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Table 3 Average direct and indirect costs per patient in six months before interview in 2014-€

From: Economic burden associated with alcohol dependence in a German primary care sample: a bottom-up study

 

All patients

Non-AD

AD

Excess costs

N = 1356

male

female

total

male

female

total

male

female

total

 

N = 494

N = 719

N = 1213

N = 95

N = 48

N = 143

N = 589

N = 767

N = 1356

Direct costs

 Inpatient admissions 1a

605.53 (2446.48)

569.42 (2766.16)

543.82 (1997.69)

554.10 (2332.50)

1300.61 (3650.39)

458.99 (1634.33)

1022.95 (3165.99)

731.18 °°

−84.80

468.85 °

 Outpatient visits 1a

9.78 (26.73)

8.96 (29.28)

9.08 (20.96)

9.03 (24.59)

17.03 (45.01)

13.50 (21.81)

15.86 (39.06)

8.07 °

4.41

6.83 °

 GP treatment 2a

219.41 (361.28)

189.23 (321.42)

217.60 (205.77)

206.22 (326.56)

336.03 (800.45)

307.33 (749.01)

326.56 (784.31)

146.81 *+

89.73

120.34 *+

 Prescribed medication 1a

143.45 (424.96)

157.10 (521.57)

128.18 (344.64)

139.79 (423.90)

203.94 (511.76)

110.77 (152.41)

173.21 (431.74)

46.84

−17.41

33.41

 Home care 1a

26.69 (226.05)

17.72 (121.62)

23.98 (148.22)

21.47 (138.34)

102.80 (661.66)

0.93 (6.14)

69.19 (546.01)

85.08 *+

−23.05 ***

47.73

 Alcohol treatment 1

11.63 (331.60)

0.36 (8.27)

0.0 (0.0) d

0.14 (5.21)

28.18 (115.97)

261.08 (1699.39)

105.01 (978.30)

27.82 °°°

261.08 b

104.87 ***+ °°°

 Total direct costs excluding alcohol treatment 2

1003.68 (2609.80)

940.67 (2931.95)

921.81 (2131.66)

929.38 (2479.83)

1960.41 (3871.48)

891.52 (1913.02)

1607.77 (3400.08)

1019.74 **+

−30.29

678.39 **+

 Total direct costs including alcohol treatment 2

1015.31 (2628.83)

941.03 (2931.86)

921.81 (2131.66)

929.53 (2479.79)

1988.59 (3869.34)

1152.59 (2507.64)

1712.79 (3508.16)

1047.56 ***+

230.78

783.26 ***+

Indirect costs

 Absenteeism among employed patients 1c

680.11 (1734.23)

584.05 (1542.06)

711.72 (1742.10)

660.41 (1667.00)

932.67 (2377.10)

652.28 (1684.31)

840.17 (2180.79)

348.62 *+

−59.44

179.76 *+

 Unemployment 3

784.20 (2626.86)

732.85 (2570.54)

750.31 (2568.01)

743.29 (2569.20)

1008.96 (2873.82)

1335.22 (3284.69)

1116.60 (3017.16)

276.12

584.91

373.31

 Disability/early retirement 3

1402.00 (3156.06)

1445.88 (3161.93)

1281.27 (3084.52)

1347.43 (3116.68)

1824.21 (3340.81)

1888.23 (3561.13)

1845.33 (3414.18)

378.34

606.96

497.90 *+

 Total indirect costs 1

2866.31 (3833.04)

2762.78 (3772.04)

2743.30 (3788.09)

2751.13 (3782.01)

3765.85 (4062.60)

3875.72 (4152.24)

3802.10 (4092.50)

1003.07 **+

1132.42 *+

1050.97 ***+

Total costs

 Total costs excluding alcohol treatment 2

3868.03 (5092.91)

3703.45 (5133.10)

3661.58 (4755.51)

3678.39 (4908.87)

5726.26 (6590.02)

4767.24 (5004.35)

5409.87 (6137.53)

2058.36 **+

1105.66 **+

1731.48 ***+

 Total costs including alcohol treatment 2

3879.66 (5114.32)

3703.81 (5133.53)

3661.58 (4755.51)

3678.54 (4909.05)

5754.44 (6591.28)

5028.32 (5491.93)

5514.89 (6265.50)

2050.64 **+

1366.74 **+

1836.35 ***+

  1. Note. All presented costs refer to reported and imputed costs and are presented as mean cost per patient with standard deviation in brackets
  2. Significance of excess costs was tested with 1 zero-inflated negative binomial regressions or 2 negative binomial regressions, using alcohol dependence and age as predictors in both count (predicting values >0) and logit (predicting 0, only for zero-inflated negative binomial regressions) model. The following symbols indicate a significant AD predictor: count model * p < .05 ** p < .01 *** p < .001; logit model + or – behind the symbol indicates valence of respective coefficient
  3. 3 significance of excess costs was tested with age-adjusted logistic regressions for unemployment and disability (collapsing sex-specific costs into a single value). The same legend for p-values applies as for negative binomial models
  4. AD Alcohol dependence, GP General practitioner
  5. a excluding all alcohol-specific treatments (medication, inpatient and outpatient treatment, group therapy, (GP) counselling/detoxification)
  6. b only one case with alcohol related treatment costs among female AD patients: χ2-test on contingency table with one cell having 0 counts (female non-AD patients), one cell 1 count (female AD patients): p < .001
  7. c costs of absenteeism according to friction cost method
  8. d no costs despite resource use because one “other alcohol contact” was specified but as the type of contact was not specified, this contact was not included in the cost calculation