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Economic Burden of Stroke Disease: A Systematic Review

Author

Listed:
  • Thinni Nurul Rochmah

    (Department of Health Administration and Policy, Faculty of Public Health, Universitas Airlangga, Surabaya 60115, Indonesia
    The Airlangga Centre for Health Policy Research Group, Surabaya 60115, Indonesia)

  • Indana Tri Rahmawati

    (Department of Health Administration and Policy, Faculty of Public Health, Universitas Airlangga, Surabaya 60115, Indonesia)

  • Maznah Dahlui

    (Department of Health Administration and Policy, Faculty of Public Health, Universitas Airlangga, Surabaya 60115, Indonesia
    Centre of Population Health, Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur 50603, Malaysia)

  • Wasis Budiarto

    (Department of Health Administration and Policy, Faculty of Public Health, Universitas Airlangga, Surabaya 60115, Indonesia)

  • Nabilah Bilqis

    (Department of Health Administration and Policy, Faculty of Public Health, Universitas Airlangga, Surabaya 60115, Indonesia)

Abstract

Globally, one of the main causes of non-communicable disease as a cause of death every year is stroke. The objective of this study was to analyze the burden in consequence of stroke. This research used a systematic review method. Furthermore, a search for articles was carried out in June–July 2020. Four databases were used to search articles from 2015 to 2020. Eligible studies were identified, analyzed, and reported following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. The inclusion criteria were prospective cost studies, retrospective cost studies, database analysis, mathematical models, surveys, and COI studies that assess burden of stroke in primary and referral healthcare (hospital-based). The results showed that from four databases, 9270 articles were obtained, and 13 articles were qualified. A total of 9270 articles had the identified search keywords, but only 13 articles met the set criteria for inclusion. The criteria for inclusion were stroke patients, the economic burden of stroke disease based on cost of illness method, which is approximately equal to USD 1809.51–325,108.84 (direct costs 86.2%, and indirect costs 13.8%). Those that used the health expenditure method did not present the total cost; instead, only either direct or indirect cost of health expenditure were reported. For most hospital admissions due to stroke, LOS (length of stay) was the dominant cost. The high economic burden to manage stroke justifies the promotion and preventive efforts by the policymakers and motivates the practice of healthy lifestyles by the people.

Suggested Citation

  • Thinni Nurul Rochmah & Indana Tri Rahmawati & Maznah Dahlui & Wasis Budiarto & Nabilah Bilqis, 2021. "Economic Burden of Stroke Disease: A Systematic Review," IJERPH, MDPI, vol. 18(14), pages 1-16, July.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:14:p:7552-:d:594980
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    References listed on IDEAS

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    Cited by:

    1. Amirah Azzeri & Mohd Noor Afiq Ramlee & Mohd Iqbal Mohd Noor & Mohd Hafiz Jaafar & Thinni Nurul Rochmah & Maznah Dahlui, 2022. "Economic Burden of SARS-CoV-2 Patients with Multi-Morbidity: A Systematic Review Protocol," IJERPH, MDPI, vol. 19(20), pages 1-11, October.
    2. Thinni Nurul Rochmah & Indana Tri Rahmawati & Maznah Dahlui & Wasis Budiarto & Nabilah Bilqis, 2022. "Reply to Shaikh et al. Comment on “Rochmah et al. Economic Burden of Stroke Disease: A Systematic Review. Int. J. Environ. Res. Public Health 2021, 18 , 7552”," IJERPH, MDPI, vol. 19(7), pages 1-3, April.
    3. Summaiya Zareen Shaikh & Anant Patil & Mohammad Usman Ali & Ajit Dabholkar & Gianluca Rossetto, 2022. "Comment on Rochmah et al. Economic Burden of Stroke Disease: A Systematic Review. Int. J. Environ. Res. Public Health 2021, 18 , 7552," IJERPH, MDPI, vol. 19(7), pages 1-3, March.

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