Inflammatory bowel diseases (Crohn's disease and ulcerative colitis) : cost of treatment in Serbia and the implications

Kostić, Marina and Djakovic, Ljiljan and Šujić, Raša and Godman, Brian and Janković, Slobodan M (2017) Inflammatory bowel diseases (Crohn's disease and ulcerative colitis) : cost of treatment in Serbia and the implications. Applied Health Economics and Health Policy, 15 (1). pp. 85-93. ISSN 1179-1896

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    Abstract

    BACKGROUND: Although the costs of treating inflammatory bowel disease (IBD) in developed countries are well established, they remain largely unknown in countries with recent histories of socio-economic transition including Serbia. OBJECTIVE: To estimate the costs of treatment including the resources used by patients with IBD in Serbia from a societal perspective. This includes both Crohn's disease and ulcerative colitis. METHODS: This cost-of-illness study was conducted to identify direct, indirect and out-of-pocket costs of treating patients with IBD in Serbia. Patients with IBD (n = 112) completed a semi-structured questionnaire with data concerning their utilisation of heath-care resources and illness-related expenditures. All costs were calculated in Republic of Serbia dinars (RSD) at a 1-year level (2014) and subsequently converted to Euros. Median values and ranges were reported to avoid potential distortions associated with mean costs. RESULTS: Median total direct costs and total indirect costs per patient per year in patients with Crohn's disease were 192,614.32RSD (€1602.97) and 28,014.00RSD (€233.13) and 142,267.15RSD (€1183.97) and 21,436.00RSD (€178.39), respectively, in patients with ulcerative colitis. In both groups, the greatest component of direct costs was hospitalisation. CONCLUSIONS: Costs of IBD in Serbia are lower than in more developed countries for two reasons. These include the fact that expensive biological therapy is currently under-utilised in Serbia and prices of health services are largely controlled by the State at a low level. The under-utilisation of biologicals may change with the advent of biosimilars at increasingly lower prices.

    • Item type:Article
      ID code:59597
      Dates:
      Date
      Event
      28 February 2017
      Published
      1 September 2016
      Published Online
      12 August 2016
      Accepted
      Keywords:cost of illness, chronic diseases, Servia, IBD, inflammatory bowel disease, Pharmacy and materia medica, Pharmacology, Toxicology and Pharmaceutics(all)
      Subjects:Medicine > Pharmacy and materia medica
      Department:Faculty of Science > Strathclyde Institute of Pharmacy and Biomedical Sciences
      Depositing user: Pure Administrator
      Date deposited:25 Jan 2017 12:56
      Last modified:23 Sep 2021 06:01
      URI:https://strathprints.strath.ac.uk/id/eprint/59597
    CORE (COnnecting REpositories)