Please use this identifier to cite or link to this item: http://ahro.austin.org.au/austinjspui/handle/1/12438
Title: Long-term costs of stroke using 10-year longitudinal data from the North East Melbourne Stroke Incidence Study.
Authors: Gloede, Tristan D;Halbach, Sarah M;Thrift, Amanda G;Dewey, Helen M;Pfaff, Holger;Cadilhac, Dominique A
Affiliation: From the Institute for Medical Sociology, Health Services Research and Rehabilitation Science, University of Cologne, Cologne, Germany (T.D.G., S.M.H., H.P.); Stroke and Ageing Research, School of Clinical Sciences, Monash University Clayton, Victoria, Australia (A.G.T., D.A.C.); Stroke Division, the Florey Institute of Neuroscience and Mental Health, Heidelberg, Victoria, Australia (A.G.T., H.M.D., D.A.C.); Department of Medicine, University of Melbourne, Parkville, Victoria, Australia (H.M.D., D.A.C.); Department of Neurology, Austin Health, Melbourne, Australia (H.M.D.); and Deakin Health Economics, Deakin University, Victoria, Australia (D.A.C.).
From the Institute for Medical Sociology, Health Services Research and Rehabilitation Science, University of Cologne, Cologne, Germany (T.D.G., S.M.H., H.P.); Stroke and Ageing Research, School of Clinical Sciences, Monash University Clayton, Victoria, Australia (A.G.T., D.A.C.); Stroke Division, the Florey Institute of Neuroscience and Mental Health, Heidelberg, Victoria, Australia (A.G.T., H.M.D., D.A.C.); Department of Medicine, University of Melbourne, Parkville, Victoria, Australia (H.M.D., D.A.C.); Department of Neurology, Austin Health, Melbourne, Australia (H.M.D.); and Deakin Health Economics, Deakin University, Victoria, Australia (D.A.C.). dominique.cadilhac@monash.edu.
Issue Date: 1-Nov-2014
Citation: Stroke; A Journal of Cerebral Circulation; 45(11): 3389-94
Abstract: Stroke is costly, although little is known about the long-term costs of survivors of stroke. In previous cost-of-illness studies, lifetime costs have been modeled based on estimates to 5 years after stroke. Building on previous work from the North East Melbourne Stroke Incidence Study (NEMESIS), we aimed to describe resource use at 10 years and recalculate the lifetime societal costs of ischemic and hemorrhagic (intracerebral hemorrhage) stroke.Ten-year patient-level resource use data were obtained and updated prices and population demographic statistics for 2010 were applied to our cost-of-illness models. We incorporated incidence data from a larger study region of NEMESIS than that used in the previous model and new 10-year survival and recurrent stroke rates. One-way sensitivity and probabilistic multivariable uncertainty analyses were undertaken.For ischemic stroke, the overall average annual direct costs at 10 years (US dollars [USD] 5207) were comparable to those for survivors between 3 and 5 years (USD5438). However, the contribution of some costs varied (eg, medications contributed 13% at 5 years and 20% at 10 years). For intracerebral hemorrhage, annual direct costs were considerably (24%) greater at 10 years than estimated using 3 to 5 year data. Greater average lifetime costs per case were found using the updated models (ischemic stroke: previous model USD51806 and current USD68 769; intracerebral hemorrhage: previous model USD43 786 and current USD54 956 per case). Following sensitivity and multivariable uncertainty analyses, the findings were robust.Costs to 10 years after stroke have not previously been reported. Our findings demonstrate the importance of estimating resource use over longer periods for forecasting lifetime estimates.
Internal ID Number: 25342028
URI: http://ahro.austin.org.au/austinjspui/handle/1/12438
DOI: 10.1161/STROKEAHA.114.006200
URL: http://www.ncbi.nlm.nih.gov/pubmed/25342028
Type: Journal Article
Subjects: cerebral hemorrhage
cerebral infarction
cohort studies
costs and cost analysis
Aged
Cohort Studies
Cost of Illness
Female
Humans
Longitudinal Studies
Male
Stroke.diagnosis.economics.epidemiology
Time Factors
Victoria.epidemiology
Appears in Collections:Journal articles

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