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Seyedrezazadeh, Ensiyeh, Gilani, Neda, Ansarin, Khalil, Yousefi, Mahmood, Sharifi, Akbar, Jafari Rouhi, Amir Hossein, Aftabi, Younes, Najmi, Mehdi, Dastan, Ilker, Pour Moghaddam, Masoud. (1401). Economic Burden of Asthma in Northwest Iran. سامانه مدیریت نشریات علمی, 48(2), 156-166. doi: 10.30476/ijms.2022.92421.2373
Ensiyeh Seyedrezazadeh; Neda Gilani; Khalil Ansarin; Mahmood Yousefi; Akbar Sharifi; Amir Hossein Jafari Rouhi; Younes Aftabi; Mehdi Najmi; Ilker Dastan; Masoud Pour Moghaddam. "Economic Burden of Asthma in Northwest Iran". سامانه مدیریت نشریات علمی, 48, 2, 1401, 156-166. doi: 10.30476/ijms.2022.92421.2373
Seyedrezazadeh, Ensiyeh, Gilani, Neda, Ansarin, Khalil, Yousefi, Mahmood, Sharifi, Akbar, Jafari Rouhi, Amir Hossein, Aftabi, Younes, Najmi, Mehdi, Dastan, Ilker, Pour Moghaddam, Masoud. (1401). 'Economic Burden of Asthma in Northwest Iran', سامانه مدیریت نشریات علمی, 48(2), pp. 156-166. doi: 10.30476/ijms.2022.92421.2373
Seyedrezazadeh, Ensiyeh, Gilani, Neda, Ansarin, Khalil, Yousefi, Mahmood, Sharifi, Akbar, Jafari Rouhi, Amir Hossein, Aftabi, Younes, Najmi, Mehdi, Dastan, Ilker, Pour Moghaddam, Masoud. Economic Burden of Asthma in Northwest Iran. سامانه مدیریت نشریات علمی, 1401; 48(2): 156-166. doi: 10.30476/ijms.2022.92421.2373

Economic Burden of Asthma in Northwest Iran

Iranian Journal of Medical Sciences
مقاله 7، دوره 48، شماره 2، خرداد 2023، صفحه 156-166    اصل مقاله (522.74 K)
نوع مقاله: Original Article(s)
شناسه دیجیتال (DOI): 10.30476/ijms.2022.92421.2373
نویسندگان
Ensiyeh Seyedrezazadeh* 1؛ Neda Gilani2، 3؛ Khalil Ansarin1؛ Mahmood Yousefi4؛ Akbar Sharifi1؛ Amir Hossein Jafari Rouhi1؛ Younes Aftabi1؛ Mehdi Najmi5؛ Ilker Dastan6؛ Masoud Pour Moghaddam7
1Tuberculosis and Lung Disease Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
2Department of Statistics and Epidemiology, School of Health, Tabriz University of Medical Sciences, Tabriz, Iran
3Emergency Medicine Research Team, Tabriz University of Medical Sciences, Tabriz, Iran
4School of Management and Medical Information science, Tabriz University of Medical Sciences, Tabriz, Iran
5Department of Non-Communicable Disease, Ministry of Health and Medical Education of the Islamic Republic of Iran, Tehran, Iran
6Advisor for Health Policy, WHO, Dushanbe, Tajikistan
7New South Wales Rural Doctors Network, NSW Rural Doctors Network, Mt Kuring-Gai Clinical Centre, NSW 2080, Australia
چکیده
Background: The economic burden of asthma is a major public health concern. This study estimates the economic burden of asthma in Northwest of Iran.
Methods: A longitudinal study was conducted between 2017 and 2018 in Tabriz, Iran using the Persian version of the Work Productivity and Activity Impairment (WPAI) questionnaire. Direct and indirect costs associated with asthma were estimated based on the societal perspective, prevalence-based approach, and bottom-up method. Annual indirect costs were estimated using the human capital (HC) method. The structural equation model was used to evaluate the relationship between costs, sex, and asthma severity. 
Results: A total of 621 patients with asthma were enrolled in the study. Significant differences were found between female and male patients for the mean cost of radiology (P=0.006), laboratory (P=0.028), and diagnostic (P=0.017) tests at baseline, and for laboratory (P=0.012), and diagnostic (P=0.027) tests at one-year follow-up. The more severe asthma, the more significant the costs for annual physician office visits (P=0.040) and medications (P=0.013). As asthma severity increased, significantly higher expenditures were observed in women for days lost from work at baseline (P=0.009) and one-year follow-up (P=0.001), and in men for productivity loss at work due to impairment at baseline (P=0.045). A significant association between indirect costs and the cost of impairment-related lost productivity at work (β=3.29, P<0.001), and between severe asthma and indirect costs (β=32.36, P<0.001) was observed. 
Conclusion: High costs are incurred by Iranian asthma patients, especially because of impairment-related productivity loss at work associated with asthma exacerbation.
