Health Costs of Huntington’s Disease in Norway
This study identified values for HRQoL, described costs, and their associations with clinical and socio-demographic variables across all phases of Huntington's disease.
Research article overview in layman's terms.
Huntington's Disease (HD) is a progressive, genetic brain disorder that causes mental and physical disabilities. This study aimed to understand the economic and health burden of HD, and how different factors, such as disease severity and gender, affect the health-related quality of life (HRQOL) and healthcare costs. The study found that HRQOL decreased as the disease progressed, and the total cost of healthcare and other costs, such as informal care, more than doubled from the early to middle stage of the disease, and tripled from the middle to the advanced stage.
The main cost components for the different phases of HD were informal care costs, which accounted for about half of the total societal costs, and costs due to production loss, which were higher than total healthcare costs. The study also showed that disease severity and gender had a strong effect on both HRQOL and costs. The data from this study can be used to help determine the cost-effectiveness of treatment for HD.
These findings also illustrate the significant role informal caregivers play in HD care throughout all phases of the disease. Further research is needed to better understand the impact of productivity loss on informal caregivers.
Health related quality of life, service utilization and costs for patients with Huntingtons disease in Norway
Huntingtons disease (HD) is a progressive genetic neurodegenerative disease accompanied by mental and neurocognitive disabilities, which requires long-term and comprehensive treatment and care. Information on the health and economic burden of HD is scarce, but essential for conducting health economic analyses, in light of the prospect of new therapies for HD. In this study, we aim to identify values for Health-Related Quality of Life (HRQoL), describe service utilization and costs, and their associations with clinical and socio-demographic variables across all phases of HD.
A cross-sectional study including 86 patients across all phases of HD. Values of HRQoL were calculated based on EQ-5D-3L index scores. Additionally, health care and societal costs were estimated based on service utilization collected using the Client Service Receipt Inventory (CSRI) and data from the patients interviews. Total societal costs included costs of primary and secondary health care services, informal care and productivity loss of the patients. Multiple regression analyses were used to investigate associations between socio-demographic and clinical variables on HRQoL and costs.
HRQoL values declined, while total costs increased across disease severity. Total six-month healthcare costs and total societal costs were 18,538 and 66,789 respectively. Healthcare and societal costs doubled from early to middle phase, and tripled from middle to advanced disease phase. Main six-month cost components for the three disease phases were informal care costs ( 30,605) accounting for approximately half the total societal costs, and costs due to production loss ( 18,907) being slightly higher than the total healthcare costs. Disease severity and gender were found to have the strongest effect on both values of HRQoL and costs.
Reported values of HRQoL and costs including costs for production loss may be used in modelling the cost-effectiveness of treatment for HD. Our results highlight the crucial role the informal caregivers play in the care provided to HD patients in all disease phases. Future research should focus on the estimation of productivity loss among informal caregivers.
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