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Annual direct and indirect costs attributable to nocturia in Germany, Sweden, and the UK
Catalyst Health Econ Consultants, England.
Linköping University, Department of Medical and Health Sciences, Division of Health Care Analysis. Linköping University, Faculty of Medicine and Health Sciences. Ferring Pharmaceut, Denmark. (Center for Medical Technology Assessment, CMT)
Hannover Medical Sch, Germany.
Bristol Urol Institute, England.
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2017 (English)In: European Journal of Health Economics, ISSN 1618-7598, E-ISSN 1618-7601, Vol. 18, no 6, 761-771 p.Article in journal (Refereed) Published
Abstract [en]

Our aim was to estimate the prevalence-based cost of illness imposed by nocturia (a 2 nocturnal voids per night) in Germany, Sweden, and the UK in an average year. Information obtained from a systematic review of published literature and clinicians was used to construct an algorithm depicting the management of nocturia in these three countries. This enabled an estimation of (1) annual levels of healthcare resource use, (2) annual cost of healthcare resource use, and (3) annual societal cost arising from presenteeism and absenteeism attributable to nocturia in each country. In an average year, there are an estimated 12.5, 1.2, and 8.6 million patients a 20 years of age with nocturia in Germany, Sweden, and the UK, respectively. In an average year in each country, respectively, these patients were estimated to have 13.8, 1.4, and 10.0 million visits to a family practitioner or specialist, similar to 91,000, 9000, and 63,000 hospital admissions attributable to nocturia and 216,000, 19,000, and 130,000 subjects were estimated to incur a fracture resulting from nocturia. The annual direct cost of healthcare resource use attributable to managing nocturia was estimated to be approximately a,notsign2.32 billion in Germany, 5.11 billion kr (a,notsign0.54 billion) in Sweden, and A 1.35 pound billion (a,notsign1.77 billion) in the UK. The annual indirect societal cost arising from both presenteeism and absenteeism was estimated to be approximately a,notsign20.76 billion in Germany and 19.65 billion kr (a,notsign2.10 billion) in Sweden. In addition, in the UK, the annual indirect cost due to absenteeism was an estimated A 4.32 pound billion (a,notsign5.64 billion). Nocturia appears to impose a substantial socioeconomic burden in all three countries. Clinical and economic benefits could accrue from an increased awareness of the impact that nocturia imposes on patients, health services, and society as a whole.

Place, publisher, year, edition, pages
SPRINGER , 2017. Vol. 18, no 6, 761-771 p.
Keyword [en]
Burden; Cost; Lower urinary tract symptoms; Nocturia; Germany; Sweden; UK
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
URN: urn:nbn:se:liu:diva-139180DOI: 10.1007/s10198-016-0826-xISI: 000403416700009PubMedID: 27678109OAI: oai:DiVA.org:liu-139180DiVA: diva2:1120197
Note

Funding Agencies|Ferring Pharmaceuticals, Copenhagen, Denmark

Available from: 2017-07-05 Created: 2017-07-05 Last updated: 2017-08-27

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