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- Title
Treatment costs and indirect costs of cluster headache: A health economics analysis.
- Authors
Gaul, Charly; Finken, Julia; Biermann, Janine; Mostardt, Sarah; Diener, Hans-Christoph; Müller, Oliver; Wasem, Jürgen; Neumann, Anja
- Abstract
Background: Cluster headache (CH) is the most frequent trigemino-autonomic cephalgia. CH can manifest as episodic (eCH) or chronic cluster headache (cCH) causing significant burden of disease and requiring attack therapy and prophylactic treatment. Methods: Treatment costs (direct costs) due to healthcare utilisation, as well as costs caused by disability and reduction in earning capacity (indirect costs), were obtained using a questionnaire in CH patients treated in a tertiary headache centre based at the University Duisburg-Essen over a 6-month period. Results: A total 179 patients (72 cCH, 107 eCH) were included. Mean attack frequency was 3.5±2.5 per day. Mean direct and indirect costs for one person were 5963 in the 6-month period. Direct costs were positively correlated E with attack frequency (r=0.467, p<0.001). Burden of disease measured with HIT -6 showed a significant correlation with attack frequency (r=0.467, p<0.001). Twenty-four (13.4%) of the participants were disabled and not able to work. Conclusion: CH leads to major socioeconomic impact on patients as well as society due to direct healthcare costs and indirect costs caused by loss of working capacity.
- Subjects
CLUSTER headache; SOCIOECONOMICS; MEDICAL care costs; DIRECT costing; OVERHEAD costs; MEDICAL economics
- Publication
Cephalalgia, 2011, Vol 31, Issue 16, p1664
- ISSN
0333-1024
- Publication type
Article
- DOI
10.1177/0333102411425866