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Long-term cardiovascular outcome, use of resources, and healthcare costs in patients with peripheral artery disease: results from a nationwide Swedish study
AstraZeneca Nord Balt, Dept Med, S-15185 Sodertalje, Sweden.;Univ Oslo, Fac Med, POB 1078, N-0316 Oslo, Norway..
Sahlgrens Univ Hosp, Dept Vasc Surg, Bla Straket 5, S-41345 Gothenburg, Sweden.;Gothenburg Univ, Sahlgrenska Acad, Dept Mol & Clin Med, Inst Med, Bla Straket 5B Wallenberglab SU, S-40530 Gothenburg, Sweden..
Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för kirurgiska vetenskaper, Kärlkirurgi.
AstraZeneca Nord Balt, Dept Med, S-15185 Sodertalje, Sweden..
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2018 (Engelska)Ingår i: European Heart Journal - Quality of Care and Clinical Outcomes, ISSN 2058-5225, E-ISSN 2058-1742, Vol. 4, nr 1, s. 10-17Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Aims: Data on long-term healthcare costs of patients with peripheral artery disease (PAD) is limited, and the aim of this study was to investigate healthcare costs for PAD patients at a nationwide level.

Methods and results: A cohort study including all incident patients diagnosed with PAD in the Swedish National Patient Register between 2006-2014, and linked to cause of death-and prescribed drug registers. Mean per-patient annual healthcare costs (2015 Euros (sic)) (hospitalisations and out-patient visits) were divided into cardiovascular (CV), lower limb and non-CV related cost. Results were stratified by high and low CV risk. The study included 66,189 patients, with 221,953 observation-years. Mean total healthcare costs were (sic)6,577, of which 26% was CV-related ((sic)1,710), during the year prior to the PAD diagnosis. First year after PAD diagnosis, healthcare costs were (sic)12,549, of which (sic)3,824 (30%) was CV-related and (sic)3,201 (26%) lower limb related. Highrisk CV patients had a higher annual total healthcare and CV related costs compared to low risk CV patients during follow-up ((sic)7,439 and (sic)1,442 versus (sic)4,063 and (sic)838). Annual lower limb procedure costs were (sic)728 in the PAD population, with lower limb revascularisations as key cost driver ((sic)474).

Conclusion: Non-CV related hospitalizations and outpatient visits were the largest cost contributors for PAD patients. There is a substantial increase in healthcare costs in the first year after being diagnosed with PAD, driven by PAD follow-up and lower limb related procedures. Among the CV-related costs, hospitalisations and outpatient visits related to PAD represented the largest costs.

Ort, förlag, år, upplaga, sidor
OXFORD UNIV PRESS , 2018. Vol. 4, nr 1, s. 10-17
Nyckelord [en]
Nationwide register data, peripheral artery disease, healthcare resource use, healthcare costs
Nationell ämneskategori
Medicin och hälsovetenskap
Identifikatorer
URN: urn:nbn:se:uu:diva-343391DOI: 10.1093/ehjqcco/qcx028ISI: 000422967400005PubMedID: 28950310OAI: oai:DiVA.org:uu-343391DiVA, id: diva2:1186347
Forskningsfinansiär
AstraZenecaTillgänglig från: 2018-02-28 Skapad: 2018-02-28 Senast uppdaterad: 2018-02-28Bibliografiskt granskad

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