The economic burden of varicella among children in France: a caregiver survey.

IF 3 3区医学 Q1 PEDIATRICS

European Journal of Pediatrics Pub Date : 2024-12-01 Epub Date: 2024-10-05 DOI:10.1007/s00431-024-05763-5

Salome Samant, Hervé Haas, Joana Santos, David R Mink, Richard Pitman, Tanaz Petigara, Manjiri Pawaskar

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引用次数: 0

Abstract

To estimate the economic burden of varicella among children in France from family and societal perspectives. We conducted an online cross-sectional survey of caregivers of 185 French children (≤ 17 years) diagnosed with varicella in the previous six weeks. Data collected included varicella-related healthcare resource use, out-of-pocket costs, missed school days, and workdays missed by either parents or other caregivers. Mean and median direct and indirect costs (2022 Euros) were calculated using survey data and published literature. The annual societal burden of pediatric varicella in France was estimated. Of the 185 children, 95.1% had ≥ 1 outpatient visit, 10.3% had ≥ 1 emergency room visit, and 2.2% were hospitalized. The median [interquartile range, IQR] number of outpatient visits/child was 1.0 [1.0 - 2.0]. The median length of hospital stay among those hospitalized (n = 4) was 5.0 [3.5 - 6.5] days. Caregivers of 185 children missed a median of 2.0 [0 - 5.0] workdays; 113 families (61.1%) had ≥ 1 parent miss work. A median of 5.0 [3.0 - 7.0] school days were missed by 170 children who attended preschool or school. The median direct out-of-pocket cost to the family was €30.0 [€17.0 - €60.0]. The median [IQR] societal costs per varicella case were €455.2 [€70.5 - €1013.5]; the median [IQR] direct and indirect costs per child were €60.8 [€39.0 - €102.7] and €364.7 [€0.0 - €911.7] respectively. The annual societal burden of varicella among children in France was estimated to be €450,427,578 (95% CI: €357,144,618 - €543,710,538), with indirect costs accounting for 85%.

Conclusions: A substantial economic burden is associated with pediatric varicella in France, primarily due to the productivity loss among caregivers.

What is known: • Although varicella is considered a mild disease, it poses a significant burden on caregivers and society. Our study aimed to estimate the economic burden of varicella among children in France from family and societal perspectives to support policymakers in understanding the value of UVV in France.

What is new: • We conducted an online survey of caregivers of 185 French children (≤17 years) diagnosed with varicella and collected data on varicella-related healthcare resource use, missed school days and workdays. Our study estimated annual societal burden of pediatric varicella in France. Out of 185 children with varicella, most (95.1%) had at least one outpatient visit, 10.3% had at least one emergency room visit, and 2.2% were hospitalized. 61.1% of parents with sick child, missed work and median productivity loss was 2.0 workdays. Additionally, 170 children who attended school or preschool missed a median of 5.0 school days. • The societal burden of pediatric varicella in France was estimated to be €450,427,578 (95% CI, €357,144,618 - €543,710,538), with indirect costs accounting for 85%. Pediatric varicella is associated with a substantial economic burden in France, primarily due to high productivity losses among parents and caregivers.

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法国儿童水痘的经济负担：护理人员调查。

从家庭和社会角度估算水痘给法国儿童带来的经济负担。我们对 185 名法国儿童（≤ 17 岁）的照顾者进行了一项在线横断面调查，这些儿童在过去六周内被确诊感染了水痘。收集的数据包括与水痘相关的医疗资源使用情况、自付费用、缺课天数以及父母或其他照顾者缺勤天数。直接和间接成本的平均值和中位数（2022 欧元）是根据调查数据和已发表的文献计算得出的。估算了法国每年因小儿水痘造成的社会负担。在185名儿童中，95.1%的儿童门诊就诊次数≥1次，10.3%的儿童急诊就诊次数≥1次，2.2%的儿童住院治疗。每名儿童门诊次数的中位数[四分位数间距，IQR]为 1.0 [1.0 - 2.0]。住院患儿（4 人）的住院时间中位数为 5.0 [3.5 - 6.5] 天。185 名儿童的照顾者缺勤的中位数为 2.0 [0 - 5.0]个工作日；113 个家庭（61.1%）有≥ 1 名家长缺勤。170名上学前班或学校的儿童缺课天数中位数为5.0 [3.0 - 7.0]天。家庭直接自付费用的中位数为 30.0 欧元 [17.0 - 60.0 欧元]。每个水痘病例的社会成本中位数[IQR]为 455.2 欧元[70.5 - 1013.5 欧元]；每个儿童的直接和间接成本中位数[IQR]分别为 60.8 欧元[39.0 - 102.7 欧元]和 364.7 欧元[0.0 - 911.7 欧元]。法国儿童每年因水痘造成的社会负担估计为 450,427,578 欧元（95% CI：357,144,618 - 543,710,538 欧元），其中间接成本占 85%：结论：在法国，小儿水痘造成了巨大的经济负担，主要原因是护理人员的生产力损失：- 尽管水痘被认为是一种轻微疾病，但它却给护理人员和社会造成了巨大负担。我们的研究旨在从家庭和社会角度估算水痘给法国儿童带来的经济负担，以帮助政策制定者了解水痘在法国的价值：- 我们对185名确诊为水痘的法国儿童（≤17岁）的护理人员进行了在线调查，并收集了与水痘相关的医疗资源使用、缺课天数和工作日的数据。我们的研究估算了法国每年因小儿水痘造成的社会负担。在185名水痘患儿中，大多数（95.1%）至少有一次门诊就诊经历，10.3%至少有一次急诊就诊经历，2.2%住院治疗。61.1%的患儿家长缺勤，生产率损失的中位数为 2.0 个工作日。此外，170 名上学或上学前班的儿童缺课的中位数为 5.0 天。- 在法国，小儿水痘造成的社会负担估计为 450,427,578 欧元（95% CI，357,144,618 - 543,710,538 欧元），其中间接成本占 85%。在法国，小儿水痘造成了巨大的经济负担，这主要是由于家长和护理人员的生产力损失较大。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European Journal of Pediatrics 医学-小儿科

CiteScore

5.90

自引率

2.80%

发文量

367

审稿时长

3-6 weeks

期刊介绍： The European Journal of Pediatrics (EJPE) is a leading peer-reviewed medical journal which covers the entire field of pediatrics. The editors encourage authors to submit original articles, reviews, short communications, and correspondence on all relevant themes and topics. EJPE is particularly committed to the publication of articles on important new clinical research that will have an immediate impact on clinical pediatric practice. The editorial office very much welcomes ideas for publications, whether individual articles or article series, that fit this goal and is always willing to address inquiries from authors regarding potential submissions. Invited review articles on clinical pediatrics that provide comprehensive coverage of a subject of importance are also regularly commissioned. The short publication time reflects both the commitment of the editors and publishers and their passion for new developments in the field of pediatrics. EJPE is active on social media (@EurJPediatrics) and we invite you to participate. EJPE is the official journal of the European Academy of Paediatrics (EAP) and publishes guidelines and statements in cooperation with the EAP.