Atherosclerosis: the cost of illness in Portugal
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Publication Date: | 2021 |
Other Authors: | , , , , , , , , , , , , , , , , , |
Format: | Article |
Language: | eng |
Source: | Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) |
Download full: | http://hdl.handle.net/10451/49206 |
Summary: | Copyright © 2020 Sociedade Portuguesa de Cardiologia. Published by Elsevier España, S.L.U. All rights reserved. |
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Atherosclerosis: the cost of illness in PortugalOs custos da aterosclerose em PortugalAtherosclerosisCost of illnessDirect costsHealth care costsIndirect costsPortugalCopyright © 2020 Sociedade Portuguesa de Cardiologia. Published by Elsevier España, S.L.U. All rights reserved.© 2020 Sociedade Portuguesa de Cardiologia. Published by Elsevier Espa ̃na, S.L.U. This is an open access article under the CC-BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).Introduction and objectives: Cardiovascular disease is the leading cause of death in Portugal and atherosclerosis is the most common underlying pathophysiological process. The aim of this study was to quantify the economic impact of atherosclerosis in Portugal by estimating disease-related costs. Methods: Costs were estimated based on a prevalence approach and following a societal perspective. Three national epidemiological sources were used to estimate the prevalence of the main clinical manifestations of atherosclerosis. The annual costs of atherosclerosis included both direct costs (resource consumption) and indirect costs (impact on population productivity). These costs were estimated for 2016, based on data from the Hospital Morbidity Database, the health care database (SIARS) of the Regional Health Administration of Lisbon and Tagus Valley including real-world data from primary care, the 2014 National Health Interview Survey, and expert opinion. Results: The total cost of atherosclerosis in 2016 reached 1.9 billion euros (58% and 42% of which was direct and indirect costs, respectively). Most of the direct costs were associated with primary care (55%), followed by hospital outpatient care (27%) and hospitalizations (18%). Indirect costs were mainly driven by early exit from the labor force (91%). Conclusions: Atherosclerosis has a major economic impact, being responsible for health expenditure equivalent to 1% of Portuguese gross domestic product and 11% of current health expenditure in 2016.ElsevierRepositório da Universidade de LisboaCosta, JoãoAlarcão, JoanaAmaral-Silva, AlexandreAraujo, FranciscoAscenção, RaquelCaldeira, DanielCardoso, Marta FerreiraCorreia, ManuelFiorentino, FrancescaGavina, CristinaGil, VictorGouveia, MiguelLourenço, FranciscoMello E Silva, AlbertoPedro, Luís MMorais, JoãoCarneiro, António VazVeríssimo, Manuel TeixeiraBorges, Margarida2021-07-29T13:02:57Z2021-062021-06-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10451/49206engRev Port Cardiol (Engl Ed). 2021 Jun;40(6):409-4190870-255110.1016/j.repce.2020.08.0032174-2030info:eu-repo/semantics/openAccessreponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiainstacron:RCAAP2025-03-17T14:36:09Zoai:repositorio.ulisboa.pt:10451/49206Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireinfo@rcaap.ptopendoar:https://opendoar.ac.uk/repository/71602025-05-29T03:16:45.433081Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiafalse |
dc.title.none.fl_str_mv |
Atherosclerosis: the cost of illness in Portugal Os custos da aterosclerose em Portugal |
title |
Atherosclerosis: the cost of illness in Portugal |
spellingShingle |
Atherosclerosis: the cost of illness in Portugal Costa, João Atherosclerosis Cost of illness Direct costs Health care costs Indirect costs Portugal |
title_short |
Atherosclerosis: the cost of illness in Portugal |
title_full |
Atherosclerosis: the cost of illness in Portugal |
title_fullStr |
Atherosclerosis: the cost of illness in Portugal |
title_full_unstemmed |
Atherosclerosis: the cost of illness in Portugal |
title_sort |
Atherosclerosis: the cost of illness in Portugal |
author |
Costa, João |
author_facet |
Costa, João Alarcão, Joana Amaral-Silva, Alexandre Araujo, Francisco Ascenção, Raquel Caldeira, Daniel Cardoso, Marta Ferreira Correia, Manuel Fiorentino, Francesca Gavina, Cristina Gil, Victor Gouveia, Miguel Lourenço, Francisco Mello E Silva, Alberto Pedro, Luís M Morais, João Carneiro, António Vaz Veríssimo, Manuel Teixeira Borges, Margarida |
author_role |
author |
author2 |
Alarcão, Joana Amaral-Silva, Alexandre Araujo, Francisco Ascenção, Raquel Caldeira, Daniel Cardoso, Marta Ferreira Correia, Manuel Fiorentino, Francesca Gavina, Cristina Gil, Victor Gouveia, Miguel Lourenço, Francisco Mello E Silva, Alberto Pedro, Luís M Morais, João Carneiro, António Vaz Veríssimo, Manuel Teixeira Borges, Margarida |
author2_role |
author author author author author author author author author author author author author author author author author author |
dc.contributor.none.fl_str_mv |
Repositório da Universidade de Lisboa |
dc.contributor.author.fl_str_mv |
Costa, João Alarcão, Joana Amaral-Silva, Alexandre Araujo, Francisco Ascenção, Raquel Caldeira, Daniel Cardoso, Marta Ferreira Correia, Manuel Fiorentino, Francesca Gavina, Cristina Gil, Victor Gouveia, Miguel Lourenço, Francisco Mello E Silva, Alberto Pedro, Luís M Morais, João Carneiro, António Vaz Veríssimo, Manuel Teixeira Borges, Margarida |
dc.subject.por.fl_str_mv |
Atherosclerosis Cost of illness Direct costs Health care costs Indirect costs Portugal |
topic |
Atherosclerosis Cost of illness Direct costs Health care costs Indirect costs Portugal |
description |
Copyright © 2020 Sociedade Portuguesa de Cardiologia. Published by Elsevier España, S.L.U. All rights reserved. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-07-29T13:02:57Z 2021-06 2021-06-01T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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article |
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publishedVersion |
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http://hdl.handle.net/10451/49206 |
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http://hdl.handle.net/10451/49206 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Rev Port Cardiol (Engl Ed). 2021 Jun;40(6):409-419 0870-2551 10.1016/j.repce.2020.08.003 2174-2030 |
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info:eu-repo/semantics/openAccess |
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openAccess |
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Elsevier |
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Elsevier |
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RCAAP |
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Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) |
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Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia |
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info@rcaap.pt |
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