Healthcare resource use and associated costs for patients with an ileostomy experiencing peristomal skin complications
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Healthcare resource use and associated costs for patients with an ileostomy experiencing peristomal skin complications. / Rolls, N.; de Fries Jensen, L.; Mthombeni, F.; Vardanega, V.; Håkan-Bloch, J.; van Hest, N.; Karlsmark, T.
In: International Wound Journal, Vol. 20, No. 7, 2023, p. 2540-2550.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Healthcare resource use and associated costs for patients with an ileostomy experiencing peristomal skin complications
AU - Rolls, N.
AU - de Fries Jensen, L.
AU - Mthombeni, F.
AU - Vardanega, V.
AU - Håkan-Bloch, J.
AU - van Hest, N.
AU - Karlsmark, T.
N1 - Publisher Copyright: © 2023 Coloplast A/S. International Wound Journal published by Medicalhelplines.com Inc and John Wiley & Sons Ltd.
PY - 2023
Y1 - 2023
N2 - Peristomal skin complications (PSCs) have a significant impact on quality of life and ostomy treatment costs. This study aimed to assess the healthcare resource use for patients with an ileostomy and PSCs symptoms. Two surveys were developed and, after validation by healthcare professionals and patients, data were collected on healthcare resource use while not experiencing any PSCs symptoms and while experiencing complications of various severities, as defined by the modified Ostomy Skin Tool. Costs applied to resource use were assigned from relevant United Kingdom sources. Additional healthcare resource use associated with PSCs, relative to no complications, was estimated to result in a total cost per instance of £258, £383, and £505 for mild, moderate, or severe PSC, respectively. The average estimated total cost per complication instance, weighted across mild, moderate, and severe PSCs, was £349. Severe-level PSCs were associated with the highest cost, because of the treatment-level required and the longer duration of symptoms. There is potential for clinical benefits and economising in stoma care if interventions are implemented that reduce the incidence and/or severity of PSCs.
AB - Peristomal skin complications (PSCs) have a significant impact on quality of life and ostomy treatment costs. This study aimed to assess the healthcare resource use for patients with an ileostomy and PSCs symptoms. Two surveys were developed and, after validation by healthcare professionals and patients, data were collected on healthcare resource use while not experiencing any PSCs symptoms and while experiencing complications of various severities, as defined by the modified Ostomy Skin Tool. Costs applied to resource use were assigned from relevant United Kingdom sources. Additional healthcare resource use associated with PSCs, relative to no complications, was estimated to result in a total cost per instance of £258, £383, and £505 for mild, moderate, or severe PSC, respectively. The average estimated total cost per complication instance, weighted across mild, moderate, and severe PSCs, was £349. Severe-level PSCs were associated with the highest cost, because of the treatment-level required and the longer duration of symptoms. There is potential for clinical benefits and economising in stoma care if interventions are implemented that reduce the incidence and/or severity of PSCs.
KW - cost of illness
KW - healthcare utilisation
KW - ileostomy
KW - surgical stomas
KW - survey
UR - http://www.scopus.com/inward/record.url?scp=85152091295&partnerID=8YFLogxK
U2 - 10.1111/iwj.14118
DO - 10.1111/iwj.14118
M3 - Journal article
C2 - 37020423
AN - SCOPUS:85152091295
VL - 20
SP - 2540
EP - 2550
JO - International Wound Journal
JF - International Wound Journal
SN - 1742-4801
IS - 7
ER -
ID: 369986809