Economic costs of chikungunya virus in Colombia

Objective: The aim of the present study was to estimate the economic impact of chikungunya virus (CHIKV) infection in Colombia from a societal perspective. Methods: We conducted a retrospective, bottom-up cost-of-illness study in clinically confirmed cases during the first chikungunya (CHIK) outbrea...

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Autores:
Alvis Zakzuk, Nelson Jose
Díaz Jiménez, Diana
Castillo Rodríguez, Liliana
Castañeda Orjuela, Carlos Andres
Paternina Caicedo, Angel Jose
Pinzón Redondo, Hernando Samuel
Carrasquilla Sotomayor, María
Alvis Guzman, Nelson Rafae
De La Hoz Restrepo, Fernando
Tipo de recurso:
Article of journal
Fecha de publicación:
2018
Institución:
Corporación Universidad de la Costa
Repositorio:
REDICUC - Repositorio CUC
Idioma:
eng
OAI Identifier:
oai:repositorio.cuc.edu.co:11323/4618
Acceso en línea:
http://hdl.handle.net/11323/4618
https://repositorio.cuc.edu.co/
Palabra clave:
Chikungunya virus
Colombia
Cost
Disease outbreak
Economic cost
Virus chikungunya
Costo
Brote de enfermedad
Costo económico
Rights
openAccess
License
Attribution-NonCommercial-ShareAlike 4.0 International
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repository_id_str
dc.title.spa.fl_str_mv Economic costs of chikungunya virus in Colombia
dc.title.translated.spa.fl_str_mv Costos económicos del virus chikungunya en Colombia.
title Economic costs of chikungunya virus in Colombia
spellingShingle Economic costs of chikungunya virus in Colombia
Chikungunya virus
Colombia
Cost
Disease outbreak
Economic cost
Virus chikungunya
Costo
Brote de enfermedad
Costo económico
title_short Economic costs of chikungunya virus in Colombia
title_full Economic costs of chikungunya virus in Colombia
title_fullStr Economic costs of chikungunya virus in Colombia
title_full_unstemmed Economic costs of chikungunya virus in Colombia
title_sort Economic costs of chikungunya virus in Colombia
dc.creator.fl_str_mv Alvis Zakzuk, Nelson Jose
Díaz Jiménez, Diana
Castillo Rodríguez, Liliana
Castañeda Orjuela, Carlos Andres
Paternina Caicedo, Angel Jose
Pinzón Redondo, Hernando Samuel
Carrasquilla Sotomayor, María
Alvis Guzman, Nelson Rafae
De La Hoz Restrepo, Fernando
dc.contributor.author.spa.fl_str_mv Alvis Zakzuk, Nelson Jose
Díaz Jiménez, Diana
Castillo Rodríguez, Liliana
Castañeda Orjuela, Carlos Andres
Paternina Caicedo, Angel Jose
Pinzón Redondo, Hernando Samuel
Carrasquilla Sotomayor, María
Alvis Guzman, Nelson Rafae
De La Hoz Restrepo, Fernando
dc.subject.spa.fl_str_mv Chikungunya virus
Colombia
Cost
Disease outbreak
Economic cost
Virus chikungunya
Costo
Brote de enfermedad
Costo económico
topic Chikungunya virus
Colombia
Cost
Disease outbreak
Economic cost
Virus chikungunya
Costo
Brote de enfermedad
Costo económico
description Objective: The aim of the present study was to estimate the economic impact of chikungunya virus (CHIKV) infection in Colombia from a societal perspective. Methods: We conducted a retrospective, bottom-up cost-of-illness study in clinically confirmed cases during the first chikungunya (CHIK) outbreak in Colombia in 2014. Direct and indirect costs were estimated per patient. Economic costs were calculated by the addition of direct costs (direct medical costs and out-of-pocket heath expenditures) and indirect cost as a result of loss of productivity. Results: A total of 126 patients (67 children and 59 adults) with CHIK were included. The median of the direct medical cost in children was US$257.9 (interquartile range [IQR] 121.7–563.8), and US$66.6 (IQR 26.5–317.3) for adults. The productivity loss median expenditures reached US$81.3 (IQR 72.2–203.2) per adult patient. The median economic cost in adults as a result of CHIK was US$152.9 (IQR 101.0–539.6), of which 53.2% was a result of indirect costs. Out-of-pocket expenditures comprised 3.3% of all economic costs. Conclusions: Our study can help health decision makers to properly assess the burden of disease caused by CHIK in Colombia, an endemic tropical country. We recommend to strength the health information systems and to continue investing in public health measures to prevent CHIK.
