Incidence, mortality and medical costs of patients hospitalized with melanoma in Spain: a retrospective multicentre observational study

2021 ◽  
pp. 1-6
Author(s):  
Josep Darbà ◽  
Alicia Marsà
Keyword(s):  
Observational Study ◽  
Medical Costs

An Observational Study on the Costs and Consequences of Acupuncture for the Management of Chronic Low Back Pain in Korean Patients

2015 ◽  
Vol 33 (2) ◽  
pp. 148-153 ◽  
Author(s):  
Song-Yi Kim ◽  
Hyejung Lee ◽  
Hyangsook Lee ◽  
Ji-Yeun Park ◽  
Sang Kyun Park ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Observational Study ◽  
Chronic Low Back Pain ◽  
Large Scale ◽  
Functional Disability ◽  
Medical Costs ◽  
Low Back ◽  
Direct Medical Costs ◽  
Study Results

Objectives To investigate the consequences and costs of acupuncture in general medical practice for patients with chronic low back pain (CLBP) in Korea. Methods A multicentre observational study was performed. Outpatients with CLBP who received at least one acupuncture session in a Korean Medicine clinic during the study period were included and followed up for 3 months. All patients received regular acupuncture treatments in accordance with the doctors’ discretion. The consequences in terms of effects included condition-specific outcomes and preference-based outcome. For cost analysis, the cumulative resource use for direct medical costs at each research clinic during the study period and direct patient data using the self-reported healthcare utilisation questionnaires were used. Results A total of 157 patients were eligible to participate and 105 were finally included. Significant improvements in condition-specific and preference-based measures were observed after acupuncture treatment. An average of approximately $146 (£93) per patient was reported for direct medical costs in each clinic for 1 month and $231 (£148) for 3 months. Other medical expenses related to CLBP were reduced during this period. Conclusions The use of acupuncture to manage CLBP in general clinical practice in Korea inexpensively improved pain, functional disability and quality of life. The study results are meaningful and consistent with the results of previous trials performed in other European countries but the power of the study is not strong, having major design weaknesses. A large-scale cohort or registry based on practice may be helpful to strengthen the evidence of the cost-effectiveness of acupuncture.

scholarly journals Analysis of the management and costs of headache disorders in Spain during the period 2011–2016: a retrospective multicentre observational study

BMJ Open ◽  
2020 ◽  
Vol 10 (2) ◽  
pp. e034926
Author(s):  
Josep Darbà ◽  
Alicia Marsà
Keyword(s):  
Primary Care ◽  
Observational Study ◽  
Direct Medical Cost ◽  
Healthcare System ◽  
Medical Cost ◽  
Secondary Care ◽  
Data Extraction ◽  
Medical Costs ◽  
Headache Disorders ◽  
Direct Medical Costs

ObjectivesTo investigate the number and characteristics of the Spanish population affected by headache disorders and the direct medical cost that these patients represent for the healthcare system.DesignA retrospective multicentre observational study.SettingRecords from all patients admitted with headache in primary and secondary care centres in Spain between 2011 and 2016 that were registered in a Spanish claims database were included in the analysis. Direct medical costs were calculated using the standardised average expenses of medical procedures determined by the Spanish Ministry of Health.ResultsData extraction claimed primary care records from 636 722 patients and secondary care records from 30 077 patients. Women represented 63% and 65% of all patients with headache in primary and secondary care respectively, with the exception of cluster headaches, a group with 60% of male patients. No large shifts were observed over time in patients’ profile; contrarily, the number of cases per 10 000 patients attended in primary care increased 2-folds between 2011 and 2016 for migraine and 1.85-folds for other headaches. Migraine was the cause for 28% of primary care consultations and 50% of secondary care admissions, and it was responsible for the largest portion of healthcare costs in 2016, a total amount of € 7 302 718. The estimated annual direct medical cost of headache disorders was € 10 716 086.ConclusionsMigraine was responsible for half of the secondary care admissions linked to headache disorders. The raise detected in the number of cases registered in primary care is likely to impact the direct medical costs associated to these disorders causing an increase in the total burden they represent for the Spanish National Healthcare System.

scholarly journals Medical Costs And Resources Consumption In Patients With Atrial Fibrillation: An Italian Observational Study

2015 ◽  
Vol 18 (7) ◽  
pp. A387
Author(s):  
S Conti ◽  
C Fornari ◽  
G Botto ◽  
G Inama ◽  
C Tondo ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Observational Study ◽  
Medical Costs

Patients Who Skipped Care Blamed High Medical Costs

2011 ◽  
Vol 42 (4) ◽  
pp. 49
Author(s):  
MARY ELLEN SCHNEIDER
Keyword(s):  
Medical Costs

First clinical experience with the Multi-LOC multiple stent delivery system for focal stenting in long femoro-popliteal lesions

VASA ◽  
2017 ◽  
Vol 46 (6) ◽  
pp. 452-461 ◽  
Author(s):  
Klaus Amendt ◽  
Ulrich Beschorner ◽  
Matthias Waliszewski ◽  
Martin Sigl ◽  
Ralf Langhoff ◽  
...  
Keyword(s):  
Observational Study ◽  
Clinical Experience ◽  
Delivery System ◽  
Target Lesion ◽  
Lesion Length ◽  
Elastic Recoil ◽  
Delivery Device ◽  
Clinical Assessments ◽  
Balloon Catheters ◽  
Considerable Length

Abstract. Background: The purpose of this observational study is to report the six-month clinical outcomes with a new multiple stent delivery system in patients with femoro-popliteal lesions. Patients and methods: The LOCOMOTIVE study is an observational multicentre study with a primary endpoint target lesion revascularization (TLR) rate at six months. Femoro-popliteal lesions were prepared with uncoated and/or paclitaxel-coated peripheral balloon catheters. When flow limiting dissections, elastic recoil or recoil due to calcification required stenting, up to six short stents per delivery device, each 13 mm in length, were implanted. Sonographic follow-ups and clinical assessments were scheduled at six months. Results: For this first analysis, a total of 75 patients 72.9 ± 9.2 years of age were enrolled. The majority of the 176 individually treated lesions were in the superficial femoral artery (76.2 %, 134/176) whereas the rate of TASC C/D amounted to 51.1 % (90/176). The total lesion length was 14.5 ± 9.0 cm with reference vessel diameters of 5.6 ± 0.7 mm. Overall 47 ± 18 % of lesion lengths could be saved from stenting. At six months, the patency was 90.7 % (68/75) and all-cause TLR rates were 5.3 % (4/75) in the overall cohort. Conclusions: The first clinical experience at six months suggests that the MSDS strategy was safe and effective to treat femoro-popliteal lesions of considerable length (14.5 ± 9.0 cm). Almost half of the lesion length could be saved from stenting while patency was high and TLR rates were acceptably low.

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