Health care costs in persons with asthma and comorbid mental disorders

Hutter, Nico; Knecht, Annika; Baumeister, Harald

doi:10.1016/j.genhosppsych.2011.06.013

Cited by 46 publications

(43 citation statements)

References 37 publications

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“…In line with the above outlined, a multi-factor analysis performed by Laforest et al (2005) revealed that main predictors of the lower HRQoL scores among asthma patients are asthma attacks and the frequency of medical contacts during the last 12 months. The increase in medical services among asthma patients with lower QoL levels and worse control of the disease has also been observed in other studies (Hutter et al 2011;Maio et al 2012).…”

Section: Discussionsupporting

confidence: 74%

The Influence of Asthma Exacerbations on Health-Related Quality of Life

Mroczek

Kurpas

Urban³

et al. 2015

Advances in Experimental Medicine and Biology

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The purpose of this study was to determine the influence of asthma on the quality of life (QoL) of patients hospitalized for an exacerbation of the disease and those with controlled asthma receiving outpatient treatment, and to establish the patients' somatic status and the level of health care utilization. This study involved 239 adults with asthma (123 hospitalized patients and 116 outpatients of family physicians). The authors used: WHOQOL-BREF questionnaire and a questionnaire measuring health care utilization. There were no differences in QoL levels between the patients with severe and controlled asthma. The psychological domain was assessed higher by hospitalized patients (p = 0.02). QoL levels correlated negatively with age, place of residence, and marital status, and positively with education. The general QoL level was most strongly influenced by gender, age, education, the number of home visits and interventions of a district nurse, and the somatic index (p < 0.05). Somatic symptoms were more severe in hospitalized patients. The QoL assessment of asthma patients in relation to somatic symptoms, health care services and socio-demographic variables allows better understanding of the complex health situation of patients at various stages of the disease, and tailoring the therapy to individual needs. Patients receiving outpatient treatment require professional psychotherapeutic support.

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Section: Discussionsupporting

confidence: 74%

The Influence of Asthma Exacerbations on Health-Related Quality of Life

Mroczek

Kurpas

Urban³

et al. 2015

Advances in Experimental Medicine and Biology

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“…Similarly to other diseases [14,15], depression in CAD patients is associated with significant long-term costs caused by diminished return to work, thus generating a profound economic burden for the health care system. Yet, the database is too small and ambiguous to draw conclusions regarding the impact of other mental disorders on indirect cost domains.…”

Section: Resultsmentioning

confidence: 99%

“…Data collection for this systematic review was part of a larger systematic review on the quality of life and health care costs in somatically ill patients with comorbid mental disorders [7,14,15]. Health care costs were subdivided into direct and indirect costs.…”

Section: Methodsmentioning

confidence: 99%

Indirect costs in patients with coronary artery disease and mental disorders: A systematic review and meta-analysis

Haschke

Hutter

Baumeister

2012

International Journal of Occupational Medicine and Environmental Health

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The aim of the present study was to systematically review the association of comorbid mental disorders with indirect health care costs in patients with coronary artery disease (CAD). A comprehensive database search was conducted for studies investigating persons with CAD and comorbid mental disorders (Medline, EMBASE, PsycINFO, Psyndex, EconLit, IBSS). All studies were included, which allowed for a comparison of indirect health care costs between CAD patients with comorbid mental disorders and CAD patients without mental disorders. The literature search revealed 4962 potentially relevant studies, out of which 13 primary studies met the inclusion criteria. Depression was investigated most often (N = 10), followed by anxiety disorders (N = 3) and any mental disorder not further specified (N = 3). All studies focused on return to work as indirect cost outcome. CAD patients with depression showed diminished odds for return to work, compared to CAD patients without depression (OR = 0.37; 95% CI: 0.27-0.51). The findings for comorbid anxiety and any mental disorder were inconsistent. Indirect health care costs were exclusively assessed by a patient self-report (N = 13). There is strong evidence for diminished odds of return to work in CAD patients with comorbid depression, highlighting the need for integrated CAD and depression care. With regard to other comorbid mental disorders, however, the evidence is sparse and inconclusive.

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“…Indirect costs such as work absenteeism represents a majority of overall costs associated with CBP [1,2]. Systematic reviews on costs in patients with other medical diseases than CBP reported substantially increased direct and indirect costs in medically ill patients with comorbid mental disorders [4][5][6].…”

Section: Introductionmentioning

confidence: 99%