Articles producció científica> Economia

The costs associated with stroke care continuum: a systematic review

  • Datos identificativos

    Identificador: imarina:9299823
    Handle: https://hdl.handle.net/20.500.11797/imarina9299823
    Autores:
    Lucas-Noll, JClua-Espuny, JLLleixà-Fortuño, MGavaldà-Espelta, EQueralt-Tomas, LPanisello-Tafalla, ACarles-Lavila, M
    Resumen:
    Stroke, a leading cause of death and long-term disability, has a considerable social and economic impact. It is imperative to investigate stroke-related costs. The main goal was to conduct a systematic literature review on the described costs associated with stroke care continuum to better understand the evolution of the economic burden and logistic challenges. This research used a systematic review method. We performed a search in PubMed/MEDLINE, ClinicalTrial.gov, Cochrane Reviews, and Google Scholar confined to publications from January 2012 to December 2021. Prices were adjusted using consumer price indices of the countries in the studies in the years the costs were incurred to 2021 Euros using the World Bank and purchasing power parity exchange rate in 2020 from the Organization for Economic Co-operation and Development with the XE Currency Data API. The inclusion criteria were all types of publications, including prospective cost studies, retrospective cost studies, database analyses, mathematical models, surveys, and cost-of-illness (COI) studies. Were excluded studies that (a) were not about stroke, (b) were editorials and commentaries, (c) were irrelevant after screening the title and abstract,(d) grey literature and non-academic studies, (e) reported cost indicators outside the scope of the review, (f) economic evaluations (i.e., cost-effectiveness or cost-benefit analyses); and (g) studies not meeting the population inclusion criteria. There may be risk of bias because the effects are dependent on the persons delivering the intervention. The results were synthetized by PRISMA method. A total of 724 potential abstracts were identified of which 25 articles were pulled for further investigation. The articles were classified into the following categories: 1)strok

  • Otros:

    Autor según el artículo: Lucas-Noll, J; Clua-Espuny, JL; Lleixà-Fortuño, M; Gavaldà-Espelta, E; Queralt-Tomas, L; Panisello-Tafalla, A; Carles-Lavila, M
    Departamento: Economia
    Autor/es de la URV: Carles Lavila, Misericòrdia / Gavalda Espelta, Ester / Lleixà Fortuño, Maria del Mar / Lucas Noll, Jorgina
    Palabras clave: Pre-hospital pathways No-treatment cost Healthcare Costs study Acute stroke pre-hospital pathways no-treatment cost healthcare costs study
    Resumen: Stroke, a leading cause of death and long-term disability, has a considerable social and economic impact. It is imperative to investigate stroke-related costs. The main goal was to conduct a systematic literature review on the described costs associated with stroke care continuum to better understand the evolution of the economic burden and logistic challenges. This research used a systematic review method. We performed a search in PubMed/MEDLINE, ClinicalTrial.gov, Cochrane Reviews, and Google Scholar confined to publications from January 2012 to December 2021. Prices were adjusted using consumer price indices of the countries in the studies in the years the costs were incurred to 2021 Euros using the World Bank and purchasing power parity exchange rate in 2020 from the Organization for Economic Co-operation and Development with the XE Currency Data API. The inclusion criteria were all types of publications, including prospective cost studies, retrospective cost studies, database analyses, mathematical models, surveys, and cost-of-illness (COI) studies. Were excluded studies that (a) were not about stroke, (b) were editorials and commentaries, (c) were irrelevant after screening the title and abstract,(d) grey literature and non-academic studies, (e) reported cost indicators outside the scope of the review, (f) economic evaluations (i.e., cost-effectiveness or cost-benefit analyses); and (g) studies not meeting the population inclusion criteria. There may be risk of bias because the effects are dependent on the persons delivering the intervention. The results were synthetized by PRISMA method. A total of 724 potential abstracts were identified of which 25 articles were pulled for further investigation. The articles were classified into the following categories: 1)stroke primary prevention, 2) expenditures related to acute stroke care, 3) expenditures for post-acute strokes, and 4) global average stroke cost. The measured expenditures varied considerably among these studies with a global average cost from €610-€220,822.45. Given the great variability in the costs in different studies, we can conclude that we need to define a common system for assessing the costs of strokes. Possible limitations are related to clinical choices exposed to decision rules that trigger decisions alerts within stroke events in a clinical setting. This flowchart is based on the guidelines for acute ischemic stroke treatment but may not be applicable to all institutions.© 2023. The Author(s).
    Áreas temáticas: Health policy & services Health policy Economics Ciencias sociales
    Acceso a la licencia de uso: https://creativecommons.org/licenses/by/3.0/es/
    Direcció de correo del autor: ester.gavaldae@urv.cat mar.lleixa@urv.cat jorgina.lucas@estudiants.urv.cat ester.gavaldae@urv.cat misericordia.carles@urv.cat
    Identificador del autor: 0000-0003-1411-8790 0000-0001-6380-6843 0000-0003-3796-3014
    Fecha de alta del registro: 2024-08-03
    Versión del articulo depositado: info:eu-repo/semantics/publishedVersion
    URL Documento de licencia: https://repositori.urv.cat/ca/proteccio-de-dades/
    Referencia al articulo segun fuente origial: Health Economics Review. 13 (1): 32-32
    Referencia de l'ítem segons les normes APA: Lucas-Noll, J; Clua-Espuny, JL; Lleixà-Fortuño, M; Gavaldà-Espelta, E; Queralt-Tomas, L; Panisello-Tafalla, A; Carles-Lavila, M (2023). The costs associated with stroke care continuum: a systematic review. Health Economics Review, 13(1), 32-32. DOI: 10.1186/s13561-023-00439-6
    DOI del artículo: 10.1186/s13561-023-00439-6
    Entidad: Universitat Rovira i Virgili
    Año de publicación de la revista: 2023
    Tipo de publicación: Journal Publications

  • Palabras clave:

    Economics,Health Policy,Health Policy & Services
    Pre-hospital pathways
    No-treatment cost
    Healthcare
    Costs study
    Acute stroke
    pre-hospital pathways
    no-treatment cost
    healthcare
    costs study
    Health policy & services
    Health policy
    Economics
    Ciencias sociales

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