Cost-effectiveness and Quality of Specialized and Routine Care in a German Cohort of Patients with Chronic Pruritus
Cost-effectiveness and Quality of Specialized and Routine Care in a German Cohort of Patients with Chronic Pruritus
dc.contributor.author | Müller, Svenja | |
dc.contributor.author | Ständer, Sonja | |
dc.contributor.author | Naatz, Mandy | |
dc.contributor.author | Augustin, Matthias | |
dc.contributor.author | Steinke, Sabine | |
dc.date.accessioned | 2023-08-23T12:10:24Z | |
dc.date.available | 2023-08-23T12:10:24Z | |
dc.date.issued | 21.04.2023 | |
dc.identifier.uri | https://hdl.handle.net/20.500.11811/11002 | |
dc.description.abstract | Chronic pruritus is a prevalent interdisciplinary symptom with a strong influence on health-related quality of life. Patients need extensive diagnostics and long-term treatment. This retrospective and prospective cohort study compared routine and university-based specialized care in terms of cost-effectiveness and patient benefit. Direct medical and non-medical costs and patient-reported outcomes (PRO; pruritus intensity, quality of life, treatment needs and benefits) were assessed. Data analyses were conducted using descriptive methods and non-parametric statistical tests. A total of 300 adult patients (54.3% female) participated in the study. Six months after the treatment start in a specialized German pruritus care unit, the total costs were significantly reduced (mean total costs 686 € vs 433 € per patient per half year (total cohort); p < 0.001; mean out-of-pocket costs 198 € vs 124 € per half year (total cohort), p < 0.001). Pruritus intensity (numerical rating scale 5.3 vs 3.7, p < 0.001), quality of life (Dermatology Life Quality Index 8.9 vs 5.7, p < 0.001) and patient benefit (Patient Benefit Index Pruritus 1.2 vs 2.1, p < 0.001) improved significantly (total cohort). The results of this study show, that treatment of chronic pruritus patients in a specialized itch centre leads to an improvement in patient benefit and reduces the economic burden at the same time. | de |
dc.format.extent | 7 | |
dc.language.iso | eng | |
dc.rights | Namensnennung-Nicht kommerziell 4.0 International | |
dc.rights.uri | http://creativecommons.org/licenses/by-nc/4.0/ | |
dc.subject | cost-benefit analysis | |
dc.subject | cost of illness | |
dc.subject | patient-reported outcome measures | |
dc.subject | pruritus | |
dc.subject | quality of healthcare | |
dc.subject.ddc | 610 Medizin, Gesundheit | |
dc.title | Cost-effectiveness and Quality of Specialized and Routine Care in a German Cohort of Patients with Chronic Pruritus | |
dc.type | Wissenschaftlicher Artikel | |
dc.publisher.name | Medical Journals Sweden | |
dc.rights.accessRights | openAccess | |
dcterms.bibliographicCitation.volume | vol. 103 | |
dcterms.bibliographicCitation.issue | nr. adv4868 | |
dcterms.bibliographicCitation.pagestart | 1 | |
dcterms.bibliographicCitation.pageend | 7 | |
dc.relation.doi | https://doi.org/10.2340/actadv.v103.4868 | |
dcterms.bibliographicCitation.journaltitle | Acta Derm Venereol | |
ulbbn.pubtype | Zweitveröffentlichung | |
dc.version | publishedVersion | |
ulbbn.sponsorship.oaUnifund | OA-Förderung Universität Bonn |
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