Cost of refractory epilepsy in adults in the USA

被引:89
作者
Murray, MI
Halpern, MT
Leppik, IE
机构
[1] UNIV MINNESOTA, MINCEP EPILEPSY CARE, MINNEAPOLIS, MN 55416 USA
[2] UNIV MINNESOTA, DEPT NEUROL & PHARM, MINNEAPOLIS, MN 55416 USA
关键词
cost; direct; indirect;
D O I
10.1016/0920-1211(95)00090-9
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
A cost of illness of refractory epilepsy was developed based on estimates supplied by an expert panel of physicians and a review of the current literature, The basic elements of model can be divided into two main components: direct and indirect costs, Direct costs include the medical resource utilization patterns associated with epilepsy care while the indirect costs represent lost productivity associated with the disease. The results of the analysis indicate that an estimated 24,578 incident cases of epilepsy incur a total of $318,582,669; while our prevalence estimates indicate that 335,167 individuals incur a total of $3,905,183,463, in a given year. Direct medical costs account for one-third of the total costs while indirect costs constitute the remaining two-thirds.
引用
收藏
页码:139 / 148
页数:10
相关论文
共 18 条
[1]  
[Anonymous], 1990, Epilepsy: frequency, causes and consequences
[2]   COST OF EPILEPSY IN THE UNITED-STATES - A MODEL-BASED ON INCIDENCE AND PROGNOSIS [J].
BEGLEY, CE ;
ANNEGERS, JF ;
LAIRSON, DR ;
REYNOLDS, TF ;
HAUSER, WA .
EPILEPSIA, 1994, 35 (06) :1230-1243
[3]   CAUSALITY ASSESSMENT OF ADVERSE REACTIONS TO DRUGS .2. AN ORIGINAL MODEL FOR VALIDATION OF DRUG CAUSALITY ASSESSMENT METHODS - CASE-REPORTS WITH POSITIVE RECHALLENGE [J].
BENICHOU, C ;
DANAN, G ;
FLAHAULT, A .
JOURNAL OF CLINICAL EPIDEMIOLOGY, 1993, 46 (11) :1331-1336
[4]   INTRACTABLE PARTIAL EPILEPSY - EVALUATION AND TREATMENT [J].
CASCINO, GD .
MAYO CLINIC PROCEEDINGS, 1990, 65 (12) :1578-1586
[5]   UPDATE ON SURGICAL-TREATMENT OF THE EPILEPSIES - SUMMARY OF THE 2ND INTERNATIONAL PALM DESERT CONFERENCE ON THE SURGICAL-TREATMENT OF THE EPILEPSIES (1992) [J].
ENGEL, J .
NEUROLOGY, 1993, 43 (08) :1612-1617
[6]   CONSENSUS METHODS - CHARACTERISTICS AND GUIDELINES FOR USE [J].
FINK, A ;
KOSECOFF, J ;
CHASSIN, M ;
BROOK, RH .
AMERICAN JOURNAL OF PUBLIC HEALTH, 1984, 74 (09) :979-983
[7]  
HALL WH, 1990, JAMA-J AM MED ASSOC, V264, P729
[8]  
HAUSER A, 1987, SURGICAL TREATMENT E, P573
[9]   INCIDENCE OF EPILEPSY AND UNPROVOKED SEIZURES IN ROCHESTER, MINNESOTA - 1935-1984 [J].
HAUSER, WA ;
ANNEGERS, JF ;
KURLAND, LT .
EPILEPSIA, 1993, 34 (03) :453-468
[10]  
Luce BR, 1990, STANDARDS SOCIOECONO