publishDate 2018
dc.date.issued.none.fl_str_mv 2018
dc.date.accessioned.none.fl_str_mv 2019-05-21T13:57:02Z
dc.date.available.none.fl_str_mv 2019-05-21T13:57:02Z
dc.type.spa.fl_str_mv Artículo de revista
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dc.identifier.issn.spa.fl_str_mv 22121099
dc.identifier.uri.spa.fl_str_mv http://hdl.handle.net/11323/4618
dc.identifier.instname.spa.fl_str_mv Corporación Universidad de la Costa
dc.identifier.reponame.spa.fl_str_mv REDICUC - Repositorio CUC
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identifier_str_mv 22121099
Corporación Universidad de la Costa
REDICUC - Repositorio CUC
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https://repositorio.cuc.edu.co/
dc.language.iso.none.fl_str_mv eng
language eng
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eu_rights_str_mv openAccess
dc.publisher.spa.fl_str_mv Universidad de la Costa
institution Corporación Universidad de la Costa
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spelling Alvis Zakzuk, Nelson JoseDíaz Jiménez, DianaCastillo Rodríguez, LilianaCastañeda Orjuela, Carlos AndresPaternina Caicedo, Angel JosePinzón Redondo, Hernando SamuelCarrasquilla Sotomayor, MaríaAlvis Guzman, Nelson RafaeDe La Hoz Restrepo, Fernando2019-05-21T13:57:02Z2019-05-21T13:57:02Z201822121099http://hdl.handle.net/11323/4618Corporación Universidad de la CostaREDICUC - Repositorio CUChttps://repositorio.cuc.edu.co/Objective: The aim of the present study was to estimate the economic impact of chikungunya virus (CHIKV) infection in Colombia from a societal perspective. Methods: We conducted a retrospective, bottom-up cost-of-illness study in clinically confirmed cases during the first chikungunya (CHIK) outbreak in Colombia in 2014. Direct and indirect costs were estimated per patient. Economic costs were calculated by the addition of direct costs (direct medical costs and out-of-pocket heath expenditures) and indirect cost as a result of loss of productivity. Results: A total of 126 patients (67 children and 59 adults) with CHIK were included. The median of the direct medical cost in children was US$257.9 (interquartile range [IQR] 121.7–563.8), and US$66.6 (IQR 26.5–317.3) for adults. The productivity loss median expenditures reached US$81.3 (IQR 72.2–203.2) per adult patient. The median economic cost in adults as a result of CHIK was US$152.9 (IQR 101.0–539.6), of which 53.2% was a result of indirect costs. Out-of-pocket expenditures comprised 3.3% of all economic costs. Conclusions: Our study can help health decision makers to properly assess the burden of disease caused by CHIK in Colombia, an endemic tropical country. We recommend to strength the health information systems and to continue investing in public health measures to prevent CHIK.Objetivo: el objetivo del presente estudio fue estimar el impacto económico de la infección por el virus chikungunya (CHIKV) en Colombia desde una perspectiva social. Métodos: en 2014, realizamos un estudio retrospectivo y de abajo hacia arriba sobre el costo de la enfermedad en casos clínicamente confirmados durante el primer brote de chikungunya (CHIK) en Colombia. Los costos directos e indirectos se estimaron por paciente. Los costos económicos se calcularon mediante la suma de los costos directos (costos médicos directos y gastos de salud de bolsillo) y los costos indirectos como resultado de la pérdida de productividad. Resultados: se incluyeron 126 