Direct medical costs for partial refractory epilepsy in Mexico

Archives of Medical Research
Fernando García-ContrerasJuan Garduño-Espinosa

Abstract

The aim was to determine the direct medical costs in patients with partial refractory epilepsy at the Mexican Institute of Social Security (IMSS) in Mexico. We carried out a multicenter, retrospective-cohort partial-economic evaluation study of partial refractory epilepsy (PRE) diagnosed patients and analyzed patient files from four secondary- and tertiary-level hospitals. PRE patients >12 years of age with two or more antiepileptic drugs and follow-up for at least 1 year were included. The perspective was institutional (IMSS). Only direct healthcare costs were considered, and the timeline was 1 year. Cost techniques were microcosting, average per-service cost, and per-day cost, all costs expressed in U.S. dollars (USD, 2004). We reviewed 813 files of PRE patients: 133 had a correct diagnosis, and only 72 met study inclusion criteria. Fifty eight percent were females, 64% were <35 years of age, 47% were students, in 73% maximum academic level achieved was high school, and 53% were single. Fifty one percent of cases experienced simple partial seizures and 94% had more than one monthly seizure. Annual healthcare cost of the 72 patients was 190,486 USD, ambulatory healthcare contributing 76% and hospital healthcare with 24%. Annua...Continue Reading

References

Mar 7, 1996·The New England Journal of Medicine·J Engel
May 14, 1998·Epilepsia·P Jallon
Oct 26, 1999·Epilepsia·T A Glauser
May 19, 2001·Neurologic Clinics·S R Benbadis
Jun 13, 2002·Epilepsia·Charles E Begley, Ettore Beghi
Jun 13, 2002·Epilepsia·Michael Platt, Michael R Sperling

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Citations

Mar 3, 2012·Epilepsy & Behavior : E&B·Adam StrzelczykHajo M Hamer
Jul 11, 2006·Archives of Medical Research·Jose F Tellez-Zenteno
Aug 30, 2011·Epilepsy & Behavior : E&B·Sandra L HelmersEdward Faught
Jun 19, 2016·Epilepsy & Behavior : E&B·Poul JennumJakob Kjellberg
Jun 6, 2019·Acta Neurologica Scandinavica·Dorota KopciuchElżbieta Nowakowska
Apr 23, 2020·Molecular Medicine Reports·Noemí Cárdenas-RodríguezIván Ignacio-Mejía

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