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Total costs and predictors of costs in patients with systemic lupus erythematosus.

机译:系统性红斑狼疮患者的总费用和费用预测指标。

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OBJECTIVE: To determine the annual direct, indirect and total costs and predictors of costs in patients with systemic lupus erythematosus (SLE). METHODS: One hundred and five patients with SLE completed questionnaires on health-care utilization and employment history. Predictors of costs were determined by multiple regression analyses using direct, indirect and total costs as outcome variables. Demographics, health status, disease activity, end-organ damage, social support and satisfaction with care were used as predictor variables. RESULTS: The mean annual total cost per patient was pounds sterling 7913. Direct costs were a third and indirect costs two-thirds of the total cost. Higher education level, greater disease activity and lower physical functioning were associated with higher direct, indirect and total costs. Higher direct costs were also associated with greater damage and younger age. CONCLUSION: SLE has a considerable impact on the health-care system and society. Improvement in disease activity and physical health and prevention of end-organ damage may reduce costs in SLE.
机译:目的:确定系统性红斑狼疮(SLE)患者的年度直接,间接和总费用以及费用的预测指标。方法:105例SLE患者完成了关于医疗保健利用和就业史的问卷调查。通过使用直接,间接和总成本作为结果变量的多元回归分析来确定成本的预测因素。人口统计学,健康状况,疾病活动,终末器官损害,社会支持和护理满意度被用作预测变量。结果:每位患者的平均年度总成本为7913英镑。直接成本占总成本的三分之一,间接成本占总成本的三分之二。较高的教育水平,较高的疾病活动度和较低的身体机能与较高的直接,间接和总成本相关。直接费用较高还与更大的损害和更年轻的年龄有关。结论:系统性红斑狼疮对卫生保健系统和社会都有相当大的影响。疾病活动和身体健康的改善以及对终末器官损害的预防可以降低SLE的成本。

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