The costs associated with stroke care continuum: a systematic review
Abstract Stroke, a leading cause of death and long-term disability, has a considerable social and economic impact. It is imperative to investigate stroke-related costs. The main goal was to conduct a systematic literature review on the described costs associated with stroke care continuum to better...
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| Format: | Article |
| Language: | English |
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BMC
2023-05-01
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| Series: | Health Economics Review |
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| Online Access: | https://doi.org/10.1186/s13561-023-00439-6 |
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| author | Jorgina Lucas-Noll José L. Clua-Espuny Mar Lleixà-Fortuño Ester Gavaldà-Espelta Lluïsa Queralt-Tomas Anna Panisello-Tafalla Misericòrdia Carles-Lavila |
| author_facet | Jorgina Lucas-Noll José L. Clua-Espuny Mar Lleixà-Fortuño Ester Gavaldà-Espelta Lluïsa Queralt-Tomas Anna Panisello-Tafalla Misericòrdia Carles-Lavila |
| author_sort | Jorgina Lucas-Noll |
| collection | DOAJ |
| description | Abstract Stroke, a leading cause of death and long-term disability, has a considerable social and economic impact. It is imperative to investigate stroke-related costs. The main goal was to conduct a systematic literature review on the described costs associated with stroke care continuum to better understand the evolution of the economic burden and logistic challenges. This research used a systematic review method. We performed a search in PubMed/MEDLINE, ClinicalTrial.gov, Cochrane Reviews, and Google Scholar confined to publications from January 2012 to December 2021. Prices were adjusted using consumer price indices of the countries in the studies in the years the costs were incurred to 2021 Euros using the World Bank and purchasing power parity exchange rate in 2020 from the Organization for Economic Co-operation and Development with the XE Currency Data API. The inclusion criteria were all types of publications, including prospective cost studies, retrospective cost studies, database analyses, mathematical models, surveys, and cost-of-illness (COI) studies. Were excluded studies that (a) were not about stroke, (b) were editorials and commentaries, (c) were irrelevant after screening the title and abstract,(d) grey literature and non-academic studies, (e) reported cost indicators outside the scope of the review, (f) economic evaluations (i.e., cost-effectiveness or cost–benefit analyses); and (g) studies not meeting the population inclusion criteria. There may be risk of bias because the effects are dependent on the persons delivering the intervention. The results were synthetized by PRISMA method. A total of 724 potential abstracts were identified of which 25 articles were pulled for further investigation. The articles were classified into the following categories: 1)stroke primary prevention, 2) expenditures related to acute stroke care, 3) expenditures for post-acute strokes, and 4) global average stroke cost. The measured expenditures varied considerably among these studies with a global average cost from €610-€220,822.45. Given the great variability in the costs in different studies, we can conclude that we need to define a common system for assessing the costs of strokes. Possible limitations are related to clinical choices exposed to decision rules that trigger decisions alerts within stroke events in a clinical setting. This flowchart is based on the guidelines for acute ischemic stroke treatment but may not be applicable to all institutions. |
| first_indexed | 2024-03-13T10:18:09Z |
| format | Article |
| id | doaj.art-b09f3d76ac814a34ad6fcd844d73ce38 |
| institution | Directory Open Access Journal |
| issn | 2191-1991 |
| language | English |
| last_indexed | 2024-03-13T10:18:09Z |
| publishDate | 2023-05-01 |
| publisher | BMC |
| record_format | Article |
| series | Health Economics Review |
| spelling | doaj.art-b09f3d76ac814a34ad6fcd844d73ce382023-05-21T11:08:34ZengBMCHealth Economics Review2191-19912023-05-0113111810.1186/s13561-023-00439-6The costs associated with stroke care continuum: a systematic reviewJorgina Lucas-Noll0José L. Clua-Espuny1Mar Lleixà-Fortuño2Ester Gavaldà-Espelta3Lluïsa Queralt-Tomas4Anna Panisello-Tafalla5Misericòrdia Carles-Lavila6Department of Primary Care, Institut Català de La SalutDepartment of Primary Care, Institut Català de La SalutDepartment of Nursing, Universitat Rovira I VirgiliDepartment of Primary Care, Institut Català de La SalutDepartment of Primary Care, Institut Català de La SalutDepartment of Primary Care, Institut Català de La SalutDepartment of Economic and Bussiness, Universitat Rovira I VirgiliAbstract Stroke, a leading cause of death and long-term disability, has a considerable social and economic impact. It is imperative to investigate stroke-related costs. The main goal was to conduct a systematic literature review on the described costs associated with stroke care continuum to better understand the evolution of the economic burden and logistic challenges. This research used a systematic review method. We performed a search in PubMed/MEDLINE, ClinicalTrial.gov, Cochrane Reviews, and Google Scholar confined to publications from January 2012 to December 2021. Prices were adjusted using consumer price indices of the countries in the studies in the years the costs were incurred to 2021 Euros using the World Bank and purchasing power parity exchange rate in 2020 from the Organization for Economic Co-operation and Development with the XE Currency Data API. The inclusion criteria were all types of publications, including prospective cost studies, retrospective cost studies, database analyses, mathematical models, surveys, and cost-of-illness (COI) studies. Were excluded studies that (a) were not about stroke, (b) were editorials and commentaries, (c) were irrelevant after screening the title and abstract,(d) grey literature and non-academic studies, (e) reported cost indicators outside the scope of the review, (f) economic evaluations (i.e., cost-effectiveness or cost–benefit analyses); and (g) studies not meeting the population inclusion criteria. There may be risk of bias because the effects are dependent on the persons delivering the intervention. The results were synthetized by PRISMA method. A total of 724 potential abstracts were identified of which 25 articles were pulled for further investigation. The articles were classified into the following categories: 1)stroke primary prevention, 2) expenditures related to acute stroke care, 3) expenditures for post-acute strokes, and 4) global average stroke cost. The measured expenditures varied considerably among these studies with a global average cost from €610-€220,822.45. Given the great variability in the costs in different studies, we can conclude that we need to define a common system for assessing the costs of strokes. Possible limitations are related to clinical choices exposed to decision rules that trigger decisions alerts within stroke events in a clinical setting. This flowchart is based on the guidelines for acute ischemic stroke treatment but may not be applicable to all institutions.https://doi.org/10.1186/s13561-023-00439-6Acute strokeCosts studyHealthcarePre-hospital pathwaysNo-treatment cost |
| spellingShingle | Jorgina Lucas-Noll José L. Clua-Espuny Mar Lleixà-Fortuño Ester Gavaldà-Espelta Lluïsa Queralt-Tomas Anna Panisello-Tafalla Misericòrdia Carles-Lavila The costs associated with stroke care continuum: a systematic review Health Economics Review Acute stroke Costs study Healthcare Pre-hospital pathways No-treatment cost |
| title | The costs associated with stroke care continuum: a systematic review |
| title_full | The costs associated with stroke care continuum: a systematic review |
| title_fullStr | The costs associated with stroke care continuum: a systematic review |
| title_full_unstemmed | The costs associated with stroke care continuum: a systematic review |
| title_short | The costs associated with stroke care continuum: a systematic review |
| title_sort | costs associated with stroke care continuum a systematic review |
| topic | Acute stroke Costs study Healthcare Pre-hospital pathways No-treatment cost |
| url | https://doi.org/10.1186/s13561-023-00439-6 |
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