| 장애 정도에 따른 한국 다발성경화증 의료 비용 연구 |
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현재원, 현재원, 정애란, 정애란, 정인혜, 정인혜, 김수현, 김수현, 김호진, 김호진 |
국립암센터 신경과
국립암센터 신경과 |
| Healthcare Costs of Multiple Sclerosis in Korea According to the Level of Disability |
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Jae-Won Hyun, Jae-Won Hyun, AeRan Joung, AeRan Joung, In Hye Jeong, In Hye Jeong, Su-Hyun Kim, Su-Hyun Kim, Ho Jin Kim, Ho Jin Kim |
Department of Neurology, Research Institute and Hospital of National Cancer Center, Goyang, Korea
Department of Neurology, Research Institute and Hospital of National Cancer Center, Goyang, Korea |
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| Abstract |
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"Background: To estimate the healthcare costs of multiple sclerosis (MS) in Korea according to the level of disability.Methods: Data on direct medical resource consumption including admissions, clinic visits to physicians,examinations, and medications were collected directly from patients by structured interviews.The study randomly enrolled 47 patients from the MS clinic at National Cancer Center. They werecategorized into three groups according to the level of disability as measured by Expanded DisabilityStatus Scale (EDSS): mild (EDSS ≤ 3.5, n = 21), moderate (EDSS 4-6, n = 14), and severe (EDSS≥ 6.5, n = 12) disability. Mean annual direct medical costs per patient were estimated and comparedamong the three groups. Among indirect costs, the employment rate was evaluated only in thoseyounger than 60 years.Results: The male:female ratio was 13:34 and the mean age was 40.6 ± 10.7 (range 22-62) years.The mean disease duration was 7.5 ± 3.8 (range 1-16) years; the mean interval from onset of the diseaseto confirmed diagnosis of MS was 26.4 ± 35.4 (range 1-132) months; and the median EDSSwas 4 (range 0-9). The estimated mean total annual cost per person was 32 ± 47 (range 2-301) millionwon. The estimated mean annual costs per person with mild, moderate, and severe disabilitywere 15 ± 11, 39 ± 25, and 56 ± 83 million won, respectively. The employment rates of subjectsyounger than 60 years were 62%, 8%, and 8% for mild, moderate, and severe disability, respectively.Conclusions: MS has a high economic burden in Korea, even without considering the indirect costs.Given that costs increase with the level of disability, diagnostic and therapeutic efforts should focuson making an early diagnosis and delaying the progression of the disease to reduce the economicburden of MS.Journal of Multiple Sclerosis 6(1):9-13, 2015Key Words: Multiple sclerosis, Cost, Disability" |
| Key Words:
Multiple sclerosis, Cost, Disability |
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