Evidence map›Paper›PMID 38601072›Full record

ArticleGlobal & regional health technology assessment

The socioeconomic burden of adult attention-deficit/hyperactivity disorder in Spain.

María Merino, Paulina Maravilla-Herrera, Teresa Martín Lorenzo, Juan Antonio Arance, Julio Bobes, Montse Corrales, Fátima Guzmán, María Morales, Carlos Mur

Open access · goldAbstract read
In one paragraph

Article in Global & regional health technology assessment. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.4field-weighted citation impact, top 40% of its field
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

3 citing papers in PubMed, 1 citations in OpenAlex.

  1. Article
  2. Article
  3. 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

9 authors at 4 institutions in 2 countries.

María MerinoVivactis Weber, Madrid - Spain.ORCID https://orcid.org/0000-0002-5769-1821
Paulina Maravilla-HerreraVivactis Weber, Madrid - Spain.ORCID https://orcid.org/0000-0001-6476-2053
Teresa Martín LorenzoVivactis Weber, Madrid - Spain.ORCID https://orcid.org/0000-0002-1145-7079
Juan Antonio AranceAlbolote Penitentiary, Granada - Spain.
Julio BobesDepartment of Medicine, Oviedo University, Oviedo - Spain.ORCID https://orcid.org/0000-0003-2187-4033
Montse CorralesDepartment of Psychiatry, Vall d'Hebron University Hospital, Barcelona - Spain.
Fátima GuzmánFundación Educación Activa, Madrid - Spain.
María MoralesDepartment of Psychiatry, Puerta de Hierro University Hospital, Majadahonda - Spain.
Carlos MurDepartment of Psychiatry, Hospital Nostra Senyora de Meritxell, Escaldes-Engordany - Andorra.
Weber · ESHospital Universitario Puerta de Hierro Majadahonda · ESUniversidad de Oviedo · ESVall d'Hebron Hospital Universitari · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: The symptoms of attention-deficit/hyperactivity disorder (ADHD) in adults highly interfere with function in multiple dimensions, increasing the economic burden associated with ADHD. The aim of this study was to explore the impact of ADHD in Spanish adults and estimate the associated economic burden within the healthcare, social, economic, and legal domains. Methods: An economic model was developed from a social perspective using a bottom-up approach, based on the scientific literature and a multidisciplinary expert group. Results: The cost incurred per diagnosed adult patient with ADHD included an annual cost of €15,652 and a one-time cost of €7,893 (3,035 M€ and 1,531 M€ for Spain, respectively). Regarding the annual cost, 50% was attributed to costs within the economic domain, of which 53% were work-absenteeism-related. Moreover, 28% was attributed to costs within the social domain, of which 74% were substance-abuse-related. Regarding the one-time cost, 52% was attributed to costs within the healthcare domain, of which approximately 50% were hospitalization-related costs. Moreover, 42% was attributed to costs within the legal domain, of which 62% were imprisonment-related costs. Conclusions: This is the first report on the socioeconomic burden of ADHD in Spanish adults, shedding light on the large burden that adult ADHD poses on the healthcare system and society at large, as symptoms have been shown to impact almost every aspect of life. This is particularly important for undiagnosed/untreated patients with ADHD in Spain, as appropriate treatments have shown positive results in these areas and may reduce its associated socioeconomic burden.

Indexed as

adult ADHDburden of diseasehealthcare systemsocial perspectivesubstance abusework productivity loss

Identifiers

PMID38601072
PMCPMC11005448
OpenAlexW4394760165

What OpenQuestion holds

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LicenceCC BY-NC
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.