Vertigo and dizziness cause considerable more health care resource use and costs: results from the KORA FF4 study
Objectives Vertigo is a common reason for primary care consultations, and its diagnosis and treatment consume considerable medical resources. However, limited information on the specific cost of vertigo is currently available. The aim of this study is to analyse the health care costs of vertigo and...
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| Veröffentlicht in: | Journal of neurology 2019-09, Vol.266 (9), p.2120-2128 |
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| creator | Wang, X. Strobl, Ralf Holle, R. Seidl, H. Peters, A. Grill, E. |
| description | Objectives
Vertigo is a common reason for primary care consultations, and its diagnosis and treatment consume considerable medical resources. However, limited information on the specific cost of vertigo is currently available. The aim of this study is to analyse the health care costs of vertigo and examine which individual characteristics would affect these costs.
Study design
We used cross-sectional data from the German KORA (“Cooperative Health Research in the Augsburg Region”) FF4 study in 2013.
Methods
Impact of personal characteristics and other factors was modelled using a two-part model. Information on health care utilisation was collected by self-report.
Results
We included 2277 participants with a mean age of 60.8 (SD = 12.4), 48.4% male. Moderate or severe vertigo was reported by 570 (25.0%) participants. People with vertigo spent 818 Euro more than people without vertigo in the last 12 months (2720.9 Euro to 1902.9 Euro, SD = 4873.3 and 5944.1, respectively). Consultation costs at primary care physicians accounted for the largest increase in total health care costs with 177.2 Euro (
p
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| doi_str_mv | 10.1007/s00415-019-09386-x |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_journals_2269851964</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2269851964</sourcerecordid><originalsourceid>FETCH-LOGICAL-c375t-b8faf5a77cc8ee9194d98443bd118b1990d849b2b25cde79c803bcd1a2aa5813</originalsourceid><addsrcrecordid>eNp9kE1LAzEQhoMoWqt_wIMEPK8mm6SbeBOxKgqCFK8hm8zalXa3zexC219vav24ecqQ92OGh5Azzi45Y8UVMia5yhg3GTNCj7LVHhlwKfKMS2X2yYAJyTIllDwix4gfjDGdhENyJDjnRkozIMs3iF393lLXBBrqzaZuAJF61yNQ3zZYB4iunAGdtxHoFNysmyY5zRGw7aMHurVu477FDq-3__2sQ1rFdk67KdCnl9cbOh5Lil0f1ifkoHIzhNPvd0gm47vJ7UP2_HL_eHvznHlRqC4rdeUq5YrCew1g0rnBaClFGTjXJTeGBS1NmZe58gEK4zUTpQ_c5c4pzcWQXOxqF7Fd9oCd_UjXNmmjzfOR0YqbkUyufOfysUWMUNlFrOcuri1ndgvZ7iDbBNl-QbarFDr_ru7LOYTfyA_VZBA7AyapeYf4t_uf2k_rP4j8</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2269851964</pqid></control><display><type>article</type><title>Vertigo and dizziness cause considerable more health care resource use and costs: results from the KORA FF4 study</title><source>MEDLINE</source><source>SpringerLink Journals</source><creator>Wang, X. ; Strobl, Ralf ; Holle, R. ; Seidl, H. ; Peters, A. ; Grill, E.</creator><creatorcontrib>Wang, X. ; Strobl, Ralf ; Holle, R. ; Seidl, H. ; Peters, A. ; Grill, E.</creatorcontrib><description>Objectives
Vertigo is a common reason for primary care consultations, and its diagnosis and treatment consume considerable medical resources. However, limited information on the specific cost of vertigo is currently available. The aim of this study is to analyse the health care costs of vertigo and examine which individual characteristics would affect these costs.
Study design
We used cross-sectional data from the German KORA (“Cooperative Health Research in the Augsburg Region”) FF4 study in 2013.
Methods
Impact of personal characteristics and other factors was modelled using a two-part model. Information on health care utilisation was collected by self-report.
Results
We included 2277 participants with a mean age of 60.8 (SD = 12.4), 48.4% male. Moderate or severe vertigo was reported by 570 (25.0%) participants. People with vertigo spent 818 Euro more than people without vertigo in the last 12 months (2720.9 Euro to 1902.9 Euro, SD = 4873.3 and 5944.1, respectively). Consultation costs at primary care physicians accounted for the largest increase in total health care costs with 177.2 Euro (
p
< 0.01). After adjusting for covariates, the presence of vertigo increased both the probability of having any health care costs (OR = 1.6, 95% CI =[1.2;2.4]) and the amount of costs (exp(
β
) = 1.3, 95% CI = [1.1;1.5]). The analysis of determinants of vertigo showed that private insurance and a medium level of education decreased the probability of any costs, while higher income increased it.