کلیدواژه‌ها
Asthma؛ Economic burden؛ Cost of illness؛ Socioeconomic factors؛ Work performance
سایر فایل های مرتبط با مقاله
مراجع
  1. Dalys GBD, Collaborators H. Global, regional, and national disability-adjusted life-years (DALYs) for 315 diseases and injuries and healthy life expectancy (HALE), 1990-2015: a systematic analysis for the Global Burden of Disease Study 2015. Lancet. 2016;388:1603-58. doi: 10.1016/S0140-6736(16)31460-X. PubMed PMID: 27733283; PubMed Central PMCID: PMCPMC5388857.
  2. Lee LK, Ramakrishnan K, Safioti G, Ariely R, Schatz M. Asthma control is associated with economic outcomes, work productivity and health-related quality of life in patients with asthma. BMJ Open Respir Res. 2020;7. doi: 10.1136/bmjresp-2019-000534. PubMed PMID: 32193226; PubMed Central PMCID: PMCPMC7101043.
  3. Mukherjee M, Stoddart A, Gupta RP, Nwaru BI, Farr A, Heaven M, et al. The epidemiology, healthcare and societal burden and costs of asthma in the UK and its member nations: analyses of standalone and linked national databases. BMC Med. 2016;14:113. doi: 10.1186/s12916-016-0657-8. PubMed PMID: 27568881; PubMed Central PMCID: PMCPMC5002970.
  4. Vellopoulou K, Bakakos P, Loukides S, Maniadakis N, Kourlaba G. The Economic Burden of Asthma in Greece: A Cross-Sectional Study. Appl Health Econ Health Policy. 2019;17:629-40. doi: 10.1007/s40258-019-00469-4. PubMed PMID: 30997609.
  5. Nurmagambetov T, Kuwahara R, Garbe P. The Economic Burden of Asthma in the United States, 2008-2013. Ann Am Thorac Soc. 2018;15:348-56. doi: 10.1513/AnnalsATS.201703-259OC. PubMed PMID: 29323930.
  6. Sharifi L, Dashti R, Pourpak Z, Fazlollahi MR, Movahedi M, Chavoshzadeh Z, et al. Economic Burden of Pediatric Asthma: Annual Cost of Disease in Iran. Iran J Public Health. 2018;47:256-63. PubMed PMID: 29445636; PubMed Central PMCID: PMCPMC5810389.
  7. Fazlollahi MR, Najmi M, Fallahnezhad M, Sabetkish N, Kazemnejad A, Bidad K, et al. The prevalence of asthma in Iranian adults: The first national survey and the most recent updates. Clin Respir J. 2018;12:1872-81. doi: 10.1111/crj.12750. PubMed PMID: 29227026.
  8. Sharifi L, Pourpak Z, Fazlollahi MR, Bokaie S, Moezzi HR, Kazemnejad A, et al. Asthma Economic Costs in Adult Asthmatic Patients in Tehran, Iran. Iran J Public Health. 2015;44:1212-8. PubMed PMID: 26587495; PubMed Central PMCID: PMCPMC4645778.
  9. Rostamzadeh N, Akbari Sari A, Gharagozlou M. Direct Costs of Asthma in a Referral Public Children’s Hospital in Tehran, Iran. Iran J Allergy Asthma Immunol. 2018;17:601-3. PubMed PMID: 30644705.
  10. Darba S, Safaei N, Mahboub-Ahari A, Nosratnejad S, Alizadeh G, Ameri H, et al. Direct and Indirect Costs Associated with Coronary Artery (Heart) Disease in Tabriz, Iran. Risk Manag Healthc Policy. 2020;13:969-78. doi: 10.2147/RMHP.S261612. PubMed PMID: 32801971; PubMed Central PMCID: PMCPMC7406327.
  11. Jo C. Cost-of-illness studies: concepts, scopes, and methods. Clin Mol Hepatol. 2014;20:327-37. doi: 10.3350/cmh.2014.20.4.327. PubMed PMID: 25548737; PubMed Central PMCID: PMCPMC4278062.
  12. Ruiz-Cantero MT, Blasco-Blasco M, Chilet-Rosell E, Peiro AM. Gender bias in therapeutic effort: from research to health care. Farm Hosp. 2020;44:109-13. doi: 10.7399/fh.11394. PubMed PMID: 32452310.
  13. Su R, Zhang Q, Liu Y, Tay L. Modeling congruence in organizational research with latent moderated structural equations. J Appl Psychol. 2019;104:1404-33. doi: 10.1037/apl0000411. PubMed PMID: 31045381.
  14. International ERS/ATS guidelines on definition, evaluation and treatment of severe asthma. Kian Fan Chung, Sally E. Wenzel, Jan L. Brozek, Andrew Bush, Mario Castro, Peter J. Sterk, Ian M. Adcock, Eric D. Bateman, Elisabeth H. Bel, Eugene R. Bleecker, Louis-Philippe Boulet, Christopher Brightling, Pascal Chanez, Sven-Erik Dahlen, Ratko Djukanovic, Urs Frey, Mina Gaga, Peter Gibson, Qutayba Hamid, Nizar N. Jajour, Thais Mauad, Ronald L. Sorkness and W. Gerald Teague. Eur Respir J 2014; 43: 343-373. Eur Respir J. 2018;52. doi: 10.1183/13993003.52020-2013. PubMed PMID: 30054347.
