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Disease burden of psoriatic arthritis compared to rheumatoid arthritis, Hungarian experiment

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Abstract

The objectives of this study were to assess the costs of psoriatic arthritis (PsA) in Hungary and to identify key cost drivers among demographic and clinical variables and to compare cost-of-illness of PsA and rheumatoid arthritis (RA). Cross-sectional retrospective survey of 183 consecutive patients from eight rheumatology centres was conducted. Mean direct medical, direct non medical, indirect and total costs were 1,876, 794, 2,904 and 5,574 euros/patient/year, respectively. Total costs were in significant linear relationship with health assessment questionnaire score and psoriatic area severity index. Costs of RA were higher in all domains than of PsA. Our study was the first from the Eastern European region that provides cost-of-illness data on PsA. Our study revealed that functional status and severity of skin symptoms were the key cost drivers. The costs of PsA in Hungary were lower than in the high-income European countries.

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Acknowledgments

This study was supported by an unrestricted grant from Wyeth Hungary and The Centre for Public Affairs Studies Foundation.

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Authors and Affiliations

  1. Health Economics and Technology Assessment Research Centre, Corvinus University of Budapest, Fővám tér 8, 1093, Budapest, Hungary

    Valentin Brodszky & László Gulácsi

  2. National Institute of Rheumatology and Physiotherapy, Frankel Leó u. 25-29, 1023, Budapest, Hungary

    Péter Bálint, László Hodinka, Anna Polgár & Magdolna Seszták

  3. Rheumatology, Polyclinic of the Hospitaller Brothers of St. John of God, Frankel Leó u. 54, 1027, Budapest, Hungary

    Pál Géher & Éva Koó

  4. Department of Immunology and Rheumatology, University of Pécs, Akác utca 1, 7632, Pecs, Hungary

    Gábor Horváth

  5. Rheumatology, Flor Ferenc County Hospital, Semmelweis tér 1, 2143, Kistarcsa, Hungary

    Márta Péntek

  6. Division of Rheumatology, Third Department of Medicine, University of Debrecen, Móricz Zs. krt. 22, 4004, Debrecen, Hungary

    Sándor Szántó

  7. Rheumatological Department, State Health Centre, Róbert Károly körút 44, 1134, Budapest, Hungary

    Ilona Ujfalussy

Authors
  1. Valentin Brodszky
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  2. Péter Bálint
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  3. Pál Géher
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  4. László Hodinka
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  5. Gábor Horváth
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  6. Éva Koó
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  7. Márta Péntek
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  8. Anna Polgár
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  9. Magdolna Seszták
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  10. Sándor Szántó
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  11. Ilona Ujfalussy
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  12. László Gulácsi
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Corresponding author

Correspondence to Valentin Brodszky.

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Brodszky, V., Bálint, P., Géher, P. et al. Disease burden of psoriatic arthritis compared to rheumatoid arthritis, Hungarian experiment. Rheumatol Int 30, 199–205 (2009). https://doi.org/10.1007/s00296-009-0936-1

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  • DOI: https://doi.org/10.1007/s00296-009-0936-1

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