Economic Costs and Benefits of a Community-Based Lymphedema Management Program for Lymphatic Filariasis in Odisha State, India
Identifieur interne : 001156 ( Main/Exploration ); précédent : 001155; suivant : 001157Economic Costs and Benefits of a Community-Based Lymphedema Management Program for Lymphatic Filariasis in Odisha State, India
Auteurs : Eileen Stillwaggon [États-Unis] ; Larry Sawers ; Jonathan Rout [Inde] ; David Addiss [Géorgie (pays)] ; Leanne Fox [Géorgie (pays)]Source :
- The American Journal of Tropical Medicine and Hygiene [ 0002-9637 ] ; 2016.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Analyse coût-bénéfice, Congé maladie, Dépenses de santé, Enfant, Femelle, Filariose lymphatique (), Filariose lymphatique (économie), Filariose lymphatique (épidémiologie), Humains, Inde (épidémiologie), Jeune adulte, Lymphoedème (), Lymphoedème (économie), Lymphoedème (épidémiologie), Lymphoedème (étiologie), Maladie chronique, Maladies endémiques (économie), Mâle, Rendement, Services de santé communautaires (), Services de santé communautaires (économie), Sujet âgé.
- MESH :
- économie : Filariose lymphatique, Lymphoedème, Maladies endémiques, Services de santé communautaires.
- épidémiologie : Filariose lymphatique, Inde, Lymphoedème.
- étiologie : Lymphoedème.
- Adolescent, Adulte, Adulte d'âge moyen, Analyse coût-bénéfice, Congé maladie, Dépenses de santé, Enfant, Femelle, Filariose lymphatique, Humains, Jeune adulte, Lymphoedème, Maladie chronique, Mâle, Rendement, Services de santé communautaires, Sujet âgé.
English descriptors
- KwdEn :
- Adolescent, Adult, Aged, Child, Chronic Disease, Community Health Services (economics), Community Health Services (methods), Cost-Benefit Analysis, Efficiency, Elephantiasis, Filarial (complications), Elephantiasis, Filarial (economics), Elephantiasis, Filarial (epidemiology), Endemic Diseases (economics), Female, Health Expenditures, Humans, India (epidemiology), Lymphedema (economics), Lymphedema (epidemiology), Lymphedema (etiology), Lymphedema (therapy), Male, Middle Aged, Sick Leave, Young Adult.
- MESH :
- complications : Elephantiasis, Filarial.
- economics : Community Health Services, Elephantiasis, Filarial, Endemic Diseases, Lymphedema.
- epidemiology : Elephantiasis, Filarial, India, Lymphedema.
- etiology : Lymphedema.
- methods : Community Health Services.
- therapy : Lymphedema.
- Adolescent, Adult, Aged, Child, Chronic Disease, Cost-Benefit Analysis, Efficiency, Female, Health Expenditures, Humans, Male, Middle Aged, Sick Leave, Young Adult.
Abstract
Lymphatic filariasis afflicts 68 million people in 73 countries, including 17 million persons living with chronic lymphedema. The Global Programme to Eliminate Lymphatic Filariasis aims to stop new infections and to provide care for persons already affected, but morbidity management programs have been initiated in only 24 endemic countries. We examine the economic costs and benefits of alleviating chronic lymphedema and its effects through a simple limb-care program. For Khurda District, Odisha State, India, we estimated lifetime medical costs and earnings losses due to chronic lymphedema and acute dermatolymphangioadenitis (ADLA) with and without a community-based limb-care program. The program would reduce economic costs of lymphedema and ADLA over 60 years by 55%. Savings of US$1,648 for each affected person in the workforce are equivalent to 1,258 days of labor. Per-person savings are more than 130 times the per-person cost of the program. Chronic lymphedema and ADLA impose a substantial physical and economic burden on the population in filariasis-endemic areas. Low-cost programs for lymphedema management based on limb washing and topical medication for infection are effective in reducing the number of ADLA episodes and stopping progression of disabling and disfiguring lymphedema. With reduced disability, people are able to work longer hours, more days per year, and in more strenuous, higher-paying jobs, resulting in an important economic benefit to themselves, their families, and their communities. Mitigating the severity of lymphedema and ADLA also reduces out-of-pocket medical expense.
