Evidence map›Paper›PMID 41107594›Full record

ArticleDrugs - real world outcomes2025

Economic and Social Burden of Pulmonary Arterial Hypertension in Italy: A Cost-of-Illness Study.

Martina Paoletti, Dario Vizza, Michele D'Alto, Stefano Ghio, Laura Scelsi, Roberto Badagliacca, Paola Argiento, Claudia Raineri, Paolo Sciattella

Abstract read
In one paragraph

Article in Drugs - real world outcomes, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. Journal of preventive medicine and hygiene · 2026
    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

9 authors.

Martina PaolettiEconomic Evaluation and HTA, CEIS, Faculty of Economics, University of Rome "Tor Vergata", Rome, Italy.
Dario VizzaDepartment of Clinical Internal, Anesthesiological and Cardiovascular Sciences, Sapienza University of Rome, Policlinico Umberto I, Rome, Italy.
Michele D'AltoDepartment of Cardiology, Monaldi Hospital, University of Campania "Luigi Vanvitelli", Naples, Italy.
Stefano GhioUOC Cardiologia 1, Fondazione IRCCS Policlinico S. Matteo, Pavia, Italy.
Laura ScelsiUOC Cardiologia 1, Fondazione IRCCS Policlinico S. Matteo, Pavia, Italy.
Roberto BadagliaccaDepartment of Cardiovascular, Respiratory, Nephrological, Anesthesiologic and Geriatric Sciences, Sapienza University of Rome, Rome, Italy.
Paola ArgientoDepartment of Cardiology, A.O.R.N dei Collo-Monaldi Hospital, University of Campania "Luigi Vanvitelli", Naples, Italy.
Claudia RaineriDivision of Cardiology, Cardiovascular and Thoracic Department, Città della Salute e della Scienza, Hospital, Turin, Italy.
Paolo SciattellaEconomic Evaluation and HTA, CEIS, Faculty of Economics, University of Rome "Tor Vergata", Rome, Italy. paolo.sciattella@uniroma2.it.ORCID http://orcid.org/0000-0002-8364-1895

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPulmonary arterial hypertension (PAH) is a rare, chronic and progressive disease with a significant clinical, social, and economic impact. Despite available therapies, none address the underlying cause but rather focus on symptom management.

objectivesThis study aims to estimate the economic and social burden of PAH in Italy, including direct healthcare costs, direct nonhealthcare costs, and indirect costs related to productivity loss.

methodsA bottom-up prevalence-based cost-of-illness model was developed using epidemiological data and healthcare resource consumption from national and international literature, validated by a panel of expert clinicians with extensive experience in the management of the condition across different regions of Italy. The analysis was conducted from a societal perspective over a 1-year horizon. The economic burden included direct healthcare costs (hospitalization, pharmaceuticals, and specialist care), direct nonhealthcare costs, and indirect costs related to productivity loss.

resultsIn Italy, the prevalent population of patients with PAH is estimated between 2100 and 3500 individuals, with 2-5% in functional class (FC) I, 28-31% in FC II, 53-57% in FC III, and 7-11% in FC IV. The total annual expenditure for treatment and management is estimated between 263 million and 438 million euros, with 74% attributable to direct healthcare costs, 9% to direct nonhealthcare costs, and 17% to indirect costs. The mean annual cost per patient is approximately 125,000 € and increases with disease severity, ranging from 46,303 € for FC I to 252,176 € for FC IV.

conclusionsPAH has a substantial economic burden, increasing with disease severity. Early diagnosis and targeted interventions could improve patient outcomes, reduce complications, and optimize resource allocation for the National Health Service and society.

Identifiers

PMID41107594
PMCPMC12635014

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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.