Epidemiology and cost of herpes zoster and post-herpetic neuralgia in the United Kingdom

被引:218
作者
Gauthier, A. [1 ]
Breuer, J. [2 ]
Carrington, D. [3 ]
Martin, M. [1 ]
Remy, V. [4 ]
机构
[1] i3 Innovus, Uxbridge UB8 1QG, Middx, England
[2] Barts & London Queen Marys Sch Med & Dent, Inst Cell & Mol Sci, Ctr Infect Dis, London, England
[3] SW Reg Lab, Hlth Protect Agcy, Bristol, Avon, England
[4] Sanofi Pasteur MSD, Hlth Econ Unit, Lyon, France
关键词
QUALITY-OF-LIFE; RISK-FACTORS; PAIN; PREVENT; BURDEN; IMPACT; GENDER;
D O I
10.1017/S0950268808000678
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Recent information on epidemiology and management of herpes zoster (HZ) and post-herpetic neuralgia (PHN), a painful complication of HZ, is scarce. The objective of this study was to document the burden of HZ and PHN in the United Kingdom. This retrospective analysis of the UK General Practice Research Database aimed to estimate HZ incidence and proportion of HZ patients developing PHN and to assess management costs in immunocompetent individuals aged,>= 50 years. A cohort of 27 225 HZ patients was selected.. corresponding to an incidence of 5-23/1000 person-years. Respectively 19-5 % and 13-7 % of patients developed PHN at least I and 3 months after HZ diagnosis. Mean direct cost was is an element of 103 per HZ patient and is an element of 341 and is an element of 397 per PHN episode (1- and 3-month definition respectively). Both HZ and PHN costs increased markedly with pain severity. This Study confirms that HZ and PHN are frequent and costly diseases in the United Kingdom.
引用
收藏
页码:38 / 47
页数:10
相关论文
共 25 条
  • [1] Alper BS, 2000, J FAM PRACTICE, V49, P255
  • [2] BEBBINGTON A, CARE HOMES OLDER PEO, V2
  • [3] The lifetime occurrence of Herpes zoster and prevalence of post-herpetic neuralgia: A retrospective survey in an elderly population
    Bowsher, D
    [J]. EUROPEAN JOURNAL OF PAIN-LONDON, 1999, 3 (04): : 335 - 342
  • [4] Epidemiology of varicella zoster virus infection in Canada and the United Kingdom
    Brisson, M
    Edmunds, WJ
    Law, B
    Gay, NJ
    Walld, R
    Brownell, M
    Roos, L
    De Serres, G
    [J]. EPIDEMIOLOGY AND INFECTION, 2001, 127 (02) : 305 - 314
  • [5] Characteristics of patients with herpes zoster on presentation to practitioners in France
    Chidiac, C
    Bruxelle, J
    Daures, JP
    Xuan, TH
    Morel, P
    Leplège, A
    El Hasnaoui, A
    de Labareyre, C
    [J]. CLINICAL INFECTIOUS DISEASES, 2001, 33 (01) : 62 - 69
  • [6] Development of a measure of the burden of pain due to herpes zoster and postherpetic neuralgia for prevention trials: Adaptation of the brief pain inventory
    Coplan, PM
    Schmader, K
    Nikas, A
    Chan, ISF
    Choo, P
    Levin, MJ
    Johnson, G
    Bauer, M
    Williams, HM
    Kaplan, KM
    Guess, HA
    Oxman, MN
    [J]. JOURNAL OF PAIN, 2004, 5 (06) : 344 - 356
  • [7] The management of post-herpetic neuralgia - If early treatment fails, patients should be referred to pain clinics
    Cunningham, AL
    Dworkin, RH
    [J]. BRITISH MEDICAL JOURNAL, 2000, 321 (7264) : 778 - 779
  • [8] Curtis L., 2005, Unit costs of health and social care 2005
  • [9] THE COST OF TREATMENT FOR POSTHERPETIC NEURALGIA IN THE UK
    DAVIES, L
    COSSINS, L
    BOWSHER, D
    DRUMMOND, M
    [J]. PHARMACOECONOMICS, 1994, 6 (02) : 142 - 148
  • [10] THE INCIDENCE OF HERPES-ZOSTER
    DONAHUE, JG
    CHOO, PW
    MANSON, JE
    PLATT, R
    [J]. ARCHIVES OF INTERNAL MEDICINE, 1995, 155 (15) : 1605 - 1609