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Patients' health care resources utilization and costs estimation across cardiovascular risk categories: insights from the LATINO study

2024-09-12Research article Open access
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dc.contributor.authorGavina, Cristina
dc.contributor.authorBorges, Alexandra
dc.contributor.authorAfonso-Silva, Marta
dc.contributor.authorFortuna, Inês
dc.contributor.authorCanelas-Pais, Mariana
dc.contributor.authorAmaral, Rita
dc.contributor.authorCosta, Inês
dc.contributor.authorSeabra, Daniel
dc.contributor.authorAraújo, Francisco
dc.contributor.authorTaveira-Gomes, Tiago
dc.contributor.authorAmaral, Rita
dc.date.accessioned2025-06-03T08:00:14Z
dc.date.available2025-06-03T08:00:14Z
dc.date.issued2024-09-12
dc.description.abstract"Atherosclerotic Cardiovascular Disease (ASCVD) is a global public health concern. This study aimed to estimate the healthcare resource utilization (HRU) and costs stratified by cardiovascular disease (CVD) risk categories using real-world evidence, in a regional population in Portugal. This is a retrospective observational study, using data from Electronic Health Records between 2017 and 2021. Patients aged≥40 years, and with at least one general practitioner (GP) appointment in the 3 years before 31st of December 2019, were included. CVD risk categories were determined based on 2021 ESC prevention guidelines. HRU encompassed hospital data (hospitalizations, outpatient and emergency room visits) and GP appointments. Total direct costs per patient were calculated based on the reference cost of the Portuguese legislation for payment methodology on Diagnosis-Related Groups (DRGs). Analysis of 3 122 695 episodes, revealed consistent HRU and costs across the five years. Very high-risk patients, showed higher HRU, particularly in hospital admissions. Costs tended to rise with higher CVD risk level. Very high-risk patients with ASCVD had higher costs for hospital admissions, while low-to-moderate risk patients had higher costs for GP visits. Despite a smaller proportion, very high-risk patients with prior ASCVD represent the highest costs per patient across healthcare settings (from 115€ in emergency visits to 2 673€ in hospitalizations), followed by very high-risk patients without prior ASCVD (ASCVD-risk equivalents). This study revealed a substantial HRU and costs by patients with very high CVD risk, particularly those with prior ASCVD. Moreover, ASCVD-risk equivalents emerge as notable consumers, emphasizing the importance of risk assessment and preventive measures in cost-effective management of these patients. "por
dc.identifier.citationGavina, C., Borges, A., Afonso-Silva, M., Fortuna, I., Canelas-Pais, M., Amaral, R., Costa, I., Seabra, D., Araújo, F., & Taveira-Gomes, T. (2024). Patients’ health care resources utilization and costs estimation across cardiovascular risk categories: Insights from the LATINO study. Health Economics Review, 14(1), 73. https://doi.org/10.1186/s13561-024-00550-2
dc.identifier.doi10.1186/s13561-024-00550-2
dc.identifier.eissn2191-1991
dc.identifier.urihttp://hdl.handle.net/10400.22/30129
dc.language.isoeng
dc.peerreviewedyes
dc.publisherBMC
dc.relation.hasversionhttps://healtheconomicsreview.biomedcentral.com/articles/10.1186/s13561-024-00550-2
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectAtherosclerosis
dc.subjectCardiovascular diseases
dc.subjectRisk factors
dc.subjectElectronic health records
dc.subjectHealth resources
dc.subjectHealth care costs
dc.titlePatients' health care resources utilization and costs estimation across cardiovascular risk categories: insights from the LATINO studypor
dc.typeresearch article
dspace.entity.typePublication
oaire.citation.issueArticle number: 73
oaire.citation.titleHealth Economics Review
oaire.citation.volume14
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85
person.familyNameAmaral
person.givenNameRita
person.identifierR-00H-83K
person.identifier.ciencia-id1A1E-751F-50F0
person.identifier.orcid0000-0002-0233-830X
person.identifier.ridE-5535-2017
person.identifier.scopus-author-id56067841600
relation.isAuthorOfPublication790fdd33-acdb-4dfe-88dc-38538486c9b3
relation.isAuthorOfPublication.latestForDiscovery790fdd33-acdb-4dfe-88dc-38538486c9b3

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