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A systematic review of the indirect costs of schizophrenia in Europe

European journal of public health, 2018-12, Vol.28 (6), p.1043-1049 [Peer Reviewed Journal]

The Author(s) 2018. Published by Oxford University Press on behalf of the European Public Health Association. ;The Author(s) 2018. Published by Oxford University Press on behalf of the European Public Health Association. 2018 ;ISSN: 1101-1262 ;EISSN: 1464-360X ;DOI: 10.1093/eurpub/cky231 ;PMID: 30395217

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Title:
A systematic review of the indirect costs of schizophrenia in Europe
Author: Fasseeh, A ; Németh, B ; Molnár, A ; Fricke, F-U ; Horváth, M ; Kóczián, K ; Götze, Á ; Kaló, Z
Subjects: Adolescent ; Adult ; Aged ; Caregivers ; Chronic illnesses ; Cost analysis ; Cost assessments ; Cost of Illness ; Costs ; Disease ; Europe ; Female ; Gender ; Health Care Costs ; Heterogeneity ; Humans ; Inflation ; Literature reviews ; Male ; Medical treatment ; Mental disorders ; Mental Health ; Middle Aged ; Patients ; Qualitative research ; Quantitative analysis ; Schizophrenia ; Schizophrenia - economics ; Society ; Systematic review ; Technology assessment ; Young Adult
Is Part Of: European journal of public health, 2018-12, Vol.28 (6), p.1043-1049
Description: Schizophrenia is a chronic disease associated with significant and long-lasting effects on health, and it is also a social and financial burden, not only for patients but also for families, other caregivers, and the wider society. It is essential to conduct the assessment of indirect costs, to understand all the effects of the disease on society. Our aim is to gain a better understanding of the indirect costs of schizophrenia in Europe. We conducted a comprehensive systematic literature review covering EMBASE, Medline, and PsycINFO as well as reviewing Health Technology Assessment databases from different countries. We used a qualitative research synthesis for presenting information, as most of the studies were methodologically diverse, a quantitative analysis would have been impractical. Indirect cost adjusted to inflation ranged vastly between studies included in the review from 119 Euros to 62, 034 Euros annually. The average proportion of indirect costs of total costs was 44%. Studies highlighted important cost drivers as age, gender, and disease severity, explaining the variation in costs between treatment and patient groups. Regardless of the methodological heterogeneity of the reviewed studies, there was an agreement about the significance of indirect costs of schizophrenia on the society. Considering the relatively high prevalence of schizophrenia in Europe, a need for more cost of illness studies especially from Central Eastern and Southern Europe is suggested.
Publisher: England: Oxford Publishing Limited (England)
Language: English
Identifier: ISSN: 1101-1262
EISSN: 1464-360X
DOI: 10.1093/eurpub/cky231
PMID: 30395217
Source: Journals@Ovid Open Access Journal Collection Rolling
Geneva Foundation Free Medical Journals at publisher websites
MEDLINE
Alma/SFX Local Collection

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A systematic review of the indirect costs of schizophrenia in Europe

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