Evidence map›Paper›PMID 30158219›Full record

Trial reportBMJ open2018

Excess costs of alcohol-dependent patients in German psychiatric care compared with matched non-alcohol-dependent individuals from the general population: a secondary analysis of two datasets.

Judith Dams, Angela Buchholz, Ludwig Kraus, Jens Reimer, Norbert Scherbaum, Alexander Konnopka, Hans-Helmut König

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–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

9 citing papers in PubMed.

  1. Trial
  2. Excess costs of mental disorders by level of severity.Social psychiatry and psychiatric epidemiology · 2023
    Trial
  3. Observational
  4. Article
  5. Article
  6. Article
  7. Article
  8. The excess economic burden of mental disorders: findings from a cross-sectional prevalence survey in Austria.The European journal of health economics : HEPAC : health economics in prevention and care · 2020
    Article
  9. Review
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

7 authors.

Judith DamsDepartment of Health Economics and Health Services Research, Hamburg Center for Health Economics (HCHE), University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Angela BuchholzDepartment of Medical Psychology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Ludwig KrausIFT Institute for Therapeutic Research Munich, Munich, Germany.
Jens ReimerCentre for Interdisciplinary Addiction Research, University of Hamburg, Hamburg, Germany.
Norbert ScherbaumLVR-Hospital Essen, Department of Addictive Behavior and Addiction Medicine, Medical Faculty, University of Duisburg-Essen, Essen, Germany.
Alexander Konnopka *Department of Health Economics and Health Services Research, Hamburg Center for Health Economics (HCHE), University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Hans-Helmut König *Department of Health Economics and Health Services Research, Hamburg Center for Health Economics (HCHE), University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesHeavy alcohol use can cause somatic and mental diseases, affects patients' social life and is associated with social isolation, unemployment and reduced quality of life. Therefore, societal costs of alcohol dependence are expected to be high. The aim of this study was to estimate excess costs of patients with alcohol dependence diagnosed using the

designIn a secondary analysis, baseline data of patients with alcohol dependence enrolled in a randomised controlled trial (German Clinical Trials Register DRS00005035) were compared with data collected via a telephone survey from individuals without alcohol dependence and that had been matched by entropy balancing. Health service use was evaluated retrospectively for a 6-month period. SETTINGS: Four German psychiatric university clinics (patients with alcohol dependence) and the German general adult population (individuals without alcohol dependence).

participantsn=236 adult patients with alcohol dependence and n=4687 adult individuals without alcohol dependence. PRIMARY AND SECONDARY OUTCOME MEASURES: The excess costs of health service use, absenteeism and unemployment of patients with alcohol dependence were calculated and compared with individuals without alcohol dependence. In subgroup analyses, the associations between excess cost and gender, comorbidities and the duration of disease were investigated.

resultsTotal 6-month excess costs of €11 839 (95% CI €11 529 to €12 147) were caused by direct excess costs of €4349 (95% CI €4129 to €4566) and indirect costs of €7490 (95% CI €5124 to €9856). In particular, costs of inpatient treatment, formal long-term care, absenteeism and unemployment were high.

conclusionsAlcohol dependence causes substantial direct and indirect excess costs. Cost-effective interventions to prevent and treat alcohol dependence are urgently needed. TRIAL REGISTRATION NUMBER: DRKS00005035.

Indexed as

Cost of IllnessHealth Care CostsAbsenteeismAdultAlcoholismAmbulatory Care FacilitiesCase-Control StudiesEthanolFemaleGermanyHospitalizationHumansLong-Term CareMaleMental Health ServicesMiddle AgedEthanoladdiction treatmentalcoholcost-of-illnesseconomic burdeneconomic evaluationexcess costs

Identifiers

PMID30158219
PMCPMC6119434

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.