1. Cost-effectiveness and Quality of Specialized and Routine Care in a German Cohort of Patients with Chronic Pruritus.
- Author
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MÜLLER, Svenja, STÄNDER, Sonja, NAATZ, Mandy, AUGUSTIN, Matthias, and STEINKE, Sabine
- Subjects
ITCHING ,QUALITY of life ,MEDICAL assistants ,COST effectiveness ,COST benefit analysis - Abstract
Chronic pruritus is a prevalent interdisciplinary symptom with a strong influence on health-related quality of life. Patients need extensive diagnostics and long-term treatment. This retrospective and prospective cohort study compared routine and universitybased specialized care in terms of cost-effectiveness and patient benefit. Direct medical and non-medical costs and patient-reported outcomes (PRO; pruritus intensity, quality of life, treatment needs and benefits) were assessed. Data analyses were conducted using descriptive methods and non-parametric statistical tests. A total of 300 adult patients (54.3% female) participated in the study. Six months after the treatment start in a specialized German pruritus care unit, the total costs were significantly reduced (mean total costs 686 € vs 433 € per patient per half year (total cohort); p< 0.001; mean out-ofpocket costs 198 € vs 124 € per half year (total cohort), p< 0.001). Pruritus intensity (numerical rating scale 5.3 vs 3.7, p<0.001), quality of life (Dermatology Life Quality Index 8.9 vs 5.7, p<0.001) and patient benefit (Patient Benefit Index Pruritus 1.2 vs 2.1, p<0.001) improved significantly (total cohort). The results of this study show, that treatment of chronic pruritus patients in a specialized itch centre leads to an improvement in patient benefit and reduces the economic burden at the same time. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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