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Medical costs for Korean patients with rheumatoid arthritis based on the national claims database

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Abstract

The purposes of this study are to investigate medical resource utilization and medical costs of Korean rheumatoid arthritis (RA) patients and to analyze predictors in relation to medical costs. National claims data on medical treatment were analyzed for the 151,472 RA patients in 2009. For outpatients, the mean annual number of visits was 32.5, and the mean annual total outpatient care costs were 2.0 million KRW (US$1,594) per patient. On the other hand, the mean annual length of stay of inpatients was 22.2 days, and the mean annual total inpatient care costs were 3.8 million KRW (US$3,013). Average annual total medical costs per patient for all of the RA patients were 2.9 million KRW (US$2,310). Total medical costs consisted of 26.1% outpatients’ costs, 25.4% inpatient, and 48.6% medication costs, making medication costs a predominant cost driver. In the multiple regression analysis, biologic use was an important cost factor in relation to the annual total medical costs. This study provides information on the cost of illness of RA with the population-based representative RA patients in Korea, which had not been reported until now.

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References

  1. Cooper NJ (2000) Economic burden of rheumatoid arthritis: a systematic review. Rheumatol (Oxford) 39(1):28–33

    Article  CAS  Google Scholar 

  2. Kvien TK (2004) Epidemiology and burden of illness of rheumatoid arthritis. Pharmacoeconomics 22(2 Suppl 1):1–12

    PubMed  Google Scholar 

  3. Lundkvist J, Kastang F, Kobelt G (2008) The burden of rheumatoid arthritis and access to treatment: health burden and costs. Eur J Health Econ 8(Suppl 2):S49–S60

    Article  PubMed  Google Scholar 

  4. Lajas C, Abasolo L, Bellajdel B, Hernandez-Garcia C, Carmona L, Vargas E, Lazaro P, Jover JA (2003) Costs and predictors of costs in rheumatoid arthritis: a prevalence-based study. Arthritis Rheum 49(1):64–70

    Article  PubMed  Google Scholar 

  5. Michaud K, Messer J, Choi HK, Wolfe F (2003) Direct medical costs and their predictors in patients with rheumatoid arthritis: a three-year study of 7,527 patients. Arthritis Rheum 48(10):2750–2762

    Article  PubMed  Google Scholar 

  6. Ruof J, Hulsemann JL, Mittendorf T, Handelmann S, von der Schulenburg JM, Zeidler H, Merkesdal S (2003) Costs of rheumatoid arthritis in Germany: a micro-costing approach based on healthcare payer’s data sources. Ann Rheum Dis 62(6):544–549

    Article  PubMed  CAS  Google Scholar 

  7. Guillemin F, Durieux S, Daures JP, Lafuma A, Saraux A, Sibilia J, Bourgeois P, Sany J (2004) Costs of rheumatoid arthritis in France: a multicenter study of 1109 patients managed by hospital-based rheumatologists. J Rheumatol 31(7):1297–1304

    PubMed  Google Scholar 

  8. Verstappen SM, Verkleij H, Bijlsma JW, Buskens E, Kruize AA, Heurkens AH, Van Der Veen MJ, Jacobs JW (2004) Determinants of direct costs in Dutch rheumatoid arthritis patients. Ann Rheum Dis 63(7):817–824

    Article  PubMed  CAS  Google Scholar 

  9. Huscher D, Merkesdal S, Thiele K, Zeidler H, Schneider M, Zink A (2006) Cost of illness in rheumatoid arthritis, ankylosing spondylitis, psoriatic arthritis and systemic lupus erythematosus in Germany. Ann Rheum Dis 65(9):1175–1183

    Article  PubMed  CAS  Google Scholar 

  10. Jacobsson LT, Lindroth Y, Marsal L, Juran E, Bergstrom U, Kobelt G (2007) Rheumatoid arthritis: what does it cost and what factors are driving those costs? Results of a survey in a community-derived population in Malmo, Sweden. Scand J Rheumatol 36(3):179–183

    Article  PubMed  CAS  Google Scholar 

  11. Kobelt G, Woronoff AS, Richard B, Peeters P, Sany J (2008) Disease status, costs and quality of life of patients with rheumatoid arthritis in France: the eco-pr study. Jt Bone Spine 75(4):408–415

    Article  Google Scholar 

  12. Lubeck DP (2001) A review of the direct costs of rheumatoid arthritis: managed care versus fee-for-service settings. Pharmacoeconomics 19(8):811–818

    Article  PubMed  CAS  Google Scholar 

  13. Rosery H, Bergemann R, Maxion-Bergemann S (2005) International variation in resource utilisation and treatment costs for rheumatoid arthritis: a systematic literature review. Pharmacoeconomics 23(3):243–257

    Article  PubMed  Google Scholar 

  14. Kilian R, Matschinger H, Löeffler W, Roick C, Angermeyer MC (2002) A comparison of methods to handle skew distributed cost variables in the analysis of the resource consumption in schizophrenia treatment. J Ment Health Policy Econ 5(1):21–31

    PubMed  Google Scholar 

  15. Hulsemann JL, Ruof J, Zeidler H, Mittendorf T (2006) Costs in rheumatology: results and lessons learned from the ‘Hannover costing study’. Rheumatol Int 26(8):704–711

    Article  PubMed  CAS  Google Scholar 

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Acknowledgments

This study was supported by a grant of the Korea Healthcare Technology R&D Project, Ministry of Health and Welfare, Republic of Korea (A102065).

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Correspondence to Eui-Kyung Lee.

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Kwon, JM., Cho, SK., Kim, JH. et al. Medical costs for Korean patients with rheumatoid arthritis based on the national claims database. Rheumatol Int 32, 2893–2899 (2012). https://doi.org/10.1007/s00296-011-2117-2

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  • DOI: https://doi.org/10.1007/s00296-011-2117-2

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