  15. Chen H, Blanc PD, Hayden ML, Bleecker ER, Chawla A, Lee JH, et al. Assessing productivity loss and activity impairment in severe or difficult-to-treat asthma. Value Health. 2008;11:231-9. doi: 10.1111/j.1524-4733.2007.00229.x. PubMed PMID: 18380635.
  16. National Asthma E, Prevention P. Expert Panel Report 3 (EPR-3): Guidelines for the Diagnosis and Management of Asthma-Summary Report 2007. J Allergy Clin Immunol. 2007;120:S94-138. doi: 10.1016/j.jaci.2007.09.043. PubMed PMID: 17983880.
  17. Seyedrezazadeh E, Ansarin K, Sharifi A, Jafari Rouhi AH, Gilani N, Aftabi Y, et al. Validation of the Persian work productivity and activity impairment questionnaire in asthmatic patients. Expert Rev Respir Med. 2020;14:757-62. doi: 10.1080/17476348.2020.1750373. PubMed PMID: 32233706.
  18. Sicras-Mainar A, Capel M, Navarro-Artieda R, Nuevo J, Orellana M, Resler G. Real-life retrospective observational study to determine the prevalence and economic burden of severe asthma in Spain. J Med Econ. 2020;23:492-500. doi: 10.1080/13696998.2020.1719118. PubMed PMID: 31958257.
  19. Zhou ZY, Koerper MA, Johnson KA, Riske B, Baker JR, Ullman M, et al. Burden of illness: direct and indirect costs among persons with hemophilia A in the United States. J Med Econ. 2015;18:457-65. doi: 10.3111/13696998.2015.1016228. PubMed PMID: 25660324.
  20. Quirce S, Melero C, Huerta A, Uria E, Cuesta M. Economic impact of severe asthma exacerbations in Spain: multicentre observational study. J Asthma. 2021;58:207-12. doi: 10.1080/02770903.2019.1674330. PubMed PMID: 31621441.
  21. Hu Lt, Bentler PM. Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal. 1999;6:1-55. doi: 10.1080/10705519909540118.
  22. Imai K, Keele L, Tingley D. A general approach to causal mediation analysis. Psychol Methods. 2010;15:309-34. doi: 10.1037/a0020761. PubMed PMID: 20954780.
  23. McDonald RP. Measuring Latent Quantities. Psychometrika. 2011;76:511-36. doi: 10.1007/s11336-011-9223-7. PubMed PMID: 27519679.
  24. Medeiros RA. Including Auxiliary Variables in Models with Missing Data Using Full Information Maximum Likelihood. 2013 Stata Conference 18; 2013.
  25. Kline RB. Principles and practice of structural equation modeling. New York: Guilford Publications; 2015.
  26. Settipane RA, Kreindler JL, Chung Y, Tkacz J. Evaluating direct costs and productivity losses of patients with asthma receiving GINA 4/5 therapy in the United States. Ann Allergy Asthma Immunol. 2019;123:564-72. doi: 10.1016/j.anai.2019.08.462. PubMed PMID: 31494235.
  27. Bahadori K, Doyle-Waters MM, Marra C, Lynd L, Alasaly K, Swiston J, et al. Economic burden of asthma: a systematic review. BMC Pulm Med. 2009;9:24. doi: 10.1186/1471-2466-9-24. PubMed PMID: 19454036; PubMed Central PMCID: PMCPMC2698859.
  28. Pignataro FS, Bonini M, Forgione A, Melandri S, Usmani OS. Asthma and gender: The female lung. Pharmacol Res. 2017;119:384-90. doi: 10.1016/j.phrs.2017.02.017. PubMed PMID: 28238829.
  29. Varmaghani M, Rashidian A, Kebriaeezadeh A, Moradi-Lakeh M, Moin M, Ghasemian A, et al. National and sub-national prevalence, trend, and burden of asthma in Iran from 1990 to 2013; the study protocol. Arch Iran Med. 2014;17:804-9. doi: 0141712/AIM.005. PubMed PMID: 25481318.
  30. Yaghoubi M, Adibi A, Safari A, FitzGerald JM, Sadatsafavi M. The Projected Economic and Health Burden of Uncontrolled Asthma in the United States. Am J Respir Crit Care Med. 2019;200:1102-12. doi: 10.1164/rccm.201901-0016OC. PubMed PMID: 31166782; PubMed Central PMCID: PMCPMC6888652.
  31. Birnbaum HG, Berger WE, Greenberg PE, Holland M, Auerbach R, Atkins KM, et al. Direct and indirect costs of asthma to an employer. J Allergy Clin Immunol. 2002;109:264-70. doi: 10.1067/mai.2002.121310. PubMed PMID: 11842295.
  32. Statistical Centre of Iran. The results of the labor force census were published in the spring of 2018. 2018:1-15. Persian.
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