Evidence map›Paper›PMID 40326481›Full record

ArticleInternal medicine journal2025

Economic burden of sickle cell disease in Australia.

Steve Nwokeocha, Helen E Haysom, Cameron Wellard, Tracy Roberts, Mwayi Kachapila, Melissa Chee, Dennis Petrie, Zoe K McQuilten, Neil Waters, Anthea Greenway and 7 more

Abstract read
In one paragraph

Article in Internal medicine journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Steve NwokeochaHealth Economics Unit, University of Birmingham, Birmingham, UK.
Helen E HaysomTransfusion Research Unit, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
Cameron WellardTransfusion Research Unit, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
Tracy RobertsHealth Economics Unit, University of Birmingham, Birmingham, UK.
Mwayi KachapilaHealth Economics Unit, University of Birmingham, Birmingham, UK.
Melissa CheeTransfusion Research Unit, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
Dennis PetrieCentre for Health Economics, Monash Business School, Monash University, Melbourne, Victoria, Australia.
Zoe K McQuiltenTransfusion Research Unit, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
Neil WatersTransfusion Research Unit, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
Anthea GreenwayDepartment of Clinical Haematology, Monash Health, Melbourne, Victoria, Australia.
Kylie MasonDepartment of Haematology, The Royal Melbourne Hospital, Melbourne, Victoria, Australia.
Anna NelsonTransfusion Research Unit, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.ORCID 0000-0001-7589-5564
Zane KaplanDepartment of Clinical Haematology, Monash Health, Melbourne, Victoria, Australia.
P Joy HoInstitute of Haematology, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia.ORCID 0000-0002-2811-8671
Erica M WoodTransfusion Research Unit, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
Adam IrvingTransfusion Research Unit, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.ORCID 0000-0002-0406-658X
Australian Haemoglobinopathy Registry

Funding

National Health and Medical Research Council GNT1177784National Health and Medical Research Council GNT1189490National Health and Medical Research Council GNT1194811Turing Scheme
6 · The paper itself

Abstract

backgroundSickle cell disease (SCD) is an inherited condition that impairs red blood cell function, posing a substantial health burden on patients. As the prevalence of SCD in Australia rises due to migration, discussions surrounding treatment and management strategies are becoming more prominent.

aimsAustralia lacks a dedicated study on the prevalence and economic implications of SCD. In this study, we estimate the economic burden of SCD in Australia from the perspective of the Australian healthcare system.

methodsWe performed a cost-of-illness study by using a bottom-up approach to estimate resource use per patient from a national registry with unit costs from national sources, and a top-down estimate of the prevalence of SCD in Australia using stratification by ancestry.

resultsWe estimated the prevalence of SCD in Australia in 2021 to be 8485 patients, the cost per patient per year to be AU$13 975 and the total cost to the Australian healthcare system to be approximately AU$119 million per year. Factors influencing costs were age, interventions and frequency of hospital visits for vaso-occlusive crises. Prevalence had the greatest influence on results in the sensitivity analysis.

conclusionsWhile the estimated prevalence of SCD in Australia resulted in a relatively small total cost, the per patient annual cost of SCD remains high. This cost of SCD is anticipated to increase alongside migration and improved treatment. There are policies that could enhance patients' quality of life, thereby mitigating both economic and health burdens.

Indexed as

Anemia, Sickle CellCost of IllnessHealth Care CostsAdolescentAdultAgedAustraliaChildChild, PreschoolFemaleHumansInfantMaleMiddle AgedPrevalenceRegistriescost of illnessprevalencesickle cell disease

Identifiers

PMID40326481
PMCPMC12347316

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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.