IDEAS home Printed from https://ideas.repec.org/a/spr/ijphth/v64y2019i6d10.1007_s00038-019-01211-6.html
   My bibliography  Save this article

Direct healthcare costs of spinal disorders in Brazil

Author

Listed:
  • Rodrigo Luiz Carregaro

    (Vrije Universiteit Amsterdam
    Universidade de Brasília (UnB))

  • Everton Nunes Silva

    (Universidade de Brasília (UnB))

  • Maurits van Tulder

    (Vrije Universiteit Amsterdam
    Aarhus University Hospital)

Abstract

Objectives To estimate the direct healthcare costs of spinal disorders in Brazil over 2016. Methods This is a prevalence-based cost-of-illness study with a top-down approach from the perspective of the public healthcare system. All international Classification of Diseases codes related to spinal disorders were included. The following costs were obtained: (1) hospitalization; medical professional service costs; intensive care unit costs; companion daily stay; (2) outpatient (services/procedures). Data were analyzed descriptively and costs presented in US$. Results The healthcare system spent US$ 71.4 million, and inpatient care represented 58%. The number of inpatient days was 250,426, and there were 36,654 hospital admissions (dorsalgia and disk disorders representing 70% of the costs). More than 114,000 magnetic resonance scans and 107,000 computerized tomography scans were adopted. Men had more inpatient days (138,215) than women (112,211). Overall, the inpatient/outpatient cost ratio was twice as high for men. Conclusions We demonstrated that the direct costs of spinal disorders in Brazil in 2016 were considerable. We also found a substantial amount of financial resources spent on diagnostic imaging. This is relevant as the routine use of diagnostic imaging for back pain is discouraged in international guidelines.

Suggested Citation

  • Rodrigo Luiz Carregaro & Everton Nunes Silva & Maurits van Tulder, 2019. "Direct healthcare costs of spinal disorders in Brazil," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 64(6), pages 965-974, July.
    • Handle: RePEc:spr:ijphth:v:64:y:2019:i:6:d:10.1007_s00038-019-01211-6
    DOI: 10.1007/s00038-019-01211-6
    as

    Download full text from publisher

    File URL: http://link.springer.com/10.1007/s00038-019-01211-6
    File Function: Abstract
    Download Restriction: Access to the full text of the articles in this series is restricted.
    File URL: https://libkey.io/10.1007/s00038-019-01211-6?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Adam, Taghreed & Evans, David B., 2006. "Determinants of variation in the cost of inpatient stays versus outpatient visits in hospitals: A multi-country analysis," Social Science & Medicine, Elsevier, vol. 63(7), pages 1700-1710, October.
    2. Samanta Pereira Sussenbach & Everton Nunes Silva & Milene Amarante Pufal & Daniela Shan Casagrande & Alexandre Vontobel Padoin & Cláudio Corá Mottin, 2014. "Systematic Review of Economic Evaluation of Laparotomy versus Laparoscopy for Patients Submitted to Roux-en-Y Gastric Bypass," PLOS ONE, Public Library of Science, vol. 9(6), pages 1-8, June.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Rodrigo Luiz Carregaro & Caroline Ribeiro Tottoli & Daniela da Silva Rodrigues & Judith E Bosmans & Everton Nunes da Silva & Maurits van Tulder, 2020. "Low back pain should be considered a health and research priority in Brazil: Lost productivity and healthcare costs between 2012 to 2016," PLOS ONE, Public Library of Science, vol. 15(4), pages 1-15, April.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Naira Matevosyan, 2015. "The Overuse of Cesarean Section: Medical, Legal, Research, and Economical Pitfalls," Journal of the Knowledge Economy, Springer;Portland International Center for Management of Engineering and Technology (PICMET), vol. 6(4), pages 1090-1103, December.
    2. Tom Stargardt, 2008. "Health service costs in Europe: cost and reimbursement of primary hip replacement in nine countries," Health Economics, John Wiley & Sons, Ltd., vol. 17(S1), pages 9-20, January.
    3. Taghreed Adam & David B Evans & Bian Ying & Christopher J L Murray, 2014. "Variability in Costs across Hospital Wards. A Study of Chinese Hospitals," PLOS ONE, Public Library of Science, vol. 9(5), pages 1-8, May.
    4. Mahdi Javid & Mohammad Hadian & Hossein Ghaderi & Shahram Ghaffari & Masoud Salehi, 2016. "Application of the Activity-Based Costing Method for Unit-Cost Calculation in a Hospital," Global Journal of Health Science, Canadian Center of Science and Education, vol. 8(1), pages 165-165, January.
    5. Susmita Chatterjee & Carol Levin & Ramanan Laxminarayan, 2013. "Unit Cost of Medical Services at Different Hospitals in India," PLOS ONE, Public Library of Science, vol. 8(7), pages 1-10, July.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:spr:ijphth:v:64:y:2019:i:6:d:10.1007_s00038-019-01211-6. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Sonal Shukla or Springer Nature Abstracting and Indexing (email available below). General contact details of provider: http://www.springer.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.