Lifetime costs of cerebral palsy
Lifetime costs of cerebral palsy
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DOI：
10.1111/j.1469-8749.2008.03190.x
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发表时间：
2009-08-01
影响因子：
3.8
通讯作者：
Uldall, Peter
中科院分区：
文献类型：
--
作者：
Kruse, Marie;Michelsen, Susan Ishoy;Uldall, Peter
本研究量化了脑性麻痹（CP）的终生成本，并以登记为基础。这是美国以外第一个评估慢性阻塞性肺病终生成本的研究。可归因于慢性阻塞性肺病的终生成本分为三类：医疗成本、生产力成本和社会成本。所分析的人口来自丹麦脑瘫登记册，该登记册覆盖了该国东部地区，自1950年以来登记了大约一半的丹麦脑瘫患者。在这项研究中，我们分析了2367名CP患者，他们出生于1930年至2000年，2000年还活着。丹麦东部的CP患病率约为1.7 / 1000。从登记册中检索了有关生产力和保健使用情况的信息。CP的终生成本男性约为86万欧元，女性约为80万欧元。最大的组成部分是社会护理费用，特别是在儿童时期。一项敏感性分析发现，社会护理成本的变化影响不大，而将贴现率从5%降至3%则显著增加了总终身成本。与现在相比，贴现降低了未来成本的价值。与CP相关的高社会护理成本和生产力成本表明，劳动力市场干预对CP患者有潜在的好处。
This study quantified the lifetime costs of cerebral palsy (CP) in a register-based setting. It was the first study outside the US to assess the lifetime costs of CP. The lifetime costs attributable to CP were divided into three categories: health care costs, productivity costs, and social costs. The population analysed was retrieved from the Danish Cerebral Palsy Register, which covers the eastern part of the country and has registered about half of the Danish population of individuals with CP since 1950. For this study we analysed 2367 individuals with CP, who were born in 1930 to 2000 and were alive in 2000. The prevalence of CP in eastern Denmark was approximately 1.7 per 1000. Information on productivity and the use of health care was retrieved from registers. The lifetime cost of CP was about euro860 000 for men and about euro800 000 for women. The largest component was social care costs, particularly during childhood. A sensitivity analysis found that alterations in social care costs had a small effect, whereas lowering the discount rate from 5 to 3 per cent markedly increased total lifetime costs. Discounting decreases the value of costs in the future compared with the present. The high social care costs and productivity costs associated with CP point to a potential gain from labour market interventions that benefit individuals with CP.