Τhe Cost and the Value of Stroke Care in Greece: Results from the SUN4P Study

Olga Ch. Siskou; Petros Galanis; Olympia Konstantakopoulou; Panagiotis Stafylas; Iliana Karagouni; Evangelos Tsampalas; Daphne Garefou; Helen Alexopoulou; Anasstasia Gamvroula; Maria Lypiridou; Ioannis Kalliotzakis; Anastasia Fragkoulaki; Aspasia Kouridaki; Argyro Tountopoulou; Ioanna Kouzi; Sofia Vassilopoulou; Efstathios Manios; Georgios Mavraganis; Anastasia Vemmou; Efstathia Karagkiozi; Christos Savopoulos; Grigorios George Dimas; Athina Myrou; Haralampos Milionis; Georgios Siopis; Xara Evaggelou; Athanase D. Protogerou; Stamatia Samara; Asteria Karapiperi; Nikolaos Kakaletsis; George Papastefanatos; Stefanos Papastefanatos; Panayota Sourtzi; George Ntaios; Konstantinos Vemmos; Eleni Korompoki; Daphne Kaitelidou

doi:10.20944/preprints202307.2007.v1

A peer-reviewed article of this Preprint also exists.

Siskou, O.; Galanis, P.; Konstantakopoulou, O.; Stafylas, P.; Karagkouni, I.; Tsampalas, E.; Garefou, D.; Alexopoulou, H.; Gamvroula, A.; Lypiridou, M.; Kalliontzakis, I.; Fragkoulaki, A.; Kouridaki, A.; Tountopoulou, A.; Kouzi, I.; Vassilopoulou, S.; Manios, E.; Mavraganis, G.; Vemmou, A.; Karagkiozi, E.; Savopoulos, C.; Dimas, G.; Myrou, A.; Milionis, H.; Siopis, G.; Evaggelou, H.; Protogerou, A.; Samara, S.; Karapiperi, A.; Kakaletsis, N.; Papastefanatos, G.; Papastefanatos, S.; Sourtzi, P.; Ntaios, G.; Vemmos, K.; Korompoki, E.; Kaitelidou, D. The Cost and the Value of Stroke Care in Greece: Results from the SUN4P Study. Healthcare 2023, 11, 2545. Siskou, O.; Galanis, P.; Konstantakopoulou, O.; Stafylas, P.; Karagkouni, I.; Tsampalas, E.; Garefou, D.; Alexopoulou, H.; Gamvroula, A.; Lypiridou, M.; Kalliontzakis, I.; Fragkoulaki, A.; Kouridaki, A.; Tountopoulou, A.; Kouzi, I.; Vassilopoulou, S.; Manios, E.; Mavraganis, G.; Vemmou, A.; Karagkiozi, E.; Savopoulos, C.; Dimas, G.; Myrou, A.; Milionis, H.; Siopis, G.; Evaggelou, H.; Protogerou, A.; Samara, S.; Karapiperi, A.; Kakaletsis, N.; Papastefanatos, G.; Papastefanatos, S.; Sourtzi, P.; Ntaios, G.; Vemmos, K.; Korompoki, E.; Kaitelidou, D. The Cost and the Value of Stroke Care in Greece: Results from the SUN4P Study. Healthcare 2023, 11, 2545.

Abstract

The aim of this study was to measure one-year total cost of stroke and to investigate the value of stroke care, defined as cost per QALY. The study population included 892 patients with first ever acute stroke, hemorrhagic and ischemic, (ICD-10 codes: I61, I63 and I64) admitted within 48 hours of symptoms onset to nine public hospitals located in six cities. We conducted a bottom-up cost analysis from the societal point of view. All cost components including direct medical costs, productivity losses due to morbidity and mortality and informal care costs were considered. We used an annual time horizon, including all costs for 2021 irrespective of the time of disease onset. The average cost (direct and indirect) was extrapolated in order to estimate the national annual burden associated with stroke. We estimated the total cost of stroke in Greece at €343.1 mil a year in 2021, (€10,722/patient or €23,308 per QALY). Out of €343.1 mil., 53.3% (€182.9 mil) consisted direct healthcare cost representing 1.1% of current health expenditure in 2021. Overall, productivity losses were calculated at €160.2 mil. The mean productivity losses were estimated to 116 work days with 55.1 days lost due to premature retirement and absenteeism from work, 18.5 days lost due to mortality and 42.4 days lost due to informal caregiving by family members.This study highlights the burden of stroke and underlines the need for stakeholders and policy makers to re-organize stroke care and promote interventions that have been proved as cost-effective

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Τhe Cost and the Value of Stroke Care in Greece: Results from the SUN4P Study

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