The cost-of-illness due to rheumatic heart disease

• Verfasst von: Heenan, Rachel [VerfasserIn]
• Verfasst von: Parks, Tom [VerfasserIn]
• Verfasst von: Bärnighausen, Till [VerfasserIn]
• Verfasst von: Kado, Joseph [VerfasserIn]
• Verfasst von: Bloom, David E [VerfasserIn]
• Verfasst von: Steer, Andrew C [VerfasserIn]
• Titel: The cost-of-illness due to rheumatic heart disease
• Titelzusatz: national estimates for Fiji
• Verf.angabe: Rachel C Heenan, Tom Parks, Till Bärnighausen, Joseph Kado, David E Bloom and Andrew C Steer
• E-Jahr: 2020
• Jahr: 31 March 2020
• Umfang: 9 S.
• Fussnoten: Gesehen am 05.02.2021
• Titel Quelle: Enthalten in: Royal Society of Tropical Medicine and HygieneTransactions of the Royal Society of Tropical Medicine and Hygiene
• Ort Quelle: Oxford : Oxford Univ. Press, 1908
• Jahr Quelle: 2020
• Band/Heft Quelle: 114(2020), 7, Seite 483-491
• ISSN Quelle: 1878-3503
• DOI: doi:10.1093/trstmh/trz118
• Datenträger: Online-Ressource
• Sprache: eng
• K10plus-PPN: 1747642517

Abstract

Rheumatic heart disease (RHD) is a chronic valvular heart disease that is responsible for a heavy burden of premature mortality in low- and middle-income countries. The total costs of RHD are important to health policy and research investment decisions. We estimate for the first time the total cost of RHD for Fiji (2008-2012) using a cost-of-illness approach and novel primary data on RHD disease burden and costs.RHD cases were identified using probabilistic record linkage across four routine data sources: (1) the Fiji RHD Control Program, (2) national hospital admissions records, (3) the Ministry of Health database of cause-specific deaths and (4) hospital ECG clinic registers. For each individual with RHD, we obtained information on RHD hospital admissions, treatment and death. We conducted a prevalence-based cost-of-illness analysis, including bottom-up assessment of indirect and direct (healthcare) costs.The estimated cost of RHD in Fiji for 2008-2012 was year-2010 $FJ91.6 million (approximately US$47.7 million). Productivity losses from premature mortality constituted the majority of costs (71.4%). Indirect costs were 27-fold larger than the direct costs.RHD leads to a heavy economic burden in Fiji. Improved prevention strategies for RHD will likely confer substantial economic benefits to the country.