Cost of illness of atopic asthma and seasonal allergic rhinitis in Germany: 1‐yr retrospective study

Schramm, Birgit; Ehlken, B; Smala, Antje; Quednau, K; Berger, Karin; Nowak, D

doi:10.1183/09031936.03.00019502

Cited by 128 publications

(110 citation statements)

References 19 publications

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“…The cost of illness of atopic asthma and seasonal allergic rhinitis were studied in Germany (1133). Overall, annual costs per patient increased with the severity of atopic asthma and if associated with allergic rhinitis.…”

Section: The Costs Of Illness For Rhinitis and Its Co-morbiditiesmentioning

confidence: 99%

Allergic Rhinitis and its Impact on Asthma (ARIA) 2008*

Bousquet¹,

Khaltaev²,

Cruz³

et al. 2008

Allergy

3,818

1,761

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Section: The Costs Of Illness For Rhinitis and Its Co-morbiditiesmentioning

confidence: 99%

Allergic Rhinitis and its Impact on Asthma (ARIA) 2008*

Bousquet¹,

Khaltaev²,

Cruz³

et al. 2008

Allergy

3,818

1,761

View full text Add to dashboard Cite

“…[1][2][3][4][5][6][7] To ensure that appropriate management for all children with asthma remains available, existing healthcare resources must be used efficiently. International guidelines advocate comprehensive patient education and regular follow-up in addition to maintenance treatment with inhaled corticosteroids, to achieve successful asthma management [8,9].…”

Section: Introductionmentioning

confidence: 99%

Impact of nurse-led outpatient management of children with asthma on healthcare resource utilisation and costs

Kamps¹,

Roorda²,

Kimpen³

et al. 2004

Eur Respir J

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The high burden of asthma on healthcare utilisation and costs warrants economic appraisal of management approaches. The authors previously demonstrated that the efficacy of nurse-led outpatient management of childhood asthma was comparable to management by a paediatrician and now report on the healthcare utilisation and costs of both management approaches.A total of 74 newly referred children with asthma were randomly assigned to a 1-yr follow-up by paediatricians or asthma nurse. Healthcare utilisation was recorded and associated costs calculated for both management approaches.There were no significant differences in healthcare utilisation except for the total time spent on patient contact (136(n=14) versus 187(n=41) min, for patients followed-up by paediatrician and an asthma nurse repectively). Costs within the healthcare sector were reduced by 7.2% in favour of nurse-led care. The reduction in costs was solely attributable to a 17.5% reduction in the costs of outpatient visits. Nurse-led care appeared to be cost-saving even if the duration of follow-up visits would be twice that of doctor9s visits. Overall healthcare costs (within and outside the healthcare sector) were 4.1% lower for nurse-led outpatient management compared to traditional medical care.Nurse-led outpatient management of childhood asthma can be provided at a lower cost than medical care by paediatricians.

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“…Auch die volkswirtschaftlichen Folgen sind beträchtlich. Beispielsweise lagen im Jahr 1999 die Kosten für die Behandlung eines Asthmapatienten im Kindes-beziehungsweise Jugendalter je nach Schweregrad zwischen 2200 und 7900 Euro pro Jahr [8].…”

Section: Hintergrundunclassified