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Work productivity loss and indirect costs associated with new cardiovascular events in high-risk patients with hyperlipidemia: estimates from population-based register data in Sweden
Quantify Research, Sweden.
Quantify Research, Sweden.
Strateg Healthcare Solut LLC, MD USA.
Quantify Research, Sweden; Karolinska Institute, Sweden.
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2016 (English)In: European Journal of Health Economics, ISSN 1618-7598, E-ISSN 1618-7601, Vol. 17, no 9, p. 1117-1124Article in journal (Refereed) Published
Abstract [en]

Objectives To estimate productivity loss and associated indirect costs in high-risk patients treated for hyperlipidemia who experience cardiovascular (CV) events. Methods Retrospective population-based cohort study conducted using Swedish medical records linked to national registers. Patients were included based on prescriptions of lipid-lowering therapy between 1 January 2006 and 31 December 2011 and followed until 31 December 2012 for identification of CV events and estimation of work productivity loss (sick leave and disability pension) and indirect costs. Patients were stratified into two cohorts based on CV risk level: history of major cardiovascular disease (CVD) and coronary heart disease (CHD) risk equivalent. Propensity score matching was applied to compare patients with new events (cases) to patients without new events (controls). The incremental effect of CV events was estimated using a difference-in-differences design, comparing productivity loss among cases and controls during the year before and the year after the cases event. Results The incremental effect on indirect costs was largest in the CHD risk equivalent cohort (n = 2946) at (sic)3119 (P value amp;lt;0.01). The corresponding figure in the major CVD history cohort (n = 4508) was (sic)2210 (P value amp;lt;0.01). There was substantial variation in productivity loss depending on the type of event. Transient ischemic attack and revascularization had no significant effect on indirect costs. Myocardial infarction ((sic)), unstable angina ((sic)) and, most notably, ischemic stroke ((sic)) yielded substantial incremental cost estimates (P values amp;lt;0.01). Conclusions Indirect costs related to work productivity losses of CV events are substantial in Swedish high-risk patients treated for hyperlipidemia and vary considerably by type of event.

Place, publisher, year, edition, pages
SPRINGER , 2016. Vol. 17, no 9, p. 1117-1124
Keywords [en]
Cardiovascular disease; Hyperlipidemia; Indirect costs; Productivity
National Category
Neurology
Identifiers
URN: urn:nbn:se:liu:diva-134620DOI: 10.1007/s10198-015-0749-yISI: 000392436000006PubMedID: 26607457OAI: oai:DiVA.org:liu-134620DiVA, id: diva2:1075937
Note

Funding Agencies|Amgen, Inc.

Available from: 2017-02-21 Created: 2017-02-21 Last updated: 2017-11-29

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CiteExportLink to record
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