Il costo della sindrome da fallimento chirurgico spinale (failed back surgery syndrome, FBSS) nei pazienti con indicazione a impianto per neurostimolazione midollare in Italia

Translated title of the contribution: The cost of illness of failed back surgery syndrome for patients eligible for spinal cord stimulation in Italy

F. Zucco, R. Ravasio, A. Lavano, M. de Rose, P. Poli, G. Fortini, L. Demartini, E. de Simone, V. Menardo, P. Cisotto, M. Meglio, A. Costantini

Research output: Contribution to journalArticle

Abstract

Objective: To assess the costs and clinical condition of Failed Back Surgery Syndrome (FBSS) for patients eligible for Spinal Cord Stimulation (SCS) in Italy. Methods: A multicentre, retrospective data collection with a maximum time horizon of 12 months was developed. Nine Italian Centers experienced in SCS were involved enrolling 80 patients. Use and costs of healthcare and non-healthcare resources, clinical condition and HR-QoL data were collected through specific questionnaires submitted to patients. Mean monthly costs (EUR 2008) were evaluated according to three perspectives: Patient, National Healthcare System (NHS) and Society. Results: A strong impairment in baseline HR-QoL was documented. Mean utility score was 0.07 (general UK population: 0.70). According to the Oswestry questionnaire, 44% of patients were crippled and 39% severely disabled. All SF-36 dimensions were worse than in normal population. To treat FBSS, monthly expenditure per patient was equal to €177.34, €221.12 and €1,046.12 from the perspectives of Patient, NHS and Society, respectively. Productivity losses accounted for 62% of the societal total costs, while hospitalizations explained 28% of the costs sustained by the NHS. From the patient perspective, themain cost drivers were home care (27%) and travel expenses (26%). Conclusions: This Cost-of-Illness analysis confirms FBSS as a disabling and costly disease.

Translated title of the contributionThe cost of illness of failed back surgery syndrome for patients eligible for spinal cord stimulation in Italy
Original languageItalian
Pages (from-to)29-42
Number of pages14
JournalPharmacoEconomics - Italian Research Articles
Volume13
Issue number1
Publication statusPublished - 2011

ASJC Scopus subject areas

  • Pharmacology (medical)
  • Health Policy

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    Zucco, F., Ravasio, R., Lavano, A., de Rose, M., Poli, P., Fortini, G., Demartini, L., de Simone, E., Menardo, V., Cisotto, P., Meglio, M., & Costantini, A. (2011). Il costo della sindrome da fallimento chirurgico spinale (failed back surgery syndrome, FBSS) nei pazienti con indicazione a impianto per neurostimolazione midollare in Italia. PharmacoEconomics - Italian Research Articles, 13(1), 29-42.