Indirect costs in heart failure in Turkey: a delphi panel based analysis in relation to nyha classes
Yükleniyor...
Tarih
2022
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Elsevier
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Methods
Indirect cost of HF was determined based on epidemiological and loss of work productivity data provided by a Delphi panel consisted of 11 experts in HF. The results are weighted by the distribution of the patients due to NYHA classes and ejection fraction status. Estimates of lost productivity, involving data on loss of labor due to absenteeism –percentage worktime missed due to disease– plus presenteeism –decreased productivity due to disease while at work– was provided using a modified version Work Productivity and Activity Impairment Questionnaire: General Health (WPAI:GH). Indirect costs were calculated based on the average age-and-gender-adjusted wage statistics and lost productivity due to absenteeism and presenteeism. Local costs are collected in Turkish Lira (TL) and converted to Euro (€), based on €/TL currency rate of 9.0073 on 15th March 2021.
Results
The overall proportion of patients not currently working was 52%. Overall absenteeism, presenteeism and total work impairment was 15%, 38% and 45%, respectively. The proportion of patients not working, and overall absenteeism, presenteeism and total work impairment showed a steep increase with advancing NYHA classes. Per patient annual loss of labor, caused by nonworking HF patients, was calculated as €1,622. Further losses due to absenteeism and presenteeism were €463 and €1,247, respectively. Total lost productivity, which is €3,332 per patient, increased from €1,290 in NYHA-I class to €2,678, €5,232 and €6,155 in NYHA-II, NYHA-III and NYHA-IV classes, respectively.
Conclusions
Our findings confirm the substantial economic loss of labor force in HF patients. Advanced NYHA stage seems to be associated with likelihood of cost increments related to indirect expenses. Thus, implementation of measures to delay disease progression could prevent loss of productivity and decrease indirect costs in HF.
Açıklama
Anahtar Kelimeler
Kaynak
Value in Health
WoS Q Değeri
Q1
Scopus Q Değeri
Cilt
25
Sayı
1
Künye
Çavuşoğlu, Y., Altay, H., Aras, D., Çelik, A., Dinç, M., Aktaş, F., Kılıçaslan, B., Nalbantgil, S., Özdemir, O., Özsoy, A., Temizhan, A., Ural, D., Yıldırımtürk, O., & Yılmaz, M. (2022). Indirect costs in heart failure in Turkey: a delphi panel based analysis in relation to nyha classes. Value in Health, 25(1), S92-S92. https://doi.org/10.1016/j.jval.2021.11.437
