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The cost-of-illness for invasive meningococcal disease caused by serogroup B Neisseria meningitidis (MenB) in Germany.
Vaccine 37, 1692-1701 (2019)
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Introduction: Invasive meningococcal disease (IMD) is a severe disease mainly affecting infants and young children. The most common serogroup causing IMD in Germany is the serogroup type B Neisseria meningitidis (MenB). The aim of the present study is to estimate the economic burden of MenB-related IMD in Germany.Method: A bottom-up, model-based costing approach has been used to calculate the diagnose- and age-specific yearly lifetime costs of a hypothetical cohort of MenB-related IMD cases. Direct costs contain the treatment cost for the acute phase of the disease, long-term sequelae, costs for rehabilitation, and public health response. Indirect costs are calculated for the human-capital approach and the friction-cost approach considering productivity losses of patients or parents for the acute phase and long-term sequelae. Publicly available databases from the Federal Statistical Office, the SOEP panel data set, literature, and expert opinion were used as data sources. All future costs beyond the reference year of 2015 were discounted at 3%.Results: The total costs for the hypothetical cohort (343 patients) from a societal perspective are (sic)19.6 million ((sic)57,100/IMD case) using the friction-cost approach and (sic)58.8 million ((sic)171,000/IMD case) using the human-capital approach. Direct costs amount to (sic)18.6 million or (sic)54,300 (sic)/case. Sequelae are responsible for 81% of the direct costs/case.Discussion: The elevated costs/MenB-related IMD case reflect the severity of the disease. The total costs are sensitive to the productivity-loss estimation approach applied. MenB is an uncommon but severe disease; The costs/case reflect the severity of the disease and is within the same magnitude as for human papilloma virus infections. The available literature on sequelae is due to the uncommonness limited and heterogeneous. (C) 2019 GlaxoSmithKline Biologicals SA. Published by Elsevier Ltd.
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Publication type
Article: Journal article
Document type
Scientific Article
Keywords
Cost-of-illness ; Neisseria Meningitidis ; Men B ; Germany; Rotavirus Vaccination; Impact
ISSN (print) / ISBN
0264-410X
e-ISSN
1358-8745
Journal
Vaccine
Quellenangaben
Volume: 37,
Issue: 12,
Pages: 1692-1701
Publisher
Elsevier
Publishing Place
The Boulevard, Langford Lane, Kidlington, Oxford Ox5 1gb, Oxon, England
Non-patent literature
Publications
Reviewing status
Peer reviewed