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Abstract
BackgroundIn many developed countries, the treatment of hyperkinetic disorder (or ADHD) consumes a considerable amount of resources. The primary aim of this study was to determine change in the direct cost of treatment for children and adolescents with hyperkinetic disorder in Germany over time, and compare the cost with the cost of treatment for two physical disorders: epilepsy and asthma.MethodsThe German Federal Statistical Office provided data on the direct cost of treating hyperkinetic disorder, epilepsy and asthma in Germany for 2002, 2004, and 2006. The direct costs of treatment incurred by hyperkinetic disorder in these years were compared with those incurred by epilepsy and asthma.ResultsThe total direct cost of treatment for the hyperkinetic disorder was € 177 million in 2002, € 234 million in 2004, and € 341 million in 2006. The largest proportion of the cost was incurred by the age group < 15 years: € 158 million in 2002, € 205 million in 2004, and € 287 million in 2006. The direct cost of treatment for epilepsy in this age group was a total of € 157 million in 2002, € 155 million in 2004, and € 155 million in 2006. For asthma, the total direct cost of treatment in this age group was € 266 million in 2002, € 257 million in 2004, and € 272 million in 2006.ConclusionThe direct cost of treatment for hyperkinetic disorder in the age group < 15 years increased considerably between 2002 and 2006. Over the same period of time and for the same age group, expenditure for epilepsy and asthma was more or less constant. The increase in expenditure for the treatment of hyperkinetic disorder may be due to increasing demand for diagnostic and therapeutic services and improved availability of such services. The study is limited by the difficulty of obtaining consistent data on the direct cost of treatment for both physical and psychiatric disorders in Germany.
Highlights
In many developed countries, the treatment of hyperkinetic disorder consumes a considerable amount of resources
The total direct cost of treatment increased over time, whilst the change in the total direct cost of treatment for epilepsy and asthma over the same time period was negligible
Two thirds of the patients in this sample treated for hyperkinetic disorder are in the age group < 15 years [41]
Summary
The treatment of hyperkinetic disorder (or ADHD) consumes a considerable amount of resources. The primary aim of this study was to determine change in the direct cost of treatment for children and adolescents with hyperkinetic disorder in Germany over time, and compare the cost with the cost of treatment for two physical disorders: epilepsy and asthma. The disorder is characterized by the core symptoms attention deficit, hyperactivity and impulsivity. These core symptoms occur as a continuous pattern and are inappropriate relative to the child's age, developmental stage and (page number not for citation purposes). Child and Adolescent Psychiatry and Mental Health 2009, 3:3 http://www.capmh.com/content/3/1/3 intelligence. They occur consistently and in various situations The long-term consequences of ADHD include loss of productivity, healthcare consumption, material damage, criminality, lost life years, intangible and other costs [10,11]
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