Determining the cost of genital warts: a study from Ireland

Dee, Anne; Howell, Fenton; O’Connor, Catherine A.; Cremin, Suzanne M; Hunter, Kate

doi:10.1136/sti.2008.033837

Cited by 14 publications

(11 citation statements)

References 9 publications

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“…For example, in the UK, Brown et al 29 reported a cost of £170 (2003 prices), but the authors used clinician reports to determine treatment methods rather than clinical data. Dee et al 32 have reported a cost of £287 (2007 prices, Ireland), but this was based on a different costing approach, whereby overall clinic costs were divided by the proportion of clinic time required for warts. Langley et al 33 reported a cost of £117 for men and £104 for women, based on a case note review carried out in 2000.…”

Section: Discussionmentioning

confidence: 99%

“…Langley et al 33 reported a cost of £117 for men and £104 for women, based on a case note review carried out in 2000. Costs per episode of £120 (2006 prices, Canada),34 £158 for men and £243 for women (2009 prices, Australia),35 £276 (2002 prices, USA),36 £293 (2005 prices, France)37 and £287 (2007 prices, Ireland)32 have been reported (exchange rates as at February 2011). Direct comparison between these estimates should, however, be undertaken with care.…”

Section: Discussionmentioning

confidence: 99%

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The impact of genital warts: loss of quality of life and cost of treatment in eight sexual health clinics in the UK

Woodhall

Jit²,

Soldan³

et al. 2011

Sex Transm Infect

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ObjectivesTo estimate the loss of quality of life and cost of treatment associated with genital warts seen in sexual health clinics.MethodsA cross-sectional questionnaire study and case note review of individuals with genital warts, carried out in eight sexual health clinics in England and Northern Ireland. Individuals with genital warts attending the participating clinics were invited to take part in the questionnaire study. 895 participants were recruited. A separate sample of 370 participants who had attended a participating clinic with a first visit for a first or recurrent episode of genital warts between April and June 2007 was included in the case note review. Quality of life was measured using the EQ-5D questionnaire and the cost of an episode of care was derived from the case note review.ResultsThe weighted mean EQ-5D index score was 0.87 (95% CI 0.85 to 0.89). The weighted mean disutility was 0.056 (95% CI 0.038 to 0.074). The estimated mean loss of quality-adjusted life-years associated with an episode of genital warts was 0.018 (95% CI 0.0079 to 0.031), equivalent to 6.6 days of healthy life lost per episode. The weighted mean cost per episode of care was £94 (95% CI £84 to £104), not including the cost of a sexually transmitted infection screen.ConclusionsGenital warts have a substantial impact on the health service and the individual. This information can be utilised for economic evaluation of human papillomavirus vaccination.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The impact of genital warts: loss of quality of life and cost of treatment in eight sexual health clinics in the UK

Woodhall

Jit²,

Soldan³

et al. 2011

Sex Transm Infect

View full text Add to dashboard Cite

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“…9–11 14 15 Compounding this further, the data reported by the HPSC is not up to date. STI figures from 2009 were not published until 2011 2.…”

Section: Introductionmentioning

confidence: 99%

Sexually transmitted infection incidence among adolescents in Ireland

Davoren

Hayes

Horgan

et al. 2014

J Fam Plann Reprod Health Care

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ObjectiveThe burden of sexually transmitted infections (STIs) rests with young people, yet in Ireland there has been very little research into this population. The purpose of this study was to determine the incidence rate and establish risk factors that predict STI occurrence among adolescents in Ireland.DesignRoutine diagnostic, demographic and behavioural data from first-time visits to three screening centres in the southwest of Ireland were obtained. Univariate and multivariable logistic regression models were used to assess risk factors that predict STI occurrence among adolescents.ResultsA total of 2784 first-time patients, aged 13–19 years, received 3475 diagnoses between January 1999 and September 2009; 1168 (42%) of adolescents had notifiable STIs. The incidence rate of STIs is 225/100 000 person-years. Univariate analysis identified eligible risk factors (p<0.2) for inclusion in the multivariable model. Multivariable logistic regression showed the dominant risk factors for STI diagnosis to be: males who sometimes [odds ratio (OR) 2.02] or never (OR 1.83) use condoms; and females 18–19 years (OR 2.26) and 16–18 years (OR 1.8), with 2 (OR 1.33) or 3+ (OR 1.56) partners in the last 12 months, who are non-intravenous drug users (OR 0.72), are most likely to receive a positive STI diagnosis.ConclusionsSTI diagnosis has become increasingly common in Ireland. The proportion of notifications among those aged under 20 years is increasing. These data illustrate the significance of age, condom use and number of sexual partners as risk factors for STI diagnosis. Furthermore, providing data for the first time, we report on the high incidence rate of STIs among adolescents in Ireland. The high levels of risk-taking behaviour and STI acquisition are highlighted and suggest that there is a need for an integrated public health approach to combat this phenomenon in the adolescent population.

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“…In the Ireland cost-effectiveness study, they did not try to determine the benefit of the quadrivalent vaccine, which may have been because the cost of genital warts was not known. Dee et al (see page ) try to define the cost of genital warts treatment in Irish genitourinary medicine clinics (GUM) 8. Among five Irish GUM clinics, one-quarter of all visits and time were genital-wart-related at a cost of €355 per incident episode.…”

mentioning

confidence: 99%