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DOI: 10.1055/a-2378-3468
Self-reported Costs of Endometriosis Patients in Germany
Article in several languages: English | deutsch
Abstract
Endometriosis patients face a significant economic burden. In addition to the directly attributable costs of the diagnosis and therapy of endometriosis, such as drug treatment and multimodal pain therapy, various indirect follow-up costs can be expected, e.g., due to incapacity for work and reduced work performance. As already reported in previous publications, endometriosis is associated with considerable costs for the health care system and society as well as for the affected women and their families.
In order to measure the extent of the costs associated with endometriosis patients, 250 patients with an average age of 32.80 years were recruited via social media and interviewed about their self-financed costs as part of an online survey. The assessed direct costs comprise inpatient treatments, outpatient or pain therapy, fertility treatments, hormone therapies, prescribed and privately paid medications and aids, other therapeutic procedures, and directly attributable travel costs for endometriosis treatments.
This resulted in an average cost of € 2059.55 per year. Indirect costs were calculated based on loss of income, day-to-day support, care costs, costs due to follow-up illnesses and other costs. On average, the indirect costs were € 2174.25. The average costs resulting from the survey totalled € 4233.81 per year with a standard deviation of € 8240.31.
An increase of out-of-pocket costs can be assumed. This may result from an improved range of services for alternative treatment methods and an increased awareness of the need for personal investment in health. However, further health economic studies are needed to validate the results.
Publication History
Received: 16 April 2024
Accepted after revision: 28 July 2024
Article published online:
05 September 2024
© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).
Georg Thieme Verlag KG
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References/Literatur
- 1 World Health Organization. Endometriosis. 24.03.2023 Accessed February 07, 2024 at: https://www.who.int/news-room/fact-sheets/detail/endometriosis
- 2 Robert Koch-Institut. Gesundheitliche Lage der Frauen in Deutschland. Gesundheitsberichterstattung des Bundes. Gemeinsam getragen von RKI und Destatis. [Health situation of women in Germany. Federal health reporting]. Berlin: Robert Koch-Institut; 2020. DOI: 10.25646/6585
- 3 de Graaff AA, D’Hooghe TM, Dunselman GAJ. et al. The significant effect of endometriosis on physical, mental and social wellbeing: results from an international cross-sectional survey. Hum Reprod 2013; 28: 2677-2685 DOI: 10.1093/humrep/det284.
- 4 Statistisches Bundesamt. Gender Pay Gap 2023: Frauen verdienten pro Stunde 18% weniger als Männer. Pressemitteilung Nr. 027. Accessed February 07, 2024 at: https://www.destatis.de/DE/Presse/Pressemitteilungen/2024/01/PD24_027_621.html
- 5 Brandes I. Die Patientin mit chronischem Unterbauchschmerz in der Versorgungsrealität. In: Sillem M, Siedentopf F, Mechsner S. Leitsymptom chronischer Unterbauchschmerz der Frau. Berlin, Heidelberg: Springer Berlin Heidelberg; 2015: 131-149 DOI: 10.1007/978-3-662-43669-1_15
- 6 Statistisches Bundesamt. Bevölkerung nach Nationalität und Geschlecht (Quartalszahlen). 30.09.2023 Accessed February 07, 2024 at: https://www.destatis.de/DE/Themen/Gesellschaft-Umwelt/Bevoelkerung/Bevoelkerungsstand/Tabellen/liste-zensus-geschlecht-staatsangehoerigkeit.html%23651186