Show simple item record

dc.contributor.authorClarke, Caroline S
dc.contributor.authorWilliamson, Elizabeth
dc.contributor.authorDenaxas, Spiros
dc.contributor.authorCarpenter, James R
dc.contributor.authorThomas, Mike
dc.contributor.authorBlackshaw, Helen
dc.contributor.authorSchilder, Anne GM
dc.contributor.authorPhilpott, Carl M
dc.contributor.authorHopkins, Claire
dc.contributor.authorMorris, Stephen
dc.contributor.authorMACRO programme team
dc.date.accessioned2022-03-14T02:04:01Z
dc.date.available2022-03-14T02:04:01Z
dc.date.issued2022-02-08
dc.identifier.issn2044-6055
dc.identifier.otherPMC8830221
dc.identifier.other35135774
dc.identifier.urihttps://www.repository.cam.ac.uk/handle/1810/334939
dc.descriptionFunder: Wellcome Trust
dc.description.abstractOBJECTIVES: Chronic rhinosinusitis (CRS) symptoms are experienced by an estimated 11% of UK adults, and symptoms have major impacts on quality of life. Data from UK and elsewhere suggest high economic burden of CRS, but detailed cost information and economic analyses regarding surgical pathway are lacking. This paper estimates healthcare costs for patients receiving surgery for CRS in England. DESIGN: Observational retrospective study examining cost of healthcare of patients receiving CRS surgery. SETTING: Linked electronic health records from the Clinical Practice Research Datalink, Hospital Episode Statistics and Office for National Statistics databases in England. PARTICIPANTS: A phenotyping algorithm using medical ontology terms identified 'definite' CRS cases who received CRS surgery. Patients were registered with a general practice in England. Data covered the period 1997-2016. A cohort of 13 462 patients had received surgery for CRS, with 9056 (67%) having confirmed nasal polyps. OUTCOME MEASURES: Information was extracted on numbers and types of primary care prescriptions and consultations, and inpatient and outpatient hospital investigations and procedures. Resource use was costed using published sources. RESULTS: Total National Health Service costs in CRS surgery patients were £2173 over 1 year including surgery. Total costs per person-quarter were £1983 in the quarter containing surgery, mostly comprising surgical inpatient care costs (£1902), and around £60 per person-quarter in the 2 years before and after surgery, of which half were outpatient costs. Outpatient and primary care costs were low compared with the peak in inpatient costs at surgery. The highest outpatient expenditure was on CT scans, peaking in the quarter preceding surgery. CONCLUSIONS: We present the first study of costs to the English healthcare system for patients receiving surgery for CRS. The total aggregate costs provide a further impetus for trials to evaluate the relative benefit of surgical intervention.
dc.languageeng
dc.publisherBMJ
dc.rightsAttribution 4.0 International
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.sourcenlmid: 101552874
dc.sourceessn: 2044-6055
dc.subjectOtolaryngology
dc.subjectClinical Trials
dc.subjectHealth Economics
dc.titleObservational retrospective study calculating health service costs of patients receiving surgery for chronic rhinosinusitis in England, using linked patient-level primary and secondary care electronic data.
dc.typeArticle
dc.date.updated2022-03-14T02:04:01Z
prism.issueIdentifier2
prism.publicationNameBMJ Open
prism.volume12
dc.identifier.doi10.17863/CAM.82377
rioxxterms.versionofrecord10.1136/bmjopen-2021-055603
rioxxterms.versionVoR
rioxxterms.licenseref.urihttps://creativecommons.org/licenses/by/4.0/
dc.contributor.orcidClarke, Caroline S [0000-0002-4676-1257]
dc.contributor.orcidPhilpott, Carl M [0000-0002-1125-3236]
dc.contributor.orcidHopkins, Claire [0000-0003-3993-1569]
dc.contributor.orcidMorris, Stephen [0000-0002-5828-3563]
dc.identifier.eissn2044-6055
pubs.funder-project-idNational Institute for Health Research (NIHR) (NF-SI-0617-10068, NIHR202382, NIHR-RP-011-045, RP-PG-0614-20011)
pubs.funder-project-idBritish Heart Foundation (AA/18/6/24223)
cam.issuedOnline2022-02-08


Files in this item

Thumbnail

This item appears in the following Collection(s)

Show simple item record

Attribution 4.0 International
Except where otherwise noted, this item's licence is described as Attribution 4.0 International