title: Health and social care costs of managing amyotrophic lateral sclerosis (ALS): an Irish perspective.
abstract: The aim of this study was to quantify the health and social care costs associated with managing amyotrophic lateral sclerosis (ALS) in Ireland. Resource use of a representative group of deceased ALS patients attending a multidisciplinary ALS clinic was identified from a retrospective chart review and telephone interview with the main caregiver. Unit cost estimates were applied to each resource to identify the cost per patient. Cost drivers were identified using multivariate linear regression. Results showed that from time of diagnosis to death, the cost per month was €1795, 21% of which was attributable to costs associated with the multidisciplinary clinic, 72% to community based care and 7% to aids and appliances. Higher monthly cost was associated with shorter survival and use of gastrostomy and non-invasive ventilation. In conclusion, ALS imposes a significant cost burden on the health services. More work is required to quantify the costs in other sectors, including informal care and productivity losses.
authors.affiliation: Academic Unit of Neurology, Trinity College Dublin , Dublin , Ireland.
authors.forename: Sheelah
authors.initials: S
authors.lastname: Connolly
authors.forename: Chloe
authors.initials: C
authors.lastname: Heslin
authors.forename: Iain
authors.initials: I
authors.lastname: Mays
authors.forename: Bernie
authors.initials: B
authors.lastname: Corr
authors.forename: Charles
authors.initials: C
authors.lastname: Normand
authors.forename: Orla
authors.initials: O
authors.lastname: Hardiman
mesh_terms: D000328:Adult; D017677:Age Distribution; D000368:Aged; D000369:Aged, 80 and over; D000690:Amyotrophic Lateral Sclerosis / Q000175:diagnosis* / Q000191:economics* / Q000628:therapy*; D017028:Caregivers; D017281:Cost of Illness; D019468:Disease Management; D005260:Female; D006801:Humans; D007494:Ireland; D008297:Male; D008875:Middle Aged; D012111:Residence Characteristics; D012189:Retrospective Studies
keywords: ALS; Ireland; cost; health services