Registry Based Analysis Of Cost-Of-Illness Study Among Stage C Heart Failure Patients At Hospital Queen Elizabeth Ii, Sabah, Malaysia
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Date
2018-06
Authors
Tan, Yui Ping
Journal Title
Journal ISSN
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Publisher
Universiti Sains Malaysia
Abstract
Numerous cost-of-illness studies of heart failure have been published in developed countries but such knowledge is currently lacking in Malaysia. Such knowledge can assist the healthcare decision makers to identify the cost driver of heart failure. To fill the gap, the main objective of this study was therefore to estimate the mean annual cost of Stage C heart failure in Hospital Queen Elizabeth II based on the ASIAN-HF registry data. The specific objectives were to validate ASIAN-HF Registry data, to estimate the prevalence of Stage C heart failure and to identify the patient demographic characteristics, clinical history, comorbidities and outcome events among registry patients with Stage C heart failure in Hospital Queen Elizabeth II. In the first phase the registry electronic database was validated in term of completeness and accuracy by comparing them with the registry case report forms. In the second phase the epidemiology of the study population was explored based on the validated registry data. In the third phase health care resources utilization data such as hospitalizations, outpatient clinic visits, percutaneous coronary interventions (PCI) procedures, medications and diagnostic tests that incurred between 1 Jan 2013 and 31 December 2015 were extracted retrospectively from the medical records and combined it with earlier epidemiology results in phase two to estimate the mean annual care cost of heart failure from the perspective of Ministry of Health Malaysia. Unit costs of each of the resources were valued based on published studies and government Full Patient Paying tariff. Censored costing using inverse probability weighted estimators was applied to estimate the mean annual cost of heart failure which was expressed in Malaysia Ringgit 2014.
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Keywords
Cost-of-illness study among stage c heart failure patients , Hospital Queen Elizabeth Ii, Sabah, Malaysia