TY  - JOUR
A1  - Steinke, Sabine I. B.
A1  - Peitsch, Wiebke K.
A1  - Ludwig, Alexander
A1  - Goebeler, Matthias
T1  - Cost-of-Illness in Psoriasis: Comparing Inpatient and Outpatient Therapy
T2  - PLOS ONE
N2  - Treatment modalities of chronic plaque psoriasis have dramatically changed over the past ten years with a still continuing shift from inpatient to outpatient treatment. This development is mainly caused by outpatient availability of highly efficient and relatively well-tolerated systemic treatments, in particular BioLogicals. In addition, inpatient treatment is time-and cost-intense, conflicting with the actual burst of health expenses and with patient preferences. Nevertheless, inpatient treatment with dithranol and UV light still is a major mainstay of psoriasis treatment in Germany. The current study aims at comparing the total costs of inpatient treatment and outpatient follow-up to mere outpatient therapy with different modalities (topical treatment, phototherapy, classic systemic therapy or BioLogicals) over a period of 12 months. To this end, a retrospective cost-of-illness study was conducted on 120 patients treated at the University Medical Centre Mannheim between 2005 and 2006. Inpatient therapy caused significantly higher direct medical, indirect and total annual costs than outpatient treatment (13,042 (sic) versus 2,984 (sic)). Its strong influence on cost levels was confirmed by regression analysis, with total costs rising by 104.3% in case of inpatient treatment. Patients receiving BioLogicals produced the overall highest costs, whereas outpatient treatment with classic systemic antipsoriatic medications was less cost-intense than other alternatives.
KW  - plaque-type psoriasis
KW  - health-care costs
KW  - patient preferences
KW  - disease severity
KW  - United States
KW  - moderate
KW  - life
KW  - multicenter
KW  - biologics
KW  - Germany
Y1  - 2013
UR  - https://opus.bibliothek.uni-wuerzburg.de/frontdoor/index/index/docId/12823
UR  - https://nbn-resolving.org/urn:nbn:de:bvb:20-opus-128235
SN  - 1932-6203
VL  - 8
IS  - 10
ER  -