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[Incidence, resource use and costs associated with postherpetic neuralgia: a population-based retrospective study].
MedLine Citation:
PMID:  23055426     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
AIM. To determine the incidence rate, the treatment administered and the use of health resources and health, and their respective costs in patients with postherpetic neuralgia (PHN). PATIENTS AND METHODS. We performed an observational design, made from retrospective review of patient records from six primary care centers and one hospital. All patients > 30 years consulting for PHN between 1/1/2007 and 31/12/2010 were included. Prepared two study groups according to presence / absence of PHN. Follow up was for one year. Main measures: socio-demographic, treatment and co-morbidity. The cost model differed direct healthcare costs (primary care/specialist) and indirect (productivity). Statistical analysis: logistic regression models and analysis of covariance (p < 0.05). RESULTS. 1506 patients were recruited, age: 61.2 years female: 59.2%. 15.1% (n = 228, 95% CI = 8.1-22.1%) had a PHN (incidence rate: 0.8/1,000 inhabitants/year; 95% CI = 0.7-0.9/1,000 population/year), and increased with age (>= 65 years: 19.7%). The PHN was principally associated with: psychosis (OR = 3.9), dementia (OR = 2.3), depression (OR = 1.8) and age (OR = 1.1), p < 0.03. Drugs use was higher (5.3 vs. 3.3; p < 0.001). The cost in primary care was 63.1% and 24.7% indirect. Total cost €1827.1 vs. €457.5 (p = 0.003), respectively, due to higher labour productivity losses (€692.2 vs. €62.4) and health costs (€1135 vs. €395.1); p < 0.001. All cost components maintained these differences. CONCLUSIONS. PHN is a frequent complication. These patients have a significant economic burden. The cost increases with age.
Authors:
A Sicras-Mainar; R Navarro-Artieda; J Ibanez-Nolla; J Perez-Ronco
Publication Detail:
Type:  English Abstract; Journal Article    
Journal Detail:
Title:  Revista de neurologia     Volume:  55     ISSN:  1576-6578     ISO Abbreviation:  Rev Neurol     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-10-11     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7706841     Medline TA:  Rev Neurol     Country:  Spain    
Other Details:
Languages:  spa     Pagination:  449-61     Citation Subset:  IM    
Affiliation:
Badalona Serveis Assistencials, 08911 Badalona, Espana.
Vernacular Title:
Incidencia, uso de recursos y costes asociados a la neuralgia postherpetica: estudio retrospectivo de base poblacional.
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