Cost-of-disease in heart failure in Turkey: a delphi panel based analysis of direct costs

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dc.authorwosidFRR-6566-2022en_US
dc.contributor.authorÇavuşoğlu, Yüksel
dc.contributor.authorAltay, Hakan
dc.contributor.authorAras, Dursun
dc.contributor.authorÇelik, Ahmet
dc.contributor.authorDinç, Melda
dc.contributor.authorKılıçaslan, Barış
dc.contributor.authorNalbantgil, Sanem
dc.contributor.authorÖzdemir, Oktay
dc.contributor.authorÖzsoy, Ayşegül
dc.contributor.authorTemizhan, Ahmet
dc.contributor.authorUral, Dilek
dc.contributor.authorYıldırımtürk, Özlem
dc.contributor.authorYılmaz, Mehmet Birhan
dc.date.accessioned2022-01-28T10:36:19Z
dc.date.available2022-01-28T10:36:19Z
dc.date.issued2022en_US
dc.departmentFakülteler, Tıp Fakültesi, Temel Tıp Bilimleri Bölümü, Tıp Eğitimi Ana Bilim Dalıen_US
dc.description.abstractObjectives: To determine the indirect cost of heart failure (HF) in Turkey from loss of labor force perspective. 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 (V), based on V/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 V1,622. Further losses due to absenteeism and presenteeism were V463 and V1,247, respectively. Total lost productivity, which is V3,332 per patient, increased from V1,290 in NYHA-I class to V2,678, V5,232 and V6,155 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.en_US
dc.identifier.citationÇavuşoğlu, 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). Cost-of-disease in heart failure in Turkey: a delphi panel based analysis of direct costs. Value in Health, 25(1), S119-S119. https://doi.org/10.1016/j.jval.2021.11.566en_US
dc.identifier.doi10.1016/j.jval.2021.11.566en_US
dc.identifier.endpageS119en_US
dc.identifier.issue1en_US
dc.identifier.startpageS119en_US
dc.identifier.urihttps://doi.org/10.1016/j.jval.2021.11.566
dc.identifier.urihttps://hdl.handle.net/20.500.13055/149
dc.identifier.volume25en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.institutionauthorÖzdemir, Oktay
dc.language.isoenen_US
dc.publisherElsevieren_US
dc.relation.ispartofValue in Healthen_US
dc.relation.publicationcategoryKonferans Öğesi - Uluslararası - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.titleCost-of-disease in heart failure in Turkey: a delphi panel based analysis of direct costsen_US
dc.typeConference Objecten_US
dspace.entity.typePublication

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