Assessing socio-economic damage caused by coxarthrosis in the population
https://doi.org/10.29413/ABS.2023-8.5.2
Abstract
Background. About 40 % of patients diagnosed with coxarthrosis annually seek medical help and receive social support due to this disease. Increased use of an expensive surgery for treatment of coxarthrosis and projected growth of its prevalence in the population determine the relevance of socio-economic analysis.
The aim of the study. To assess the value and structure of economic damage caused by the delivering health and social care to patients with coxarthrosis at the state level of the Russian Federation.
Methods. To assess economic damage, we used the average annual number of various categories of patients and disabled people with coxarthrosis in the Irkutsk region for 2008–2017. Three main categories were identified: patients who visited the outpatients’ clinic; patients with total hip replacement; disabled people due to coxarthrosis. For each category, we calculated weighted average damage per 1 conventional patient, taking into account direct and indirect costs and subsequent multiplication by the average annual number of individual categories of patients. Calculations were performed in 2017 prices.
Results. The average annual socio-economic damage from coxarthrosis amounted to 1.39 (1.34÷1.43) billion rubles or 0.1 % of the gross regional product. The most of the damage (64.4 %) were indirect costs associated with disability due to coxarthrosis, 22.2 % of the total amount were the costs of hip replacement surgery, 13.4 % were the costs of outpatient visits. Indirect economic losses due to disability in patients of working age were 4.2 times higher than losses due to disability of oldage pensioners.
Conclusion. The results of the study confirm the economic feasibility of surgical treatment of coxarthrosis, especially in patients of working age.
About the Authors
V. A. Koryak
Irkutsk State Medical University
Russian Federation
Russian Federation
Valentina A. Koryak – Senior Lecturer at the Department of Pathologic Anatomy
Krasnogo Vosstaniya str. 1, Irkutsk 664003
A. D. Botvinkin
Irkutsk State Medical University
Russian Federation
Russian Federation
Aleksandr D. Botvinkin – Dr. Sc. (Med.), Professor, Head of the Department of Epidemiology
Krasnogo Vosstaniya str. 1, Irkutsk 664003
V. A. Sorokovikov
Irkutsk Scientific Centre of Surgery and Traumatology;
Irkutsk State Medical Academy of Postgraduate Education – Branch Campus of the Russian Medical Academy of Continuing Professional Education
Russian Federation
Russian Federation
Vladimir A. Sorokovikov – Dr. Sc. (Med.), Professor, Director; Head of the Department of Traumatology, Orthopedy and Neurosurgery
Bortsov Revolyutsii str. 1, Irkutsk 664003;
Yubileyniy 100, Irkutsk 664049
O. M. Chernikova
Irkutsk Scientific Centre of Surgery and Traumatology
Russian Federation
Russian Federation
Olga M. Chernikova – Head Physician of the Clinic
Bortsov Revolyutsii str. 1, Irkutsk 664003
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Review
For citations:
Koryak V.A., Botvinkin A.D., Sorokovikov V.A., Chernikova O.M. Assessing socio-economic damage caused by coxarthrosis in the population. Acta Biomedica Scientifica. 2023;8(5):14-22. https://doi.org/10.29413/ABS.2023-8.5.2
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