Author/Editor		Vodušek, David B; Kos, Mitja; Dolenc, Vinko V; Tomori, Martina; Neubauer, David; Sobocki, Patrik
Title		Cost of disorders of the brain in Slovenia
Translated title		Stroški možganskih bolezni v Sloveniji
Type		članek
Source		Zdrav Vestn
Vol. and No.		Letnik 77, št. Suppl 2
Publication year		2008
Volume		str. II-5-11
Language		eng
Abstract		Whereas there are many publications on disorders of, for instance, heart or kidney function, there are few, if any, on brain disorders, which are traditionally viewed separately as mental, neurological or neurosurgical disorders. There are, however, marked similarities and shared interests between the fields and, most importantly, basic neuroscience is equally relevant for all clinical problems. The European Brain Council has analysed the burden and the cost of brain disorders in Europe. The aim of the present text is to report data for Slovenia. Twelve different disorders (or groups of disorders) of brain believed to have the highest cost (addiction, affective disorders, anxiety disorders, brain tumours, dementia, epilepsy, migraine and other headaches, multiple sclerosis, Parkinson’s disease, psychotic disorders, stroke, and trauma) were analysed. Epidemiology data for Europe were collected as 12-month prevalence data for disorders by country and stratified according to age, gender, and disorder severity. Because little original data were available for Slovenia, extrapolated data were used. Health economic data (representing direct medical costs, direct non-medical costs, and indirect costs) being transformed into euros for the year 2004 were entered into a health economic model. The total number of brain disorders in Slovenia amounted to 570,000 in 2004, and when corrected for co-morbidity, 1/5 of the Slovenian population have a brain disorder. In particular, this is 39,000 alcohol dependents and illicit drug dependants, 105.000 affective disorders, 195,000 anxiety disorders, 178,000 migraine, etc. The total cost of all included brain disorders in Slovenia was estimated at 833 million euros, the most costly being affective disorders, dementia, and addiction. (Abstract truncated at 2000 characters)
Summary		Mnoge publikacije obravnavajo bolezni srca, ledvic idr., praktično pa ni publikacij o bolezni možganov, ki se tradicionalno delijo po strokah - na duševne in nevrološke ter nevrokirurške bolezni. Omenjene stroke pa vendarle družijo številni skupni problemi in interesi. Posebej pomembno je dejstvo, da so izsledki bazičnih nevroznanosti enako pomembni za vsa našteta klinična področja. Evropski svet za možgane je analiziral breme in stroške iz področja bolezni možganov v Evropi. Namen pričujočega besedila je podati poročilo za Slovenijo. Dvanajst različnih bolezni (oziroma skupin motenj) možganov, ki so bile ocenjene kot stroškovno najpomembnejše, je bilo analiziranih (bolezni odvisnosti, afektivne motnje, anksioznost, možganski tumorji, demenca, epilepsija, migrena in drugi glavoboli, multipla skleroza, Parkinsonova bolezen, psihoze, možganska kap, poškodbe). Epidemiološki podatki za Evropo so bili zbrani kot letna prevalenca za posamezno bolezen na državo ter razdeljeni glede na starost, spol in težo prizadetosti. Ker je v Sloveniji publicirano le malo originalnih podatkov, so bili uporabljeni ekstrapolirani podatki. Podatki zdravstvene ekonomike (ki predstavljajo direktne zdravstvene stroške, direktne nezdravstvene stroške in indirektne stroške) so bili spremenjeni v evre za leto 2004 in so bili vneseni v zdravstvenoekonomski model. Skupno število možganskih motenj v Sloveniji je 570.000 za leto 2004; če upoštevamo komorbidnost, ima petina slovenske populacije vsaj eno možgansko bolezen. Ocenjeno je, da imamo 39.000 odvisnikov od alkohola oziroma drog, 105.000 je prizadetih z afektivnimi motnjami, 195.000 z anksioznostjo, 178.000 z migreno in drugimi glavoboli itd. (Izvleček prekinjen pri 2000 znakih)
Descriptors		BRAIN DISEASES MENTAL DISORDERS NEUROSURGERY COSTS AND COST ANALYSIS SLOVENIA