pacientes (67 niños y 59 adultos) con CHIK. La mediana del costo médico directo en niños fue de US $ 257.9 (rango intercuartil [IQR] 121.7–563.8) y de US $ 66.6 (IQR 26.5–317.3) para adultos. Los gastos medianos de la pérdida de productividad alcanzaron los US $ 81.3 (RIC 72.2–203.2) por paciente adulto. La mediana del costo económico en adultos como resultado de CHIK fue de US $ 152.9 (IQR 101.0–539.6), de los cuales el 53.2% fue resultado de costos indirectos. Los gastos de bolsillo representaron el 3.3% de todos los costos económicos. Conclusiones: Nuestro estudio puede ayudar a los encargados de tomar decisiones en materia de salud a evaluar adecuadamente la carga de la enfermedad causada por CHIK en Colombia, un país tropical endémico. Recomendamos fortalecer los sistemas de información de salud y continuar invirtiendo en medidas de salud pública para prevenir el CHIK.Alvis Zakzuk, Nelson Jose-0000-0001-9382-214X-600Díaz Jiménez, Diana-3ecbd5a5-d9ab-4330-8373-51ec06ec5b2f-0Castillo Rodríguez, Liliana-8666402a-95e7-4722-a8fe-851783f34840-0Castañeda Orjuela, Carlos Andres-cee8f22a-a83a-48cf-a842-ca42a8cfcb25-0Paternina Caicedo, Angel Jose-a500674c-e3af-4e7a-b798-fea708e10f12-0Pinzón Redondo, Hernando Samuel-3a6cb4b3-6b3c-4c49-9107-64f6b1764192-0Carrasquilla Sotomayor, María-e72d670c-8bc2-4f8a-b7a5-a893020ecbf7-0Alvis Guzman, Nelson Rafae-5926771a-a351-4df4-86d8-05f67bd93051-0De La Hoz Restrepo, Fernando-e374ad59-e159-4dc6-906d-773d4be3e0b1-0engUniversidad de la CostaAttribution-NonCommercial-ShareAlike 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-sa/4.0/info:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2Chikungunya virusColombiaCostDisease outbreakEconomic costVirus chikungunyaCostoBrote de enfermedadCosto económicoEconomic costs of chikungunya virus in ColombiaCostos económicos del virus chikungunya en Colombia.Artículo de revistahttp://purl.org/coar/resource_type/c_6501http://purl.org/coar/resource_type/c_2df8fbb1Textinfo:eu-repo/semantics/articlehttp://purl.org/redcol/resource_type/ARTinfo:eu-repo/semantics/acceptedVersionPublicationORIGINALEconomic Costs Of Chikungunya.pdfEconomic Costs Of Chikungunya.pdfapplication/pdf287473https://repositorio.cuc.edu.co/bitstreams/86351552-c29b-4ff2-b0a6-a55e28f06479/download63db67b528b1400845a0c2855014fde8MD51CC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; charset=utf-81031https://repositorio.cuc.edu.co/bitstreams/4414da45-3f53-48e7-994f-c3c2f82fbc76/download934f4ca17e109e0a05eaeaba504d7ce4MD52LICENSElicense.txtlicense.txttext/plain; charset=utf-81748https://repositorio.cuc.edu.co/bitstreams/2eb9f0a1-0560-47cd-b401-3f374267b189/download8a4605be74aa9ea9d79846c1fba20a33MD53THUMBNAILEconomic Costs Of Chikungunya.pdf.jpgEconomic Costs Of Chikungunya.pdf.jpgimage/jpeg46027https://repositorio.cuc.edu.co/bitstreams/c0aa9c4e-e1c0-4832-8c26-15cd0a9c6614/downloadb91b3273a6612e76633364243268dd85MD55TEXTEconomic Costs Of Chikungunya.pdf.txtEconomic Costs Of Chikungunya.pdf.txttext/plain1810https://repositorio.cuc.edu.co/bitstreams/a5b32078-70a4-4b51-9b43-dc126c63b137/downloadf6b0b24b6a241b44eb5252d8077b5240MD5611323/4618oai:repositorio.cuc.edu.co:11323/46182024-09-16 16:49:42.64http://creativecommons.org/licenses/by-nc-sa/4.0/Attribution-NonCommercial-ShareAlike 4.0 Internationalopen.accesshttps://repositorio.cuc.edu.coRepositorio de la Universidad de la Costa CUCrepdigital@cuc.edu.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