Health economics of chronic obstructive pulmonary disease

Proceedings of the American Thoracic Society
David M G Halpin

Abstract

Studies describing the economic impact of chronic obstructive pulmonary disease (COPD) are used for several purposes. There can, however, be limitations as costs based on results of a clinical trial are likely to be significantly different from real world practice. Sometimes, it may be more useful to capture the costs of the important components accurately rather than the often unachievable aim of capturing every cost however small. Burden of illness studies can help identify clinical targets or patterns of care-for example, hospitalization-that are major health care cost drivers. In the United Kingdom, burden of COPD studies suggest an annual cost of 781 pounds sterlings- 1,154 pounds sterlings per patient. Cost analyses can be divided into four types: cost minimization, cost-effectiveness, cost benefit, and cost utility. Utilities such as quality-adjusted life year (QALY) measure the effectiveness of different therapies, and can be obtained in various ways and in different populations, potentially leading to significant differences in the results. Payers often apply cost per QALY thresholds when assessing whether a new therapy should be used or not. In the United Kingdom, it is accepted that there is a sigmoid relationship be...Continue Reading

Citations

Jun 7, 2008·Journal of Burn Care & Research : Official Publication of the American Burn Association·Matthew B KleinNicole S Gibran
Nov 3, 2010·International Journal of Chronic Obstructive Pulmonary Disease·Davood AttaranReza Basiri
Jul 16, 2013·COPD·Sheena Xin LiuDavid P White
Sep 20, 2011·European Neuropsychopharmacology : the Journal of the European College of Neuropsychopharmacology·Anders GustavssonUNKNOWN CDBE2010Study Group
Aug 20, 2015·Cost Effectiveness and Resource Allocation : C/E·Oskar EklundFredrik Borgström
Oct 7, 2009·Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research·Pepijn Vemer, Maureen P M H Rutten-van Mölken
Jul 29, 2010·Respiratory Medicine·Vaya KonstantikakiChrissi Hatzoglou
Jul 20, 2007·Western Journal of Nursing Research·Gerene S BauldoffPhilip T Diaz
May 28, 2010·British Journal of Nursing : BJN·Jane UptonMonica Fletcher
Mar 17, 2007·COPD·Douglas W Mapel

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