Economic evaluation of a tertiary prevention program for occupational skin diseases in Germany

Autor(en): Andrees, Valerie
John, Swen M. 
Nienhaus, Albert
Skudlik, Christoph 
Brans, Richard 
Augustin, Matthias
Krensel, Magdalene
ROQ-Study Grp
Stichwörter: Allergy; ASSURANCE; CHRONIC HAND ECZEMA; COST; cost of illness; cost of intervention; cost-effectiveness; Dermatology; hand eczema; HEALTH-CARE WORKERS; ILLNESS; MULTICENTER; QUALITY-OF-LIFE; REHABILITATION; ROUTINE CARE; SEVERITY INDEX; work-related skin disease
Erscheinungsdatum: 2020
Herausgeber: WILEY
Volumen: 82
Ausgabe: 6
Startseite: 361
Seitenende: 369
Background Occupational skin diseases (OSDs) are the most common work-related diseases in Germany and responsible for large a individual and financial burden. Therefore, a tertiary individual prevention program (TIP) is offered to patients with severe OSD who are at increased risk of abandoning their profession. Objectives To define cost of illness (COI) of OSD in Germany and to economically evaluate the TIP from a societal perspective. Methods In this study, data on patients taking part in the TIP (September 2005 to December 2009) were collected. Sociodemographic and medical data, costs, disease severity (Osnabrueck Hand Eczema Severity Index), and quality of life (QoL; Dermatology Life Quality Index) were assessed. COI and cost-effectiveness analyses were performed with a simulated control group. Results In the analysis, 1041 patients were included. Intervention costs per person were euro15 009 with decreasing COI over time. The incremental cost-effectiveness ratio revealed expenses per patient of euro8942 for a reduction in severity level and euro9093 for an improvement in QoL in the base case. Considering costs for retraining, the break-even point is reached if the TIP prevents retraining in approximately 64% of participants. Conclusions The decreased COI in this long-term evaluation indicates that the TIP is cost-effective in patients with severe OSD.
ISSN: 01051873
DOI: 10.1111/cod.13506

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