Kronisk obstruktiv lungesygdom fører til stort forbrug af sundhedsudgifter og sociale udgifter

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INTRODUCTION: The present study compared health carerelated
costs and the use of social benefits and transfer
payments in participants with and without chronic obstructive
pulmonary disease (COPD), and related the costs to the
severity of the COPD.
MATERIAL AND METHODS: Spirometry data from a cohort
study performed in Denmark during 2004-2006 were linked
with national register data that identified the costs of social
benefits and health-care services. The cohort comprised
546 participants with COPD (forced expiratory volume in
the first sec. (FEV1)/forced vital capacity (FVC) ratio < 0.7
following bronchodilator administration] and 3,995 without
COPD (in addition, 9,435 invited participants were non-responders
and 331 were excluded). The costs were adjusted
for gender, age, co-morbidity and educational level.
RESULTS: Health care-related costs were 4,779 (2,404-
7,154) Danish kroner (DKK) higher for participants with
COPD than for those without COPD, and 2,882 (556-5,208)
DKK higher than for those for non-responders. The higher
costs were mainly due to the cost of medicines and inpatient
care. The health-care costs increased with disease severity
Global Initiative for Chronic Obstructive Lung Disease
(GOLD grade). In participants < 65 years of age, the annual
cost of social benefits and transfer payments was 15,901
(5,966-25,837) DKK higher and the total costs were 20,454
(7,559-33,350) DKK higher in those with COPD than in those
without COPD; this was due mostly to the high cost of disability
CONCLUSION: Health care-related costs and costs for social
benefits and transfer payments were higher for participants
with COPD than for non-COPD participants and nonresponders.
FUNDING: This study was supported by The Obel Family
Foundation, The Danish Lung Association and The Health Insurance
TidsskriftUgeskift for Læger
Sider (fra-til)131
StatusUdgivet - jan. 2013

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