Abstract
Chronic Spontaneous Urticaria (CSU) is a chronic disease with significant negative impact on quality of life of patients. The direct and indirect costs of the disease can be substantial both for the health care system and society. The aim of this research is to estimate the cost of mild, moderate and severe CSU in Turkey and to forecast the cost of the disease from the payer (Social Security Institution—SSI) perspective. Expert opinions with Delphi technique were used in order to determine the cost items and their frequency. A questionnaire was designed to outline resources used in the out-patient, inpatient and emergency care episodes and was answered by dermatologists followed by a consensus meeting. Unit costs were calculated from the price list of the SSI. The annual total cost of treating the disease to the SSI was estimated as 262,111,978TL (94,417,870€) comprising 0.06% of the total healthcare budget in 2013. Since there is limited information about the cost of CSU in Turkey, the methodology and results of this study are unique and very important.
Highlights
Chronic Spontaneous Urticaria (CSU) is a chronic dermatological disease where patients may experience severe deterioration in their quality of life
The annual total cost of treating the disease to the Security Institution (SSI) was found as 262,111,978 TL (€79,269,334)
The disease manifests itself with occurrence of spontaneous pruritic hives and/or angioedema persisting for 6 weeks or more with no obvious cause
Summary
Chronic Spontaneous Urticaria (CSU) is a chronic dermatological disease where patients may experience severe deterioration in their quality of life. CSU is defined as the occurrence of spontaneous pruritic hives and/or angioedema persisting for 6 weeks or more with no obvious cause [1] [2]. It is stated that over 50% of CSU patients experience at least one recurrence symptom after apparent resolution [7]. Chronic urticaria is estimated to occur in 0.1% of the population. 60% of chronic urticaria is termed as ordinary without a physical or vasculitic origin. CSU, is estimated to account approximately two thirds of ordinary urticaria [6] [8]. Angioedema occurs in approximately 50% of the CSU cases and delayed pressure urticaria in about 40% [9]
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