ArticleEuropean child & adolescent psychiatry2014
Economic impact of childhood/adolescent ADHD in a European setting: the Netherlands as a reference case.
Article in European child & adolescent psychiatry, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
58 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Genome-wide analyses of ADHD identify 27 risk loci, refine the genetic architecture and implicate several cognitive domains.Nature genetics · 2023Pooled it
- Global Economic Burden of Attention-Deficit/Hyperactivity Disorder: A Systematic Review.PharmacoEconomics · 2021Pooled it
- Cancellation of outpatient appointments in patients with attention-deficit/hyperactivity disorder.PloS one · 2021Pooled it
- Comparative efficacy and tolerability of medications for attention-deficit hyperactivity disorder in children, adolescents, and adults: a systematic review and network meta-analysis.The lancet. Psychiatry · 2018Pooled it
- Effects of kefir on symptoms, sleep, and gut microbiota in children with ADHD: a randomised controlled trial.BMC psychiatry · 2025Trial
- Rethinking ADHD intervention trials: feasibility testing of two treatments and a methodology.European journal of pediatrics · 2019Trial
- Meditation or Medication? Mindfulness training versus medication in the treatment of childhood ADHD: a randomized controlled trial.BMC psychiatry · 2016Trial
- Socioeconomic burden of adult attention deficit/hyperactivity disorder in Japan: a nationwide cross-sectional observational study.BMC psychiatry · 2026Observational
- Common and rare variant analyses implicate late-infancy cerebellar development and immune genes in ADHD.Journal of neurodevelopmental disorders · 2025Article
- Treatments with versus without medication for children with behavioural difficulties in clinical practice: an economic evaluation with observational data.Journal of child psychology and psychiatry, and allied disciplines · 2025Observational
- Association of exercise and ADHD symptoms: Analysis within an adult general population sample.PloS one · 2025Article
- NREM Slow-Wave Activity in Adolescents Is Differentially Associated With ADHD Levels and Normalized by Pharmacological Treatment.The international journal of neuropsychopharmacology · 2024Article
- Gross Motor Skills Are Associated with Symptoms of Attention Deficit Hyperactivity Disorder in School-Aged Children.Children (Basel, Switzerland) · 2024Article
- From Consensus Statement to Pills to Pixels: New Innovations in Attention-Deficit/Hyperactivity Disorder Care.Journal of child and adolescent psychopharmacology · 2024Review
- Article
- Randomised controlled trial of the effects of kefir on behaviour, sleep and the microbiome in children with ADHD: a study protocol.BMJ open · 2023Article
- Psychological Treatments for Hyperactivity and Impulsivity in Children with ADHD: A Narrative Review.Children (Basel, Switzerland) · 2023Review
- Differential costs for the non-adult ADHD population in Catalonia.Health economics review · 2023Article
- Diagnosis and management of ADHD: a pediatric perspective on practice and challenges in Switzerland.BMC pediatrics · 2023Article
- Gestational organophosphate ester exposure and preschool attention-deficit/hyperactivity disorder in the Norwegian Mother, Father, and Child cohort study.International journal of hygiene and environmental health · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Attention-deficit/hyperactivity disorder (ADHD) is a highly prevalent psychiatric disorder in children/adolescents. This study reviews available European-based studies of ADHD-related costs and applies the findings to the Netherlands to estimate annual national costs for children/adolescents from a societal perspective. A systematic literature search was conducted for primary studies in Europe, published January 1, 1990 through April 23, 2013. Per-person cost estimates were converted to 2012 Euros and used to estimate annual national ADHD-related costs based on the Dutch 2011 census, ADHD prevalence rates, family composition, and employment rates. Seven studies met the inclusion criteria. The average total ADHD-related costs ranged from €9,860 to 14,483 per patient and annual national costs were between €1,041 and €1,529 million (M). The largest cost category was education (€648 M), representing 62 and 42 % of the low- and high-value overall national estimates, respectively. By comparison, ADHD patient healthcare costs ranged between €84 M (8 %) and €377 M (25 %), and social services costs were €4.3 M (0.3-0.4 %). While the majority of the costs were incurred by ADHD patients themselves, €161 M (11-15 %) was healthcare costs to family members that were attributable to having an ADHD child/adolescent. In addition, productivity losses of family members were €143-€339 M (14-22 %). Despite uncertainties because of the small number of studies identified and the wide range in the national cost estimates, our results suggest that ADHD imposes a significant economic burden on multiple public sectors in Europe. The limited number of European-based studies examining the economic burden of ADHD highlights the need for more research in this area.
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Registered trials
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