The economic burden of tuberculosis in Cyprus. A probabilistic cost of illness study.

Background: Tuberculosis remains a major public health problem with considerable economic burden worldwide. The aim of this study was to estimate the economic burden of tuberculosis in Cyprus during 2009.  Methods: A retrospective probabilistic incidence-based cost of illness model was developed to...

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Main Authors: Savvas Zannetos, Theodora Zachariadou, Tonia Adamidi, Andreas Georgiou
Format: Article
Language:English
Published: Milano University Press 2018-06-01
Series:Epidemiology, Biostatistics and Public Health
Online Access:https://ebph.it/article/view/12780
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author Savvas Zannetos
Theodora Zachariadou
Tonia Adamidi
Andreas Georgiou
author_facet Savvas Zannetos
Theodora Zachariadou
Tonia Adamidi
Andreas Georgiou
author_sort Savvas Zannetos
collection DOAJ
description Background: Tuberculosis remains a major public health problem with considerable economic burden worldwide. The aim of this study was to estimate the economic burden of tuberculosis in Cyprus during 2009.  Methods: A retrospective probabilistic incidence-based cost of illness model was developed to calculate, from the societal perspective, the economic burden of the disease including direct medical costs, direct non-medical costs and indirect costs. The bottom-up approach (person-based data) was used for the calculation of direct costs while for the calculation of indirect costs the approach of human capital was employed. In addition, probabilistic sensitivity analysis with 1000 Monte Carlo simulations was performed in order to calculate a 95% Confidence Interval (CI). Results: Mean per patient cost of tuberculosis in Cyprus in 2009 was estimated at €12,882 (95% CI: €12,747.35 – €12,964.32). Direct medical costs accounted for 83.07% of the overall expenses, €10,675 per patient (95% CI: €10,462.07 – €10,780.59). Total direct non-medical costs of €355 (95% CI: €353.04 – 364.29) accounted for 2.77% of the overall expenses whereas 14.16% of the overall expenses were associated with the indirect cost of €1,820 (95% CI: €1,815.20 – €1,873.65). Conclusion: For the first time in Cyprus, the cost of tuberculosis was estimated using a probabilistic incidence-based cost of illness model.  Our study confirms that tuberculosis is an expensive disease for the society. In addition, it provides important information to policy makers for the comprehension of the economic consequences of tuberculosis so as they can draft the national health policy accordingly and strengthen surveillance of the disease.
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spelling doaj-art-1776405ad2da457b9242630ea8d12f0d2025-08-20T03:10:03ZengMilano University PressEpidemiology, Biostatistics and Public Health2282-09302018-06-0115210.2427/1278011159The economic burden of tuberculosis in Cyprus. A probabilistic cost of illness study.Savvas Zannetos0Theodora Zachariadou1Tonia Adamidi2Andreas Georgiou3DG European Programmes, Coordination and DevelopmentEngomi Primary Heath Care Centre, Engomi, CyprusRespiratory Department Clinic, Nicosia General HospitalRespiratory Department Clinic, Nicosia General HospitalBackground: Tuberculosis remains a major public health problem with considerable economic burden worldwide. The aim of this study was to estimate the economic burden of tuberculosis in Cyprus during 2009.  Methods: A retrospective probabilistic incidence-based cost of illness model was developed to calculate, from the societal perspective, the economic burden of the disease including direct medical costs, direct non-medical costs and indirect costs. The bottom-up approach (person-based data) was used for the calculation of direct costs while for the calculation of indirect costs the approach of human capital was employed. In addition, probabilistic sensitivity analysis with 1000 Monte Carlo simulations was performed in order to calculate a 95% Confidence Interval (CI). Results: Mean per patient cost of tuberculosis in Cyprus in 2009 was estimated at €12,882 (95% CI: €12,747.35 – €12,964.32). Direct medical costs accounted for 83.07% of the overall expenses, €10,675 per patient (95% CI: €10,462.07 – €10,780.59). Total direct non-medical costs of €355 (95% CI: €353.04 – 364.29) accounted for 2.77% of the overall expenses whereas 14.16% of the overall expenses were associated with the indirect cost of €1,820 (95% CI: €1,815.20 – €1,873.65). Conclusion: For the first time in Cyprus, the cost of tuberculosis was estimated using a probabilistic incidence-based cost of illness model.  Our study confirms that tuberculosis is an expensive disease for the society. In addition, it provides important information to policy makers for the comprehension of the economic consequences of tuberculosis so as they can draft the national health policy accordingly and strengthen surveillance of the disease.https://ebph.it/article/view/12780
spellingShingle Savvas Zannetos
Theodora Zachariadou
Tonia Adamidi
Andreas Georgiou
The economic burden of tuberculosis in Cyprus. A probabilistic cost of illness study.
Epidemiology, Biostatistics and Public Health
title The economic burden of tuberculosis in Cyprus. A probabilistic cost of illness study.
title_full The economic burden of tuberculosis in Cyprus. A probabilistic cost of illness study.
title_fullStr The economic burden of tuberculosis in Cyprus. A probabilistic cost of illness study.
title_full_unstemmed The economic burden of tuberculosis in Cyprus. A probabilistic cost of illness study.
title_short The economic burden of tuberculosis in Cyprus. A probabilistic cost of illness study.
title_sort economic burden of tuberculosis in cyprus a probabilistic cost of illness study
url https://ebph.it/article/view/12780
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