Nico Hutter1, Annika Knecht, Harald Baumeister. 1. Department of Rehabilitation Psychology and Psychotherapy, Institute of Psychology, University of Freiburg, Germany. nico.hutter@psychologie.uni-freiburg.de
Abstract
OBJECTIVE: The aim of this study was to systematically review the impact of comorbid mental disorders on health care costs in adult persons with asthma. METHOD: A comprehensive search for studies investigating adult persons (≥18 years) with asthma was conducted. All studies were included, which allowed a comparison of health care utilization and costs between asthma patients with mental disorders and asthma patients without. RESULTS: The literature search revealed 1977 potentially relevant studies. Eighteen primary studies (20 publications) fulfilled the inclusion criteria. Mood disorders (n=14) and anxiety disorders (n=9) were studied most often. Increased rates of hospitalizations (odds ratio range, 0.9-6.1; n=7), emergency department visits (odds ratio range, 1.8-17.2; n=7) and general practitioner visits (standardized mean difference range, 0.1-1.1; n=6) were found in asthma patients with mental comorbidity. Indirect costs of work absence were investigated in two studies pointing in the same direction of increased costs. Evidence is sparse regarding other outcomes due to a lack of primary studies. CONCLUSION: The present systematic review highlights a meaningful impact of comorbid mental disorders on health care utilization and costs in adult patients with asthma. Thus, psychodiagnostic routines and appropriate mental health treatments are needed to reduce health care costs in asthma care.
OBJECTIVE: The aim of this study was to systematically review the impact of comorbid mental disorders on health care costs in adult persons with asthma. METHOD: A comprehensive search for studies investigating adult persons (≥18 years) with asthma was conducted. All studies were included, which allowed a comparison of health care utilization and costs between asthmapatients with mental disorders and asthmapatients without. RESULTS: The literature search revealed 1977 potentially relevant studies. Eighteen primary studies (20 publications) fulfilled the inclusion criteria. Mood disorders (n=14) and anxiety disorders (n=9) were studied most often. Increased rates of hospitalizations (odds ratio range, 0.9-6.1; n=7), emergency department visits (odds ratio range, 1.8-17.2; n=7) and general practitioner visits (standardized mean difference range, 0.1-1.1; n=6) were found in asthmapatients with mental comorbidity. Indirect costs of work absence were investigated in two studies pointing in the same direction of increased costs. Evidence is sparse regarding other outcomes due to a lack of primary studies. CONCLUSION: The present systematic review highlights a meaningful impact of comorbid mental disorders on health care utilization and costs in adult patients with asthma. Thus, psychodiagnostic routines and appropriate mental health treatments are needed to reduce health care costs in asthma care.
Authors: Alexander Engels; Katrin Christiane Reber; Julia Luise Magaard; Martin Härter; Sabine Hawighorst-Knapstein; Ariane Chaudhuri; Christian Brettschneider; Hans-Helmut König Journal: Eur J Health Econ Date: 2020-03-17
Authors: Donna M Zulman; Christine Pal Chee; Todd H Wagner; Jean Yoon; Danielle M Cohen; Tyson H Holmes; Christine Ritchie; Steven M Asch Journal: BMJ Open Date: 2015-04-16 Impact factor: 2.692