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Understanding and modelling the economic impact of spinal cord injuries in the United Kingdom

McDaid, David, Park, A-La, Gall, Angela, Purcell, Mariel and Bacon, Mark (2019) Understanding and modelling the economic impact of spinal cord injuries in the United Kingdom. Spinal Cord. ISSN 1476-5624

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Identification Number: 10.1038/s41393-019-0285-1

Abstract

Study design Economic modelling analysis. Objectives To determine lifetime direct and indirect costs from initial hospitalisation of all expected new traumatic and non-traumatic spinal cord injuries (SCI) over 12 months. Setting United Kingdom (UK). Methods Incidence-based approach to assessing costs from a societal perspective, including immediate and ongoing health, rehabilitation and long-term care directly attributable to SCI, as well as aids and adaptations, unpaid informal care and participation in employment. The model accounts for differences in injury severity, gender, age at onset and life expectancy. Results Lifetime costs for an expected 1270 new cases of SCI per annum conservatively estimated as £1.43 billion (2016 prices). This equates to a mean £1.12 million (median £0.72 million) per SCI case, ranging from £0.47 million (median £0.40 million) for an AIS grade D injury to £1.87 million (median £1.95 million) for tetraplegia AIS A–C grade injuries. Seventy-one percent of lifetime costs potentially are paid by the public purse with remaining costs due to reduced employment and carer time. Conclusions Despite the magnitude of costs, and being comparable with international estimates, this first analysis of SCI costs in the UK is likely to be conservative. Findings are particularly sensitive to the level and costs of long-term home and residential care. The analysis demonstrates how modelling can be used to highlight economic impacts of SCI rapidly to policymakers, illustrate how changes in future patterns of injury influence costs and help inform future economic evaluations of actions to prevent and/or reduce the impact of SCIs.

Item Type: Article
Additional Information: © 2019 The Authors
Divisions: Personal Social Services Research Unit
Subjects: R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Date Deposited: 21 May 2019 09:33
Last Modified: 25 Jun 2019 23:09
URI: http://eprints.lse.ac.uk/id/eprint/100842

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