Url:
DOI: 10.4269/ajtmh.16-0286
PubMed: 27573626
PubMed Central: 5062793
Affiliations:
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santé</term><term>Enfant</term><term>Femelle</term><term>Filariose lymphatique ()</term><term>Filariose lymphatique (économie)</term><term>Filariose lymphatique (épidémiologie)</term><term>Humains</term><term>Inde (épidémiologie)</term><term>Jeune adulte</term><term>Lymphoedème ()</term><term>Lymphoedème (économie)</term><term>Lymphoedème (épidémiologie)</term><term>Lymphoedème (étiologie)</term><term>Maladie chronique</term><term>Maladies endémiques (économie)</term><term>Mâle</term><term>Rendement</term><term>Services de santé communautaires ()</term><term>Services de santé communautaires (économie)</term><term>Sujet âgé</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Elephantiasis, Filarial</term></keywords><keywords scheme="MESH" qualifier="economics" xml:lang="en"><term>Community Health Services</term><term>Elephantiasis, Filarial</term><term>Endemic Diseases</term><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Elephantiasis, Filarial</term><term>India</term><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Community Health Services</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="économie" xml:lang="fr"><term>Filariose lymphatique</term><term>Lymphoedème</term><term>Maladies endémiques</term><term>Services de santé communautaires</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Filariose lymphatique</term><term>Inde</term><term>Lymphoedème</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Lymphoedème</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Child</term><term>Chronic Disease</term><term>Cost-Benefit Analysis</term><term>Efficiency</term><term>Female</term><term>Health Expenditures</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Sick Leave</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Analyse coût-bénéfice</term><term>Congé maladie</term><term>Dépenses de santé</term><term>Enfant</term><term>Femelle</term><term>Filariose lymphatique</term><term>Humains</term><term>Jeune adulte</term><term>Lymphoedème</term><term>Maladie chronique</term><term>Mâle</term><term>Rendement</term><term>Services de santé communautaires</term><term>Sujet âgé</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Lymphatic filariasis afflicts 68 million people in 73 countries, including 17 million persons living with chronic lymphedema. The Global Programme to Eliminate Lymphatic Filariasis aims to stop new infections and to provide care for persons already affected, but morbidity management programs have been initiated in only 24 endemic countries. We examine the economic costs and benefits of alleviating chronic lymphedema and its effects through a simple limb-care program. For Khurda District, Odisha State, India, we estimated lifetime medical costs and earnings losses due to chronic lymphedema and acute dermatolymphangioadenitis (ADLA) with and without a community-based limb-care program. The program would reduce economic costs of lymphedema and ADLA over 60 years by 55%. Savings of US$1,648 for each affected person in the workforce are equivalent to 1,258 days of labor. Per-person savings are more than 130 times the per-person cost of the program. Chronic lymphedema and ADLA impose a substantial physical and economic burden on the population in filariasis-endemic areas. Low-cost programs for lymphedema management based on limb washing and topical medication for infection are effective in reducing the number of ADLA episodes and stopping progression of disabling and disfiguring lymphedema. With reduced disability, people are able to work longer hours, more days per year, and in more strenuous, higher-paying jobs, resulting in an important economic benefit to themselves, their families, and their communities. Mitigating the severity of lymphedema and ADLA also reduces out-of-pocket medical expense.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Ramaiah, Kd" uniqKey="Ramaiah K">KD Ramaiah</name></author><author><name sortKey="Ottesen, Ea" uniqKey="Ottesen E">EA Ottesen</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Fox, Lm" uniqKey="Fox L">LM Fox</name></author><author><name sortKey="Furness, Bw" uniqKey="Furness B">BW Furness</name></author><author><name sortKey="Haser, Jk" uniqKey="Haser J">JK Haser</name></author><author><name sortKey="Brissau, Jm" uniqKey="Brissau J">JM Brissau</name></author><author><name sortKey="Louis Charles, J" uniqKey="Louis Charles J">J Louis-Charles</name></author><author><name sortKey="Wilson, Sf" uniqKey="Wilson S">SF Wilson</name></author><author><name sortKey="Addiss, Dg" uniqKey="Addiss D">DG Addiss</name></author><author><name sortKey="Lammie, Pj" uniqKey="Lammie P">PJ Lammie</name></author><author><name sortKey="Beach, Mj" uniqKey="Beach M">MJ Beach</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Dreyer, G" uniqKey="Dreyer G">G Dreyer</name></author><author><name sortKey="Figueredo Silva, J" uniqKey="Figueredo Silva J">J Figueredo-Silva</name></author><author><name sortKey="Carvalho, K" uniqKey="Carvalho K">K Carvalho</name></author><author><name sortKey="Amaral, F" uniqKey="Amaral F">F Amaral</name></author><author><name sortKey="Ottesen, E" uniqKey="Ottesen E">E Ottesen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Dreyer, G" uniqKey="Dreyer G">G Dreyer</name></author><author><name sortKey="Addiss, D" uniqKey="Addiss D">D Addiss</name></author><author><name sortKey="Dreyer, P" uniqKey="Dreyer P">P Dreyer</name></author><author><name sortKey="Noroes, J" uniqKey="Noroes 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Bedamatta</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Usami, Y" uniqKey="Usami Y">Y Usami</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Rukmini, Sm" uniqKey="Rukmini S">SM Rukmini</name></author><author><name sortKey="Venu, K" uniqKey="Venu K">K Venu</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Dhar, A" uniqKey="Dhar A">A Dhar</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Korevaar, Da" uniqKey="Korevaar D">DA Korevaar</name></author><author><name sortKey="Visser, Bj" uniqKey="Visser B">BJ Visser</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lehman, Lf" uniqKey="Lehman L">LF Lehman</name></author><author><name sortKey="Geyer, Mj" uniqKey="Geyer M">MJ Geyer</name></author><author><name sortKey="Bolton, L" uniqKey="Bolton L">L Bolton</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Géorgie (pays)</li><li>Inde</li><li>États-Unis</li></country><region><li>Pennsylvanie</li></region></list><tree><noCountry><name sortKey="Sawers, Larry" sort="Sawers, Larry" uniqKey="Sawers L" first="Larry" last="Sawers">Larry Sawers</name></noCountry><country name="États-Unis"><region name="Pennsylvanie"><name sortKey="Stillwaggon, Eileen" sort="Stillwaggon, Eileen" uniqKey="Stillwaggon E" first="Eileen" last="Stillwaggon">Eileen Stillwaggon</name></region></country><country name="Inde"><noRegion><name sortKey="Rout, Jonathan" sort="Rout, Jonathan" uniqKey="Rout J" first="Jonathan" last="Rout">Jonathan Rout</name></noRegion></country><country name="Géorgie (pays)"><noRegion><name sortKey="Addiss, David" sort="Addiss, David" uniqKey="Addiss D" first="David" last="Addiss">David Addiss</name></noRegion><name sortKey="Fox, Leanne" sort="Fox, Leanne" uniqKey="Fox L" first="Leanne" 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