Scientific article 2019
P3812 The economic burden of heart failure in Denmark from 1998 to 2016
Authors:
- Johan Bundgaard
- U.M. Mogensen
- Steffan Christensen
- Uffe Ploug
- Rasmus Rørth
- Rikke Ibsen
- Jakob Kjellberg
- Lars Koeber
Background: Heart failure (HF) imposes a large burden on the individual as well as society and the aim of this study was to investigate the economic burden attributed to direct and indirect costs of patients with HF before, at, and after time of diagnosis.Methods: Using Danish nationwide registries we identified all patients >18 years with a first-time diagnosis of HF from 1998–2016 and matched them 1:1 with a control group from the background population on age, gender, marital status, and educational level. The economic analysis of the total costs after diagnosis was based on direct costs including hospitalization, procedures, medication, and indirect costs including social welfare and lost productivity to estimate the annual cost of HF.Results: We included a total of 176,067 HF patients with a median age of 76 years, and 55% were male. Patients with HF incurred an average of €17,039 in sum of total annual direct (€11,926) and indirect (€5,113) health-care costs peaking at year of diagnosis compared to €5,936 in the control group with the majorityattributable to inpatient admissions. The total annual net costs including social transfer after index HF were €11,957 higher in patients with HF compared to controls and the economic consequences increased markedly 2 years prior to the diagnosis of HF (Figure 1). Conclusion: Patients with HF impose significantly higher total annual health-care costs compared to a matched control group with findings evident more than 2 years prior to HF diagnosis.
Authors
- Johan BundgaardU.M. MogensenSteffan ChristensenUffe PlougRasmus RørthRikke IbsenJakob KjellbergLars Koeber
About this publication
Published in
European Heart Journal