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Economic impact of multiple sclerosis in Italy: focus on rehabilitation costs.
Economic impact of multiple sclerosis in Italy: focus on rehabilitation costs.
- Source :
-
Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology [Neurol Sci] 2015 Feb; Vol. 36 (2), pp. 227-34. Date of Electronic Publication: 2014 Aug 11. - Publication Year :
- 2015
-
Abstract
- The study estimates the cost of multiple sclerosis (MS) in Italy quantifying the impact of the rehabilitation on cost of illness. Patients with MS were enrolled at MS clinical centres, in rehabilitation units and among members with MS of the Italian MS Society across the Italy. The MS costs were captured with a questionnaire and were estimated taking into account both healthcare and non-healthcare costs as well as the productivity losses. Mean total annual costs per patients were €37,948, increasing for different disease severity: from €22,750 at an EDSS score of 0-3 to €63,047 at an EDSS score equal to or more than 7. €3,418 was due to rehabilitation (about 26.7% of direct healthcare costs) and of these 44% was attributable to admission to rehabilitation. The multivariate analysis showed a consistent trend toward increased total cost with progressive severity of MS, with presence of relapses, while the total cost decreases with a better quality of life. The burden increases as the MS becomes more severe and with relapse occurrence, moreover we observed high costs due to admission to rehabilitation suggesting that different rehabilitation setting might be considered to reduce the financial burden and increase the quality of life for person with MS.
- Subjects :
- Female
Health Expenditures statistics & numerical data
Humans
Italy epidemiology
Male
Middle Aged
Multiple Sclerosis epidemiology
Multiple Sclerosis psychology
Multivariate Analysis
Quality of Life
Severity of Illness Index
Surveys and Questionnaires
Cost of Illness
Multiple Sclerosis economics
Multiple Sclerosis rehabilitation
Subjects
Details
- Language :
- English
- ISSN :
- 1590-3478
- Volume :
- 36
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology
- Publication Type :
- Academic Journal
- Accession number :
- 25109816
- Full Text :
- https://doi.org/10.1007/s10072-014-1925-z