Evidence map›Paper›PMID 27059622›Full record

ArticleThe European journal of health economics : HEPAC : health economics in prevention and care2016

Social/economic costs and health-related quality of life in patients with cystic fibrosis in Europe.

Karine Chevreul, Morgane Michel, Karen Berg Brigham, Julio López-Bastida, Renata Linertová, Juan Oliva-Moreno, Pedro Serrano-Aguilar, Manuel Posada-de-la-Paz, Domenica Taruscio, Arrigo Schieppati and 7 more

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in The European journal of health economics : HEPAC : health economics in prevention and care, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Cost-of-illness studies in nine Central and Eastern European countries.The European journal of health economics : HEPAC : health economics in prevention and care · 2019
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Effect of caregiver burden on the quality of life of informal caregivers of people with cystic fibrosis in the United Kingdom: a cross-sectional study.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
    Article
  6. Article
  7. Article
  8. The ageing of people living with cystic fibrosis: what to expect now?European respiratory review : an official journal of the European Respiratory Society · 2024
    Review
  9. Socioeconomic burden of cystic fibrosis in Canada.BMJ open respiratory research · 2024
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Cost-of-illness studies in rare diseases: a scoping review.Orphanet journal of rare diseases · 2021
    Article
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors.

Karine ChevreulURC Eco Ile de France, AP-HP, Hôtel Dieu, Paris, France. karine.chevreul@urc-eco.fr.
Morgane MichelURC Eco Ile de France, AP-HP, Hôtel Dieu, Paris, France.
Karen Berg BrighamURC Eco Ile de France, AP-HP, Hôtel Dieu, Paris, France.
Julio López-BastidaUniversity of Castilla-La Mancha, Talavera de la Reina, Toledo, Spain.
Renata LinertováRed de Investigación en Servicios Sanitarios en Enfermedades Crónicas (REDISSEC), Madrid, Spain.
Juan Oliva-MorenoRed de Investigación en Servicios Sanitarios en Enfermedades Crónicas (REDISSEC), Madrid, Spain.
Pedro Serrano-AguilarRed de Investigación en Servicios Sanitarios en Enfermedades Crónicas (REDISSEC), Madrid, Spain.
Manuel Posada-de-la-PazInstitute of Rare Diseases Research, ISCIII, SpainRDR and CIBERER, Madrid, Spain.
Domenica TaruscioNational Center for Rare Diseases, Istituto superiore di sanita (ISS), Rome, Italy.
Arrigo SchieppatiCentro di Ricerche Cliniche per Malattie Rare Aldo e Cele Daccò, Istituto di Ricerche Farmacologiche Mario Negri, Ranica (Bergamo), Italy.
Georgi IskrovInstitute of Rare Diseases, Plovdiv, Bulgaria.
Márta PéntekDepartment of Health Economics, Corvinus University of Budapest, Budapest, Hungary.
Johann Matthias Graf von der SchulenburgCentre for Health Economics Research Hannover (CHERH), Leibniz Universität Hannover, Hannover, Germany.
Panos KanavosDepartment of Social Policy and LSE Health, London School of Economics and Political Science, London, UK.
Ulf PerssonThe Swedish Institute for Health Economics, Lund, Sweden.
Giovani FattoreCentro di Ricerche sulla Gestione dell'Assistenza Sanitaria e Sociale (CERGAS), Università Commerciale Luigi Bocconi, Milan, Italy.
BURQOL-RD Research Network

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesOur goal was to provide data on the economic burden and health-related quality of life (HRQOL) of patients with cystic fibrosis (CF) and their caregivers in Europe.

methodsA cross-sectional study was carried out on adults and children with CF in eight European countries. Patients completed an anonymous questionnaire regarding their socio-demographic characteristics, use of healthcare services and presence of a caregiver. Costs were calculated with a bottom-up approach using unit costs from each participating country, and HRQOL was assessed using EQ-5D. The principal caregiver also answered a questionnaire on their characteristics, HRQOL and burden.

resultsA total of 905 patients with CF was included (399 adults and 506 children). The total average annual cost per patient varied from €21,144 in Bulgaria to €53,256 in Germany. Adults had higher direct healthcare costs than children, but children had much higher informal care costs (P < 0.0001). Total costs increased with patients' level of dependence. In adults, mean utility fell between 0.640 and 0.870, and the visual analogue scale ranged from 46.0 to 69.7. There was no difference in caregiver HRQOL regardless of whether they cared for an adult or a child. However, caregivers who looked after a child had a significantly higher burden (P = 0.0013).

conclusionsOur study highlights the burden of CF in terms of costs and decreased HRQOL for both patients and their caregivers throughout Europe.

Indexed as

Cost of IllnessHealth Care CostsQuality of LifeAdolescentAdultCaregiversChildChild, PreschoolCross-Sectional StudiesCystic FibrosisEuropeFemaleHumansMaleMiddle AgedSick LeaveCosts and cost analysisCystic fibrosisEconomic burdenHealth-related quality of life

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.