Evidence map›Paper›PMID 41163711›Full record

ArticleJournal of asthma and allergy2025

Impact of Asthma Severity and Exacerbation Frequency on Burden of Disease Related Costs in Finland.

Mariann I Lassenius, Juhani Aakko, Sara Hallberg, Mary Dillon, Kaisa Nieminen, Hannu Kankaanranta, Arja Viinanen, Paula Kauppi, Lauri Lehtimäki

Abstract read
In one paragraph

Article in Journal of asthma and allergy, 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. Article
  2. 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.

Mariann I LasseniusMedaffcon Oy, Espoo, Finland.ORCID 0000-0003-0511-3939
Juhani AakkoMedaffcon Oy, Espoo, Finland.ORCID 0000-0003-4142-3256
Sara HallbergHealth Economics, AstraZeneca Nordics, Gothenburg, Sweden.ORCID 0000-0003-2164-8060
Mary DillonHealth Economics, AstraZeneca Nordics, Espoo, Finland.ORCID 0000-0003-2072-296X
Kaisa NieminenMedical Affairs, AstraZeneca Nordics, Espoo, Finland.
Hannu KankaanrantaFaculty of Medicine and Health Technology, Tampere University, Tampere, Finland.ORCID 0000-0001-5258-0906
Arja ViinanenDepartment of Pulmonary Diseases, Turku University Hospital, Turku, Finland.ORCID 0000-0003-4990-6228
Paula KauppiDepartment of Pulmonary Diseases, Heart and Lung Center, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.ORCID 0000-0002-1065-330X
Lauri LehtimäkiFaculty of Medicine and Health Technology, Tampere University, Tampere, Finland.ORCID 0000-0003-1586-4998

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Evaluating productivity loss and healthcare costs among working-aged individuals with asthma is critical for comprehending the economic burden and guiding healthcare policy decisions. An optimized care of asthma could result in substantial societal benefits by improving workforce participation and reducing healthcare resource use. Recent data on the impact of both asthma severity and exacerbation frequency on overall costs are scarce. Patients and Methods: In this retrospective study from Finland, 89,606 working aged patients with asthma were followed from national registers for four years from 2017 to 2020 with the objective to assess the impact of asthma severity and exacerbation frequency on the overall costs arising from direct healthcare resource utilization (visits and drug purchases) and productivity loss (long term sick leaves and disability pensions) with gamma regression models. Results: Severe asthma, noted in 10% of patients, increased healthcare resource utilization and productivity loss costs by 30% and frequent exacerbations, noted in 13% of patients, by 25%, independently of each other and of age, sex and Charlson comorbidity index. The annual overall cost per patient was € 14,359 for severe asthma with frequent exacerbations, followed by €11,802 in those with non-severe asthma and frequent exacerbations. Most costs were related to productivity losses (60%) compared to direct healthcare costs (40%). The prevalence of asthma increased from 2.7% to 3.0% over the four-year period, an increase was also observed in the subgroup of those with severe asthma. Conclusion: A substantial disease burden associated with frequent exacerbations in both patients with asthma and severe asthma leads to increased productivity loss and direct healthcare costs. The estimated the total annual cost of working-aged patients with asthma was €715 million in Finland, with 25% of additional costs associated with frequent exacerbations, indicating the potential savings that could be achievable through improved disease control.

Indexed as

asthmaburden of diseasedirect costsexacerbationsproductivity losssevere asthma

Identifiers

PMID41163711
PMCPMC12558724

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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.