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Costs and healthcare utilisation of patients with heart failure in Spain.


ABSTRACT: BACKGROUND:Increasing the knowledge about heart failure (HF) costs and their determinants is important to ascertain how HF management can be optimized, leading to a significant decrease of HF costs. This study evaluated the cumulative costs and healthcare utilisation in HF patients in Spain. METHODS:Observational, retrospective, population-based study using BIG-PAC database, which included data from specialized and primary care of people ?18?years, from seven autonomous communities in Spain, who received care for HF between 2015 and 2019. The healthcare and medication costs were summarized on a yearly basis starting from the index date (1st January 2015), and then cumulatively until 2019. RESULTS:We identified 17,163 patients with HF (year 2015: mean age 77.3?±?11.8?years, 53.5% men, 51.7% systolic HF, 43.6% on NYHA functional class II). During the 2015-2019 period, total HF associated costs reached 15,373 Euros per person, being cardiovascular disease hospitalizations the most important determinant (75.8%), particularly HF hospitalizations (51.0%). Total medication cost accounted for 7.0% of the total cost. During this period, there was a progressive decrease of cardiovascular disease hospital costs per year (from 2834 Euros in 2015 to 2146 Euros in 2019, P 

SUBMITTER: Escobar C 

PROVIDER: S-EPMC7576860 | biostudies-literature | 2020 Oct

REPOSITORIES: biostudies-literature

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Costs and healthcare utilisation of patients with heart failure in Spain.

Escobar Carlos C   Varela Luis L   Palacios Beatriz B   Capel Margarita M   Sicras Antoni A   Sicras Aram A   Hormigo Antonio A   Alcázar Roberto R   Manito Nicolás N   Botana Manuel M  

BMC health services research 20201020 1


<h4>Background</h4>Increasing the knowledge about heart failure (HF) costs and their determinants is important to ascertain how HF management can be optimized, leading to a significant decrease of HF costs. This study evaluated the cumulative costs and healthcare utilisation in HF patients in Spain.<h4>Methods</h4>Observational, retrospective, population-based study using BIG-PAC database, which included data from specialized and primary care of people ≥18 years, from seven autonomous communitie  ...[more]

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