The cost of illness and economic burden of endometriosis and chronic pelvic pain in Australia: A national online survey


Autoři: Mike Armour aff001;  Kenny Lawson aff002;  Aidan Wood aff001;  Caroline A. Smith aff001;  Jason Abbott aff003
Působiště autorů: NICM Health Research Institute, Western Sydney University, Sydney, New South Wales, Australia aff001;  Translational Health Research Institute (THRI), Western Sydney University, Sydney New South Wales, Australia aff002;  School of Women's and Children's Health, University of New South Wales, Sydney, New South Wales, Australia aff003
Vyšlo v časopise: PLoS ONE 14(10)
Kategorie: Research Article
doi: 10.1371/journal.pone.0223316

Souhrn

Introduction

Endometriosis has a significant cost of illness burden in Europe, UK and the USA, with the majority of costs coming from reductions in productivity. However, information is scarce on if there is a differing impact between endometriosis and other causes of chronic pelvic pain, and if there are modifiable factors, such as pain severity, that may be significant contributors to the overall burden.

Methods

An online survey was hosted by SurveyMonkey and the link was active between February to April 2017. Women aged 18–45, currently living in Australia, who had either a confirmed diagnosis of endometriosis via laparoscopy or chronic pelvic pain without a diagnosis of endometriosis were included. The retrospective component of the WERF EndoCost tool was used to determine direct healthcare costs, direct non-healthcare costs (carers) and indirect costs due to productivity loss. Estimates were extrapolated to the Australian population using published prevalence estimates.

Results

407 valid responses were received. The cost of illness burden was significant in women with chronic pelvic pain (Int $16,970 to $ 20,898 per woman per year) irrespective of whether they had a diagnosis of endometriosis. The majority of costs (75–84%) were due to productivity loss. Both absolute and relative productivity costs in Australia were higher than previous estimates based on data from Europe, UK and USA. Pain scores showed the strongest relationship to productivity costs, a 12.5-fold increase in costs between minimal to severe pain. The total economic burden per year in Australia in the reproductive aged population (at 10% prevalence) was 6.50 billion Int $.

Conclusion

Similar to studies in European, British and American populations, productivity costs are the greatest contributor to overall costs. Given pain is the most significant contributor, priority should be given to improving pain control in women with pelvic pain

Klíčová slova:

Australia – Economic impact analysis – Economics – Europe – Health economics – Public and occupational health – Social media – Women's health


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2019 Číslo 10

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