Cost of Disorders of the Brain in Spain

Abstract

BackgroundBrain disorders represent a high burden in Europe and worldwide. The objective of this study was to provide specific estimates of the economic costs of brain disorders in Spain, based on published epidemiological and economic evidence.MethodsA cost-of-illness study with a societal perspective of 19 brain disorders was carried out. Cost data published between 2004 and 2012 was obtained from a systematic literature review. Direct healthcare, direct non-medical and indirect costs were considered, prioritizing bottom-up information. All costs were converted to Euro and to year 2010. The missing values were imputed with European estimates. Sensitivity analyses based on qualitative assessment of the literature and on a Monte Carlo simulation were performed.ResultsThe review identified 33 articles with information on costs for 11 disorders (8 neurological, 3 mental). The average per–patient cost ranged from 36,946 € for multiple sclerosis to 402 € for headache. The societal cost of the 19 brain disorders in Spain in 2010 was estimated in 84 € billion. Societal costs ranged from 15 € billion for dementia to 65 € million for eating disorders. Mental disorders societal cost were 46 € billions (55% of the total), while neurological disorder added up to 38 € billion. Healthcare costs represented 37% of the societal costs of brain disorders, whereas direct non-medical constituted 29% and indirect costs 33%.ConclusionBrain disorders have a substantial economic impact in Spain (equivalent to almost 8% of the country's GDP). Economic data on several important brain disorders, specially mental disorders, is still sparse.

Socioeconomic Burden of Mental Disorders in Spain 2006-2017

“…OECD/EU (2018) estimated that the total direct and indirect costs associated with mental disorders in Spain amounted to 45,058 million Euros in 2015, which represented a 4.2% of GDP. Moreover, unlike other neurological and brain disorders, with indirect costs of 17% and 33%, respectively, mental disorders were shown to be mainly driven by indirect costs (47%) (Parés-Badell et al, 2014).…”

Understanding the direct and indirect costs of a first episode of psychosis program: Insights from PAFIP of Cantabria, Spain, during the first year of intervention

“…The empirical results of this study are useful for policymakers and the support planning of regional health budgets (Pares-Badell et al, 2014). Future studies of the full economic impact of FEP are thus warranted, combining more data from patient surveys with higher representativeness in the total population of patients with psychosis.…”

Contradicciones en Salud Mental: Estigma, Alfabetización en Salud Mental y Revelación (o no) del Diagnóstico de un Desorden Mental.

“…Un informe de 2010 sobre "enfermedades del cerebro" eleva a un 33% el riesgo en Europa de padecer estas dolencias (Olesen et al, 2012). Aplicado a España (Parés-Badell et al, 2014) el impacto económico de los trastornos relacionados con el cerebro ronda el 8% del PIB suponiendo un gasto de unos 1.700 euros per cápita anuales y unos 2.500 anuales para cada persona afectada (Olesen et al, 2012;Parés-Badell et al, 2014). Además, según la OECE en países desarrollados el impacto de costes directos e indirectos asociados a las dolencias mentales es superior al 4% del PIB (OECD, 2014).…”