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Artigos Científicos

quinta-feira, 31 janeiro 2019 22:08

Direct medical costs of ADHD and its comorbid conditions on basis of a claims data analysis

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Berit Libutzki1, Saskia Ludwig1, Melanie May1, Rasmus Højbjerg Jacobsen2, Andreas Reif3, Catharina A. Hartman4

1
HGC Healthcare Consultants GmbH, Graf-Adolf-Platz 15, D-40213, Düsseldorf, Germany
2
VIVE – The Danish Center for Social Science Research, Herluf Trolles Gade 11, DK-1052, København K, Denmark
3
Department for Psychiatry, Psychosomatic Medicine and Psychotherapy, University Hospital Frankfurt, Heinrich-Hoffmann-Str. 10, 60528, Frankfurt am Main, Germany
4
Department for Psychiatry, University of Groningen, University Medical Center Groningen, Hanzeplein 1 code CC72, 9713 GZ, Groningen, the Netherlands

European Psychiatry 

May 2019 Volume 58, Pages 38–44


Abstract:

Background: ADHD is a highly prevalent disease in childhood which often persists into adulthood, then co-occurring with common adult conditions. Especially for adult ADHD, little is known about the costs of ADHD and the additional costs of comorbid conditions.

Aims: To determine medical costs of ADHD and costs of comorbidities (mood, anxiety and substance use disorders, obesity), including their co-occurrence rates, stratified by age and gender.

Conclusions: Medical costs for ADHD are substantial, in part through frequently occurring comorbid conditions, and particularly in adulthood, and are likely to further accelerate in the coming years. A gap of care was found, starting with the transition age group of patients over 17 years, as indicated by reduced costs per person during young adulthood, as well as an overall strong drop in administrative prevalence. In the future, approaches to improve the situation of care and reduce costs at the same time, i.e. through managed care programmes, should be implemented and benefit from detailed knowledge on age and gender-specific cost-drivers.


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