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    ARTICLE

    Long-Term Healthcare Utilization, Medical Cost, and Societal Cost in Adult Congenital Heart Disease

    Ruben Willems1,*, Fouke Ombelet2, Eva Goossens2,3,4, Katya De Groote5, Werner Budts6,7, Stéphane Moniotte8, Michèle de Hosson9, Liesbet Van Bulck2,4, Arianne Marelli10, Philip Moons2,11,12, Julie De Backer4,9,#, Lieven Annemans1,#

    Congenital Heart Disease, Vol.15, No.6, pp. 399-429, 2020, DOI:10.32604/CHD.2020.011709

    Abstract Objective: Cost-of-illness studies in Adult Congenital Heart Disease (ACHD) have mainly been limited to hospitalizations. This is the first paper to provide a comprehensive overview from a societal perspective including inpatient and outpatient medical costs, and absenteeism- and unemployment-related societal costs. Methods: A retrospective longitudinal (2006–2015) database analysis was performed in Belgium combining administrative and clinical databases (n = 10,572). Trends in resource use and costs per patient year were standardized to assess the impact of changes in the patient population composition. Generalized Linear Mixed Models assessed the impact of age, sex, lesion complexity, and time. Costs were converted to… More >

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