, pharmacological treatment and management of crisis or exacerbations, to determine the annal burden of the disease from an institutional perspective and according to Global Initiative for Asthma classification. Results. The average annual cost was $43,813.92, which increased in relation to the need of inhaled corticosteroids and long-acting beta agonists dosage increase. The average doctor’s appointment cost was $2,004.57, $982.82  for crisis management and $2,645.95 for laboratory testing. Pharmacological treatment represented the main economic burden with an annual average cost of $38,180.58. Conclusions. The present analysis shows the severity of asthma and auxiliary treatments like biologics were the main factors that increased direct attention costs. The results highlight a high economic burden for asthma within the context of the third level of care in Mexico’s public health system. https://revistaalergia.mx/ojs/index.php/ram/article/view/1279Adverse reaction to the drug
spellingShingle Maria del Carmen Cano Salas
José Luis Miguel Reyes
Karen Sánchez Trejo
Erika del Carmen López Estrada
Jorge Salas Hernández
Monserrat Evelia Arroyo Rojas
Mauricio Castañeda Valdivia
Monserrat Escobar Preciado
Silvia Guzmán Vázquez
Sergio Ricardo García-García
Herman Soto Molina
Economic burden assessment for the management of asthma patients at Mexico’s National Institute for Respiratory Diseases
Revista Alergia México
Adverse reaction to the drug
title Economic burden assessment for the management of asthma patients at Mexico’s National Institute for Respiratory Diseases
title_full Economic burden assessment for the management of asthma patients at Mexico’s National Institute for Respiratory Diseases
title_fullStr Economic burden assessment for the management of asthma patients at Mexico’s National Institute for Respiratory Diseases
title_full_unstemmed Economic burden assessment for the management of asthma patients at Mexico’s National Institute for Respiratory Diseases
title_short Economic burden assessment for the management of asthma patients at Mexico’s National Institute for Respiratory Diseases
title_sort economic burden assessment for the management of asthma patients at mexico s national institute for respiratory diseases
topic Adverse reaction to the drug
url https://revistaalergia.mx/ojs/index.php/ram/article/view/1279
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