The economic burden of stroke in the United Kingdom.
OBJECTIVE
To estimate the cost of treating stroke in the UK.


METHODS
A cost-of-illness model was constructed to estimate stroke-related costs over a 5-year period. The cost estimates were based on data from a large, randomised, prospective study comparing alternative strategies of stroke care. The study collected detailed data on resource use in hospital, primary care, healthcare contacts, and utilisation of social services over a period of 1 year following stroke. A Markov framework was used to extrapolate 1-year costs over 5 years.


RESULTS
The model estimated that, for every patient who experiences a stroke, the cost to the NHS in the UK is pound 15306 over 5 years and, when informal care costs are included, the amount increases to pound 29405 (2001/2002 prices). The robustness of the cost findings was explored with the use of sensitivity analysis. This focused on the key variables of rates of recurrent stroke, the estimated acute costs, and costs attached to institution and home care.


CONCLUSIONS
As well as being a considerable cause of morbidity and mortality, stroke is also a huge cost burden to both the UK's NHS and the carers of stroke victims.
Youman
Penny
P
Fourth Hurdle Consulting Ltd, Holborn, London, UK. PennyYouman@FourthHurdle.com
Wilson
Koo
K
Harraf
Farzaneh
F
Kalra
Lalit
L
D000368:Aged; D017048:Health Care Costs; D006801:Humans; D008390:Markov Chains; D018803:Models, Economic; D012680:Sensitivity and Specificity; D012720:Severity of Illness Index; D020521:Stroke / Q000191:economics* / Q000453:epidemiology / Q000401:mortality; D006113:United Kingdom