Olsson, M, Bajpai, R ORCID: https://orcid.org/0000-0002-1227-2703, Wee, LWY, Yew, YW, Koh, MJA, Thng, S, Car, J and Järbrink, K (2019) The cost of childhood atopic dermatitis in a multi-ethnic Asian population: a cost-of-illness study. British Journal of Dermatology.

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Abstract

BACKGROUND: Childhood atopic dermatitis can often have a negative impact on quality of life for affected children and their caregivers. The condition contributes to increased healthcare costs and can pose heavy economic burdens on healthcare systems and societies. OBJECTIVES: The objective of this study is to provide a comprehensive estimate of the economic burden of childhood atopic dermatitis in a Singaporean sample and to investigate associated factors. METHODS: This cross-sectional cost-of-illness study applied a societal perspective. Data was collected between December 2016 and December 2017 in Singapore. Caregivers to children below 16 years of age with physician-confirmed diagnosis of atopic dermatitis were recruited and socio-demographics, clinical characteristics, health service utilisation data and time spent on caregiving were collected from all eligible participants. RESULTS: The average annual cost per child with atopic dermatitis was estimated at US$7,943 (mild US$6,651, moderate US$7,935 and severe US$14,335) in 2017 prices. The major cost was for informal caregiving (46% of the total cost) followed by out-of-pocket expenses (37%). Healthcare utilisation contributed to 17% of the total cost of which 43% was for medications. CONCLUSIONS: Childhood atopic dermatitis imposes substantial costs with a large proportion arising from informal caregiving and out-of-pocket expenses. The cost for atopic dermatitis is also strongly related to disease severity. This information is important for policymakers and other health planners when considering how to better support affected families. This article is protected by copyright. All rights reserved.

Item Type: Article
Additional Information: The final published version of this article is available online at https://onlinelibrary.wiley.com/doi/abs/10.1111/bjd.18442
Subjects: R Medicine > R Medicine (General)
R Medicine > RA Public aspects of medicine
Divisions: Faculty of Medicine and Health Sciences > Primary Care Health Sciences
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Depositing User: Symplectic
Date Deposited: 05 Sep 2019 09:19
Last Modified: 05 Sep 2019 09:19
URI: http://eprints.keele.ac.uk/id/eprint/6769

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