Document Detail

Cost of illness from occupational hand eczema in Germany.
MedLine Citation:
PMID:  23869729     Owner:  NLM     Status:  In-Data-Review    
BACKGROUND: There is little knowledge about the costs of occupational hand eczema.
OBJECTIVES: To estimate the societal costs of patients with occupational hand eczema in Germany.
METHODS: Resource use during the past year, disease severity and quality of life [Dermatology Life Quality Index (DLQI)] were gathered for patients with occupational hand eczema before they entered a special rehabilitation programme. Costs were calculated from the societal perspective. The analysis focused on all patients and the severity groups no signs/mild (group A) and moderate to severe (group B).
RESULTS: One hundred and fifty-one patients were analysed, with a mean age of 44.9~years and a mean DLQI score of 10.9; 64.9% were male. Sickness absence was recorded for 62.9% of all patients (76.4~days on average in the last 12~months). Annual societal costs were €8799 per patient. Indirect costs represented 70% of total costs. Quality of life (DLQI) was statistically different across both severity groups (group A, 7.9; group B, 12.9), but direct treatment costs were not (€2705 versus €2610, respectively). There was a trend towards higher indirect costs in patients in severity group B (group A, €5120; group B, €6796).
CONCLUSION: The annual societal costs of patients with occupational hand eczema in this study are high, and similar to those for severe psoriasis and atopic dermatitis.
Thomas L Diepgen; Reginald Scheidt; Elke Weisshaar; Swen M John; Klaus Hieke
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Contact dermatitis     Volume:  69     ISSN:  1600-0536     ISO Abbreviation:  Contact Derm.     Publication Date:  2013 Aug 
Date Detail:
Created Date:  2013-07-22     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7604950     Medline TA:  Contact Dermatitis     Country:  England    
Other Details:
Languages:  eng     Pagination:  99-106     Citation Subset:  IM    
Copyright Information:
© 2013 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
Department of Clinical Social Medicine, Occupational and Environmental Dermatology, University Hospital Heidelberg, 69115 Heidelberg, GermanyDepartment of Dermatology, Environmental Medicine, University of Osnabrück, 49069 Osnabrück, GermanyOxford Outcomes Ltd, Oxford OX20JJ , UK.
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