Costs of informal nursing care for patients with neurologic disorders: A systematic review
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Costs of informal nursing care for patients with neurologic disorders: A systematic review. / Diederich, Freya; König, Hans-Helmut; Mietzner, Claudia; Brettschneider, Christian.
in: NEUROLOGY, Jahrgang 90, Nr. 1, 02.01.2018, S. 28-34.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Review › Forschung
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TY - JOUR
T1 - Costs of informal nursing care for patients with neurologic disorders: A systematic review
AU - Diederich, Freya
AU - König, Hans-Helmut
AU - Mietzner, Claudia
AU - Brettschneider, Christian
N1 - Copyright © 2017 American Academy of Neurology.
PY - 2018/1/2
Y1 - 2018/1/2
N2 - OBJECTIVE: To systematically review the economic burden of informal nursing care (INC), often called informal care, caused by multiple sclerosis (MS), Parkinson disease (PD), and epilepsy, with special attention to disease severity.METHODS: We systematically searched MEDLINE, PsycINFO, and NHS Economic Evaluation Database for articles on the cost of illness of the diseases specified. Title, abstract, and full-text review were conducted in duplicate by 2 researchers. The distribution of hours and costs of INC were extracted and used to compare the relevance of INC across included diseases and disease severity.RESULTS: Seventy-one studies were included (44 on MS, 17 on PD, and 10 on epilepsy). Studies on epilepsy reported an average of 2.3-54.5 monthly hours of INC per patient. For PD, average values of 42.9-145.9 hours and for MS average values of 9.2-249 hours per patient per month were found. In line with utilized hours, costs of INC were lowest for epilepsy (interquartile range [IQR] 229-1,466 purchasing power parity US dollars [PPP-USD]) and similar for MS (IQR 4,454-11,222 PPP-USD) and PD (IQR 1,440-7,117 PPP-USD). In addition, costs of INC increased with disease severity and accounted for 38% of total health care costs in severe MS stages on average.CONCLUSIONS: The course of diseases and disease severity matter for the amount of INC used by patients. For each of the neurologic disorders, an increase in the costs of INC, due to increasing disease severity, considerably contributes to the rise in total health care costs.
AB - OBJECTIVE: To systematically review the economic burden of informal nursing care (INC), often called informal care, caused by multiple sclerosis (MS), Parkinson disease (PD), and epilepsy, with special attention to disease severity.METHODS: We systematically searched MEDLINE, PsycINFO, and NHS Economic Evaluation Database for articles on the cost of illness of the diseases specified. Title, abstract, and full-text review were conducted in duplicate by 2 researchers. The distribution of hours and costs of INC were extracted and used to compare the relevance of INC across included diseases and disease severity.RESULTS: Seventy-one studies were included (44 on MS, 17 on PD, and 10 on epilepsy). Studies on epilepsy reported an average of 2.3-54.5 monthly hours of INC per patient. For PD, average values of 42.9-145.9 hours and for MS average values of 9.2-249 hours per patient per month were found. In line with utilized hours, costs of INC were lowest for epilepsy (interquartile range [IQR] 229-1,466 purchasing power parity US dollars [PPP-USD]) and similar for MS (IQR 4,454-11,222 PPP-USD) and PD (IQR 1,440-7,117 PPP-USD). In addition, costs of INC increased with disease severity and accounted for 38% of total health care costs in severe MS stages on average.CONCLUSIONS: The course of diseases and disease severity matter for the amount of INC used by patients. For each of the neurologic disorders, an increase in the costs of INC, due to increasing disease severity, considerably contributes to the rise in total health care costs.
KW - Journal Article
KW - Review
KW - Home Nursing/economics
KW - Nervous System Diseases/economics
KW - Humans
KW - Cost of Illness
U2 - 10.1212/WNL.0000000000004763
DO - 10.1212/WNL.0000000000004763
M3 - SCORING: Review article
C2 - 29196573
VL - 90
SP - 28
EP - 34
JO - NEUROLOGY
JF - NEUROLOGY
SN - 0028-3878
IS - 1
ER -