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Quality of life and healthcare costs of patients with allergic respiratory diseases: a cross-sectional study

Author

Listed:
  • Vivienne Hillerich

    (University Duisburg-Essen)

  • Frederik Valbert

    (University Duisburg-Essen)

  • Silke Neusser

    (University Duisburg-Essen)

  • Oliver Pfaar

    (University Hospital Marburg, Philipps-Universität Marburg)

  • Ludger Klimek

    (Center for Rhinology and Allergology)

  • Annette Sperl

    (Center for Rhinology and Allergology)

  • Thomas Werfel

    (Hannover Medical School)

  • Eckard Hamelmann

    (University Bielefeld)

  • Cordula Riederer

    (DAK-Gesundheit)

  • Stefanie Wobbe-Ribinski

    (DAK-Gesundheit)

  • Anja Neumann

    (University Duisburg-Essen)

  • Jürgen Wasem

    (University Duisburg-Essen)

  • Janine Biermann-Stallwitz

    (University Duisburg-Essen)

Abstract

Background Allergic rhinitis (AR) and allergic asthma (AA) are chronic respiratory diseases that represent a global health problem. One aim of this study was to analyze the Health-related Quality of Life (HRQoL) of the patients in order to identify statistically significant influencing factors that determine HRQoL. Another aim was to assess and analyze data on cost-of-illness from a statutory health insurance perspective. Methods The EQ-5D-5L was used to evaluate the patients’ HRQoL. To identify the factors influencing the HRQoL, a multinomial logistic regression analysis was conducted using groups based on the EQ-5D-5L index value as dependent variable. Routine data were analyzed to determine total healthcare costs. Results The average EQ-5D-5L index was 0.85 (SD 0.20). A high age, the amount of disease costs, low internal health-related control beliefs and high ozone exposure in the residential area were found to be statistically significant influencing factors for a low HRQoL, whereas low age, male sex and a good possibility to avoid the allergens were found to be statistically significant factors influencing a high HRQoL. On average, the study participants incurred annual costs of €3072 (SD: 3485), of which €699 (SD: 743) could be assigned to allergic respiratory diseases. Conclusions Overall, the patients in the VerSITA study showed a high level of HRQoL. The identified influencing factors can be used as starting points for improving the HRQoL of patients with allergic respiratory diseases. From the perspective of a statutory health insurance, per person expenditures for allergic respiratory diseases are rather low.

Suggested Citation

  • Vivienne Hillerich & Frederik Valbert & Silke Neusser & Oliver Pfaar & Ludger Klimek & Annette Sperl & Thomas Werfel & Eckard Hamelmann & Cordula Riederer & Stefanie Wobbe-Ribinski & Anja Neumann & Jü, 2024. "Quality of life and healthcare costs of patients with allergic respiratory diseases: a cross-sectional study," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 25(4), pages 579-600, June.
    • Handle: RePEc:spr:eujhec:v:25:y:2024:i:4:d:10.1007_s10198-023-01598-3
    DOI: 10.1007/s10198-023-01598-3
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    References listed on IDEAS

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    1. Manuel B. Huber & Julia Felix & Martin Vogelmann & Reiner Leidl, 2017. "Health-Related Quality of Life of the General German Population in 2015: Results from the EQ-5D-5L," IJERPH, MDPI, vol. 14(4), pages 1-12, April.
    2. Kristina Ludwig & J.-Matthias Graf von der Schulenburg & Wolfgang Greiner, 2018. "German Value Set for the EQ-5D-5L," PharmacoEconomics, Springer, vol. 36(6), pages 663-674, June.
    3. Thomas Grochtdreis & Judith Dams & Hans-Helmut König & Alexander Konnopka, 2019. "Health-related quality of life measured with the EQ-5D-5L: estimation of normative index values based on a representative German population sample and value set," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 20(6), pages 933-944, August.
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    More about this item

    Keywords

    Asthma; Rhinitis; Health Economics; Health-Related Quality of Life; Healthcare Costs;
    All these keywords.

    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General
    • I13 - Health, Education, and Welfare - - Health - - - Health Insurance, Public and Private
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • I19 - Health, Education, and Welfare - - Health - - - Other

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