Prevalence of Asthma Bronchiale in the Czech Republic and its Economic Burden

R. Josef, Král Vlastimil, Rajnohova Dobiasova Lucie, Svozil Vladimir, P. Petr, V. Vaclav
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Abstract

Asthma Bronchiale (AB) is a chronic inflammatory disorder of the airways currently affecting around 350,000,000 patients in the world. A steady increase in prevalence of this disease was the incentive for our study of the prevalence of AB in the Czech Republic. Special attention was focused on possible differential regional incidence. We found that prevalence of this disease in an age group 0-14 years is 5.21%, in age group of 15-19 is 11.5%. In the 2000-2013 period, we observed a 268% increase in the 0-14 group and 685% increase in the 15-19 group. Using published materials, we used medical costs values from other European countries, which are in range of 600 to 3,200 dollars to calculate the finacial burden in the Czech Republic. When we used a conservative estimate of $1,200, the total costs of AB treatment in the 0-14 years group is $66,475,200 per year. When compared with the year 2000, the increase in financial costs is more than $50,000,000, with the anticipated increase of $30,000,000 every single year. These findings indicate that there is a necessity to increase interest in primary prevention and early diagnosis of this disease.
捷克共和国支气管哮喘患病率及其经济负担
支气管哮喘(Asthma bronale, AB)是一种慢性气道炎症性疾病,目前全球约有3.5亿患者。这种疾病的患病率稳步上升是我们研究捷克共和国AB患病率的动机。特别注意可能存在的不同区域发病率。本病患病率0 ~ 14岁为5.21%,15 ~ 19岁为11.5%。在2000-2013年期间,我们观察到0-14岁组增加了268%,15-19岁组增加了685%。我们使用已出版的资料,使用其他欧洲国家的医疗费用值,这些值在600到3200美元之间,来计算捷克共和国的经济负担。当我们使用1200美元的保守估计时,0-14岁年龄组的AB治疗总费用为每年66,475,200美元。与2000年相比,财务成本增加了5000多万美元,预计每年增加3000万美元。这些发现表明,有必要提高对该病的初级预防和早期诊断的兴趣。
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