Economic and healthcare resource utilization for hereditary transthyretin amyloidosis with polyneuropathy in Spain: real-world insights from early-stage patients and mutation carriers.

Fecha de publicación: Fecha Ahead of Print:

Autores de IIS La Fe

Participantes ajenos a IIS La Fe

  • Martínez Valle F
  • Galán Dávila L
  • Buades Reinés J
  • Gonzalez-Moreno J
  • Losada López I
  • Muñoz Beamud F
  • Bárcena Llona JE
  • Romero Acebal M
  • Tarilonte P
  • Setaro F
  • Rejas-Gutierrez J
  • López-Ibáñez de Aldecoa A
  • Peral C

Grupos

Abstract

OBJECTIVE: Variant transthyretin (ATTRv) amyloidosis is a rare genetic multisystem disease inducing progressive morbidity. Evidence about its economic burden is scarce. This study estimated annual use and costs of healthcare-resource-utilization (HRU) and indirect costs for ATTRv mutation carriers and patients with polyneuropathy from a societal perspective in Spain. METHODS: A cross-sectional, retrospective non-interventional multicenter study was conducted in 2018-2020 to characterize asymptomatic carriers of mutations in the TTR gen (AC) and Coutinho stage 1 transthyretin amyloidosis polyneuropathy patients (PA). HRU, associated costs, and indirect wages were assessed during 12 months prior to enrollment. RESULTS: One-hundred-five participants were analyzed: 86 AC and 19 PA. Average healthcare cost-per-person-per-year was significantly higher in PA: €2,323.6 vs. €953.3 (p < 0.001), due to higher utilization of medical specialty visits, hospitalizations, and nerve conduction studies. Indirect costs were statistically not different (€380.1 for AC and €781.3 for PA, p = 0.581). Days worked with fatigue/pain were significantly higher in PA: 53.9 vs 5.5 (p = 0.034). Total cost was significantly higher in PA than AC (€3,105.0 vs €1,333.4; p < 0.001). CONCLUSIONS: Both AC and early-stage ATTRv-PN patients showed a meaningful economic burden to the National Health System and society. We observed an annual incremental economic burden of €1,771.5 in PA versus AC.

Datos de la publicación

ISSN/ISSNe:
1473-7167, 1744-8379

Expert Review of Pharmacoeconomics & Outcomes Research  TAYLOR & FRANCIS LTD

Tipo:
Article
Páginas:
1115-1123
PubMed:
40611615
Factor de Impacto:
0,552 SCImago
Cuartil:
Q2 SCImago

Citas Recibidas en Web of Science: 1

Documentos

  • No hay documentos

Métricas

Filiaciones mostrar / ocultar

Keywords

  • Hereditary transthyretin amyloidosis with polyneuropathy; asymptomatic carrier; cost-of-illness; early stage; healthcare resources utilization

Cita

Compartir