TY - JOUR
T1 - The economic burden of tuberculosis in Denmark 1998-2010.
T2 - Cost analysis in patients and their spouses
AU - Fløe, Andreas
AU - Hilberg, Ole
AU - Wejse, Christian
AU - Løkke, Anders
AU - Ibsen, Rikke
AU - Kjellberg, Jakob
AU - Jennum, Poul
N1 - Copyright © 2015. Published by Elsevier Ltd.
PY - 2015/3/1
Y1 - 2015/3/1
N2 - OBJECTIVE: To evaluate the economic burden of tuberculosis (TB) in Denmark,METHODS: 8,433 Danish TB-patients (1998-2010) were matched with 33,707 controls by age, gender, civil status and geography. Health-related costs (health system contacts and -procedures, medications) and socio-economic parameters (foregone earnings and social transfer expenses) were calculated on data from national databases. The same information was obtained for 3,485 spouses of TB-patients, and 17,403 controls.RESULTS: Health-related costs were higher for cases throughout the period. Before diagnosis, cases posed € 1,180 more health costs per year than controls. Excess health costs in the 2 years around diagnosing and treating TB were € 10,509. Cases received an average excess public transfer income of € 3,345 before vs. € 3,121 after diagnosis. Average employment income deficiency was € 11,635 before vs. € 13,885 after diagnosis, but the increasing difference showed a linear shape throughout the period. Spouses also had lower income, more social transfer, and posed higher health-related costs than matched controls.CONCLUSION: We estimate the direct costs per TB patient to be €10,509. TB patients and their households are characterized by increasingly lower employment income, lower employment rate, and higher dependency on public transfer, but the socio/economic deterioration is rather a risk factor for TB than a direct consequence of the disease.
AB - OBJECTIVE: To evaluate the economic burden of tuberculosis (TB) in Denmark,METHODS: 8,433 Danish TB-patients (1998-2010) were matched with 33,707 controls by age, gender, civil status and geography. Health-related costs (health system contacts and -procedures, medications) and socio-economic parameters (foregone earnings and social transfer expenses) were calculated on data from national databases. The same information was obtained for 3,485 spouses of TB-patients, and 17,403 controls.RESULTS: Health-related costs were higher for cases throughout the period. Before diagnosis, cases posed € 1,180 more health costs per year than controls. Excess health costs in the 2 years around diagnosing and treating TB were € 10,509. Cases received an average excess public transfer income of € 3,345 before vs. € 3,121 after diagnosis. Average employment income deficiency was € 11,635 before vs. € 13,885 after diagnosis, but the increasing difference showed a linear shape throughout the period. Spouses also had lower income, more social transfer, and posed higher health-related costs than matched controls.CONCLUSION: We estimate the direct costs per TB patient to be €10,509. TB patients and their households are characterized by increasingly lower employment income, lower employment rate, and higher dependency on public transfer, but the socio/economic deterioration is rather a risk factor for TB than a direct consequence of the disease.
KW - Adult
KW - Aged
KW - Aged, 80 and over
KW - Case-Control Studies
KW - Cost of Illness
KW - Denmark
KW - Employment
KW - Female
KW - Humans
KW - Income
KW - Male
KW - Middle Aged
KW - Poverty
KW - Retrospective Studies
KW - Socioeconomic Factors
KW - Spouses
KW - Tuberculosis
KW - Young Adult
U2 - 10.1016/j.ijid.2014.12.021
DO - 10.1016/j.ijid.2014.12.021
M3 - Review
C2 - 25809778
SN - 1201-9712
VL - 32
SP - 183
EP - 190
JO - International Journal of Infectious Diseases
JF - International Journal of Infectious Diseases
ER -
