Pre-hospitalization, hospitalization, and post-hospitalization costs of patients with neurocysticercosis treated at the Instituto Nacional de Neurologia y Neurocirugia (INNN) in Mexico City, Mexico

Abstract

The objective of this study was to estimate the direct costs associated with the diagnosis and treatment of neurocysticercosis (NCC) during pre-hospitalization, hospitalization, and post-hospitalization periods for 108 NCC patients treated at the Instituto Nacional de Neurologia y Neurocirugia (INNN) in Mexico City, Mexico. Information on clinical manifestations, diagnostic tests, hospitalizations, surgical procedures, prescription medication, and other treatments was collected via medical chart reviews. Uncertain values for costs and frequency of treatments were imputed using bootstrap techniques. The average per-patient pre-hospitalization and hospitalization costs were US$ 257 (95% CI: 185 – 329) and US$ 2,576 (95% CI: 2,244 – 2,908), respectively. Post-hospitalization costs tended to decrease over time, with estimates for the first five years post-hospitalization of US$ 475 (95% CI: 423 – 527), US$ 228 (95% CI: 167 – 288), US$ 157 (95% CI: 111 – 202), US$ 150 (95% CI: 106 – 204), and US$ 91 (95% CI: 27 – 154), respectively. NCC results in a significant economic burden for patients requiring hospitalization, with this burden continuing years post-hospitalization.

Neurocisticercosis racémica, una rara forma de presentación. Reporte de caso

“…Es causada por el consumo de huevos de Taenia solium, por ruta fecaloral desde el cerdo portador del parásito hacia el humano, que es el portador definitivo 8 . El número exacto de casos de neurocisticercosis en México es desconocido, sin embargo se estima que para el 2015 cerca de medio millón de personas sufrían epilepsia y cefalea severa crónica secundaria a neurocisticercosis, con una carga monetaria asociada con la morbilidad de aproximadamente US$ 215,775,056 y con costos por día de hospitalización que oscilan entre US$ 2,576 y US$ 3,487 9,10 . Se estima que entre 2009 y 2013 se presentaron 3,626 casos de cisticercosis en Colombia, de los cuales el 57% correspondieron a neurocisticercosis 11 .…”

Diferenças existentes entre cisticercose e teníase. Quais os danos dessas duas doenças nas crianças?

“…A NCC normalmente se manifesta de duas formas, aguda ou crônica. Essa doença vai prejudicar a qualidade de vida do paciente e o ambiente social e por esses motivos exerce um papel socioeconômico importante, pois grande parte dos pacientes encontram-se em idade produtiva e em muitos casos são incapazes de trabalhar (BHATTARAI et al, 2018;HOBSS et al, 2018).…”