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Economic Burden of NSAID-induced Gastropathy in Sweden
Authors:B. Jönsson  U. Haglund
Affiliation:1. Division of Internal Medicine, Department of Medicine and Care, University Hospital, Link?ping, Sweden;2. Division of Cell Biology, Department of Biomedicine and Surgery, Faculty of Health Sciences, University Hospital, Link?ping, Sweden;3. Department of Pathology Research, Ryhov Hospital, J?nk?ping, Sweden;4. Division of Surgery, Department of Biomedicine and Surgery, Faculty of Health Sciences, University Hospital, Link?ping, Sweden
Abstract:Background: Gastrointestinal side effects carry a significant cost related to the use of NSAID medications. Methods: The economic burden of NSAID-induced gastric side effects is estimated using the cost-of-illness methodology. Costs are calculated using both a prevalence (top-down) approach and an incidence (bottom-up) approach. Results: Using the top-down approach, the total cost in 1998 of NSAIDinduced ulcers was MSEK 329-586, direct costs accounting for 76%-83%. The bottom-up approach gives an estimate of MSEK 320, of which MSEK 290 was direct cost. About one-quarter of total costs for ulcer disease can be attributed to the use of NSAIDs. Conclusions: Gastrointestinal side effects carry a significant cost from the use of NSAIDs, costs that are as important as the price of NSAIDs. This should be considered when choice of drug and prophylaxis is being made.
Keywords:Direct Costs Economic Burden Gastropathy Indirect Costs Nsaids Sweden
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