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Disease burden of spinal muscular atrophy in Germany

Title data

Klug, Constanze ; Schreiber-Katz, Olivia ; Thiele, Simone ; Schorling, Elisabeth ; Zowe, Janet ; Reilich, Peter ; Walter, Maggie C. ; Nagels, Klaus:
Disease burden of spinal muscular atrophy in Germany.
In: Orphanet Journal of Rare Diseases. Vol. 11 (2016) Issue 1 . - p. 58.
ISSN 1750-1172
DOI: https://doi.org/10.1186/s13023-016-0424-0

Abstract in another language

BACKGROUND:
This study aimed at analyzing the economic burden and disease-specific health-related quality of life (HRQOL) of patients with spinal muscular atrophy (SMA) in Germany. SMA is a so far non-curable neuromuscular disease of the anterior nerve cells that causes high rates of morbidity and mortality.
METHODS:
In a cross-sectional study we analyzed the cost of illness (COI) and factors that influence the direct, indirect and informal care costs of affected patients and their families by using standardized, self-developed questionnaires. We used the PedsQL™(©) Measurement Model to analyze the disease-specific HRQOL of patients.
RESULTS:
One hundred eighty nine patients with SMA types I to III aged <1 to 73 years were enrolled. The average annual COI was estimated at €70,566 per patient in 2013. The highest cost resulted in SMA I with significant lower costs for the milder phenotypes. Inversely, the self-estimated HRQOL increased from SMA I to SMA III. Major cost drivers were informal care cost and indirect cost incurred by patients and their caregivers.
CONCLUSIONS:
Although SMA requires high standards of care, there has been a distinct lack of health services research on SMA. Accordingly, our results significantly contribute to a more comprehensive insight into the current burden of SMA and quality of life status as related to SMA health services in Germany. In the light of innovative therapeutic interventions, our results suggest a notable potential for a reduction in overall COI and improvement of HRQOL if the therapeutic intervention leads to a less severe course of the disease.

Further data

Item Type: Article in a journal
Refereed: Yes
Keywords: Cost of illness (COI); Direct cost; Health care burden; Health services research; Health-related quality of life (HRQOL); Indirect cost; Informal care cost; Neuromuscular disease; Spinal muscular atrophy (SMA)
Institutions of the University: Faculties > Faculty of Law, Business and Economics > Lehrstuhl Medizinmanagement und Versorgungsforschung > Lehrstuhl Medizinmanagement und Versorgungsforschung - Univ.-Prof. Dr. Klaus Nagels
Faculties
Faculties > Faculty of Law, Business and Economics
Faculties > Faculty of Law, Business and Economics > Lehrstuhl Medizinmanagement und Versorgungsforschung
Result of work at the UBT: Yes
DDC Subjects: 300 Social sciences > 300 Social sciences, sociology and anthropology
300 Social sciences > 330 Economics
600 Technology, medicine, applied sciences > 610 Medicine and health
Date Deposited: 08 Sep 2017 08:11
Last Modified: 25 Sep 2017 14:59
URI: https://eref.uni-bayreuth.de/id/eprint/39406