Socioeconomic evaluation of vagus stimulation: A controlled national study
Research output: Contribution to journal › Journal article › Research › peer-review
Standard
Socioeconomic evaluation of vagus stimulation : A controlled national study. / Jennum, Poul; Sabers, Anne; Christensen, Jakob; Ibsen, Rikke; Kjellberg, Jakob.
In: Seizure, Vol. 42, 11.2016, p. 15-19.Research output: Contribution to journal › Journal article › Research › peer-review
Harvard
APA
Vancouver
Author
Bibtex
}
RIS
TY - JOUR
T1 - Socioeconomic evaluation of vagus stimulation
T2 - A controlled national study
AU - Jennum, Poul
AU - Sabers, Anne
AU - Christensen, Jakob
AU - Ibsen, Rikke
AU - Kjellberg, Jakob
N1 - Copyright © 2016 British Epilepsy Association. Published by Elsevier Ltd. All rights reserved.
PY - 2016/11
Y1 - 2016/11
N2 - PURPOSE: We aimed to determine the health costs and social outcomes in terms of education, employment and income level after insertion of a vagus nerve stimulator (VNS) in patients with epilepsy.METHODS: This is a case-control study using Danish health care and socioeconomic register data. The analysis of the effect involved a comparison of the health care costs, occupation and income status of VNS-treated epilepsy patients with those of a control group of epilepsy patients who had a VNS implanted during the 12 months before the index date (pre-period) and during the two years after the index date (post-period).RESULTS: 101 patients who had undergone VNS implantation and 390 control patients were included. VNS implantation was associated with fewer inpatient admissions and emergency room visits and less frequent use of prescription medication compared with epilepsy patients without VNS implantation. VNS implantation was not associated with changes in occupational status (including employment and income). In fact, the number of people on disability pension increased during the period.CONCLUSIONS: VNS implantation in people with epilepsy is associated with reduced health care use, but not with occupational or social status.
AB - PURPOSE: We aimed to determine the health costs and social outcomes in terms of education, employment and income level after insertion of a vagus nerve stimulator (VNS) in patients with epilepsy.METHODS: This is a case-control study using Danish health care and socioeconomic register data. The analysis of the effect involved a comparison of the health care costs, occupation and income status of VNS-treated epilepsy patients with those of a control group of epilepsy patients who had a VNS implanted during the 12 months before the index date (pre-period) and during the two years after the index date (post-period).RESULTS: 101 patients who had undergone VNS implantation and 390 control patients were included. VNS implantation was associated with fewer inpatient admissions and emergency room visits and less frequent use of prescription medication compared with epilepsy patients without VNS implantation. VNS implantation was not associated with changes in occupational status (including employment and income). In fact, the number of people on disability pension increased during the period.CONCLUSIONS: VNS implantation in people with epilepsy is associated with reduced health care use, but not with occupational or social status.
KW - Adolescent
KW - Adult
KW - Case-Control Studies
KW - Child
KW - Child, Preschool
KW - Denmark
KW - Epilepsy
KW - Female
KW - Follow-Up Studies
KW - Health Care Costs
KW - Humans
KW - Income
KW - Infant
KW - Infant, Newborn
KW - Male
KW - Occupations
KW - Prospective Studies
KW - Treatment Outcome
KW - Vagus Nerve Stimulation
KW - Young Adult
KW - Journal Article
U2 - 10.1016/j.seizure.2016.08.011
DO - 10.1016/j.seizure.2016.08.011
M3 - Journal article
C2 - 27690293
VL - 42
SP - 15
EP - 19
JO - Seizure : the journal of the British Epilepsy Association
JF - Seizure : the journal of the British Epilepsy Association
SN - 1059-1311
ER -
ID: 179087990