The economic burden of Tuberculosis in Denmark 1998-2010. Cost analysis in patients and their spouses
Objective: To evaluate the economic burden of tuberculosis (TB) in Denmark, Methods: 8,433 Danish TB-patients (1998-2010) were matched with 33,707 controls by age, gender, civil status and geography. Health-related costs (health system contacts and –procedures, medications) and socio-economic parame...
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| Format: | Article |
| Language: | English |
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Elsevier
2015-03-01
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| Series: | International Journal of Infectious Diseases |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1201971214017391 |
| _version_ | 1828367062079111168 |
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| author | Andreas Fløe Ole Hilberg Christian Wejse Anders Løkke Rikke Ibsen Jakob Kjellberg Poul Jennum |
| author_facet | Andreas Fløe Ole Hilberg Christian Wejse Anders Løkke Rikke Ibsen Jakob Kjellberg Poul Jennum |
| author_sort | Andreas Fløe |
| collection | DOAJ |
| description | Objective: To evaluate the economic burden of tuberculosis (TB) in Denmark,
Methods: 8,433 Danish TB-patients (1998-2010) were matched with 33,707 controls by age, gender, civil status and geography. Health-related costs (health system contacts and –procedures, medications) and socio-economic parameters (foregone earnings and social transfer expenses) were calculated on data from national databases. The same information was obtained for 3,485 spouses of TB-patients, and 17,403 controls.
Results: Health-related costs were higher for cases throughout the period. Before diagnosis, cases posed € 1,180 more health costs per year than controls. Excess health costs in the 2 years around diagnosing and treating TB were € 10,509. Cases received an average excess public transfer income of € 3,345 before vs. € 3,121 after diagnosis. Average employment income deficiency was € 11,635 before vs. € 13,885 after diagnosis, but the increasing difference showed a linear shape throughout the period. Spouses also had lower income, more social transfer, and posed higher health-related costs than matched controls.
Conclusion: We estimate the direct costs per TB patient to be €10,509. TB patients and their households are characterized by increasingly lower employment income, lower employment rate, and higher dependency on public transfer, but the socio/economic deterioration is rather a risk factor for TB than a direct consequence of the disease. |
| first_indexed | 2024-04-14T05:53:25Z |
| format | Article |
| id | doaj.art-851970d7d3a946e1aef3e714724cc383 |
| institution | Directory Open Access Journal |
| issn | 1201-9712 1878-3511 |
| language | English |
| last_indexed | 2024-04-14T05:53:25Z |
| publishDate | 2015-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | International Journal of Infectious Diseases |
| spelling | doaj.art-851970d7d3a946e1aef3e714724cc3832022-12-22T02:09:01ZengElsevierInternational Journal of Infectious Diseases1201-97121878-35112015-03-0132C18319010.1016/j.ijid.2014.12.021The economic burden of Tuberculosis in Denmark 1998-2010. Cost analysis in patients and their spousesAndreas Fløe0Ole Hilberg1Christian Wejse2Anders Løkke3Rikke Ibsen4Jakob Kjellberg5Poul Jennum6Department of Respiratory Medicine and Allergology, Aarhus University Hospital, Department of Respiratory Medicine and Allergology, Aarhus University Hospital, Department of Infectious Diseases, Aarhus University Hospital, Department of Respiratory Medicine and Allergology, Aarhus University Hospital, iTracks, Klosterport 4E, 4, Danish Institute for Local and Regional Government Research, Danish Center for Sleep Medicine, Department of Clinical Neurophysiology, Center for Healthy Aging, Faculty of Health Sciences, University of Copenhagen, Glostrup Hospital, Objective: To evaluate the economic burden of tuberculosis (TB) in Denmark, Methods: 8,433 Danish TB-patients (1998-2010) were matched with 33,707 controls by age, gender, civil status and geography. Health-related costs (health system contacts and –procedures, medications) and socio-economic parameters (foregone earnings and social transfer expenses) were calculated on data from national databases. The same information was obtained for 3,485 spouses of TB-patients, and 17,403 controls. Results: Health-related costs were higher for cases throughout the period. Before diagnosis, cases posed € 1,180 more health costs per year than controls. Excess health costs in the 2 years around diagnosing and treating TB were € 10,509. Cases received an average excess public transfer income of € 3,345 before vs. € 3,121 after diagnosis. Average employment income deficiency was € 11,635 before vs. € 13,885 after diagnosis, but the increasing difference showed a linear shape throughout the period. Spouses also had lower income, more social transfer, and posed higher health-related costs than matched controls. Conclusion: We estimate the direct costs per TB patient to be €10,509. TB patients and their households are characterized by increasingly lower employment income, lower employment rate, and higher dependency on public transfer, but the socio/economic deterioration is rather a risk factor for TB than a direct consequence of the disease.http://www.sciencedirect.com/science/article/pii/S1201971214017391Tuberculosissocioeconomic factorscase-control studiesspousescost of illness |
| spellingShingle | Andreas Fløe Ole Hilberg Christian Wejse Anders Løkke Rikke Ibsen Jakob Kjellberg Poul Jennum The economic burden of Tuberculosis in Denmark 1998-2010. Cost analysis in patients and their spouses International Journal of Infectious Diseases Tuberculosis socioeconomic factors case-control studies spouses cost of illness |
| title | The economic burden of Tuberculosis in Denmark 1998-2010. Cost analysis in patients and their spouses |
| title_full | The economic burden of Tuberculosis in Denmark 1998-2010. Cost analysis in patients and their spouses |
| title_fullStr | The economic burden of Tuberculosis in Denmark 1998-2010. Cost analysis in patients and their spouses |
| title_full_unstemmed | The economic burden of Tuberculosis in Denmark 1998-2010. Cost analysis in patients and their spouses |
| title_short | The economic burden of Tuberculosis in Denmark 1998-2010. Cost analysis in patients and their spouses |
| title_sort | economic burden of tuberculosis in denmark 1998 2010 cost analysis in patients and their spouses |
| topic | Tuberculosis socioeconomic factors case-control studies spouses cost of illness |
| url | http://www.sciencedirect.com/science/article/pii/S1201971214017391 |
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