Conclusions
The presence of vertigo and dizziness required considerable health care resources and created significantly more related costs in different health care sectors for both primary and pertinent secondary care.</description><identifier>ISSN: 0340-5354</identifier><identifier>EISSN: 1432-1459</identifier><identifier>DOI: 10.1007/s00415-019-09386-x</identifier><identifier>PMID: 31119449</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Costs ; Cross-Sectional Studies ; Dizziness - economics ; Dizziness - epidemiology ; Dizziness - therapy ; Female ; Follow-Up Studies ; Germany - epidemiology ; Health Care Costs - trends ; Humans ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Neurology ; Neuroradiology ; Neurosciences ; Nutrition Surveys - trends ; Original Communication ; Patient Acceptance of Health Care ; Primary care ; Vertigo ; Vertigo - economics ; Vertigo - epidemiology ; Vertigo - therapy</subject><ispartof>Journal of neurology, 2019-09, Vol.266 (9), p.2120-2128</ispartof><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2019</rights><rights>Journal of Neurology is a copyright of Springer, (2019). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-b8faf5a77cc8ee9194d98443bd118b1990d849b2b25cde79c803bcd1a2aa5813</citedby><cites>FETCH-LOGICAL-c375t-b8faf5a77cc8ee9194d98443bd118b1990d849b2b25cde79c803bcd1a2aa5813</cites><orcidid>0000-0002-7719-948X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00415-019-09386-x$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00415-019-09386-x$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31119449$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wang, X.</creatorcontrib><creatorcontrib>Strobl, Ralf</creatorcontrib><creatorcontrib>Holle, R.</creatorcontrib><creatorcontrib>Seidl, H.</creatorcontrib><creatorcontrib>Peters, A.</creatorcontrib><creatorcontrib>Grill, E.</creatorcontrib><title>Vertigo and dizziness cause considerable more health care resource use and costs: results from the KORA FF4 study</title><title>Journal of neurology</title><addtitle>J Neurol</addtitle><addtitle>J Neurol</addtitle><description>Objectives
Vertigo is a common reason for primary care consultations, and its diagnosis and treatment consume considerable medical resources. However, limited information on the specific cost of vertigo is currently available. The aim of this study is to analyse the health care costs of vertigo and examine which individual characteristics would affect these costs.
Study design
We used cross-sectional data from the German KORA (“Cooperative Health Research in the Augsburg Region”) FF4 study in 2013.
Methods
Impact of personal characteristics and other factors was modelled using a two-part model. Information on health care utilisation was collected by self-report.
Results
We included 2277 participants with a mean age of 60.8 (SD = 12.4), 48.4% male. Moderate or severe vertigo was reported by 570 (25.0%) participants. People with vertigo spent 818 Euro more than people without vertigo in the last 12 months (2720.9 Euro to 1902.9 Euro, SD = 4873.3 and 5944.1, respectively). Consultation costs at primary care physicians accounted for the largest increase in total health care costs with 177.2 Euro (
p
< 0.01). After adjusting for covariates, the presence of vertigo increased both the probability of having any health care costs (OR = 1.6, 95% CI =[1.2;2.4]) and the amount of costs (exp(
β
) = 1.3, 95% CI = [1.1;1.5]). The analysis of determinants of vertigo showed that private insurance and a medium level of education decreased the probability of any costs, while higher income increased it.
Conclusions
The presence of vertigo and dizziness required considerable health care resources and created significantly more related costs in different health care sectors for both primary and pertinent secondary care.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Costs</subject><subject>Cross-Sectional Studies</subject><subject>Dizziness - economics</subject><subject>Dizziness - epidemiology</subject><subject>Dizziness - therapy</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Germany - epidemiology</subject><subject>Health Care Costs - trends</subject><subject>Humans</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Neurology</subject><subject>Neuroradiology</subject><subject>Neurosciences</subject><subject>Nutrition Surveys - trends</subject><subject>Original Communication</subject><subject>Patient Acceptance of Health Care</subject><subject>Primary care</subject><subject>Vertigo</subject><subject>Vertigo - economics</subject><subject>Vertigo - epidemiology</subject><subject>Vertigo - therapy</subject><issn>0340-5354</issn><issn>1432-1459</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp9kE1LAzEQhoMoWqt_wIMEPK8mm6SbeBOxKgqCFK8hm8zalXa3zexC219vav24ecqQ92OGh5Azzi45Y8UVMia5yhg3GTNCj7LVHhlwKfKMS2X2yYAJyTIllDwix4gfjDGdhENyJDjnRkozIMs3iF393lLXBBrqzaZuAJF61yNQ3zZYB4iunAGdtxHoFNysmyY5zRGw7aMHurVu477FDq-3__2sQ1rFdk67KdCnl9cbOh5Lil0f1ifkoHIzhNPvd0gm47vJ7UP2_HL_eHvznHlRqC4rdeUq5YrCew1g0rnBaClFGTjXJTeGBS1NmZe58gEK4zUTpQ_c5c4pzcWQXOxqF7Fd9oCd_UjXNmmjzfOR0YqbkUyufOfysUWMUNlFrOcuri1ndgvZ7iDbBNl-QbarFDr_ru7LOYTfyA_VZBA7AyapeYf4t_uf2k_rP4j8</recordid><startdate>20190901</startdate><enddate>20190901</enddate><creator>Wang, X.</creator><creator>Strobl, Ralf</creator><creator>Holle, R.</creator><creator>Seidl, H.</creator><creator>Peters, A.</creator><creator>Grill, E.</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><orcidid>https://orcid.org/0000-0002-7719-948X</orcidid></search><sort><creationdate>20190901</creationdate><title>Vertigo and dizziness cause considerable more health care resource use and costs: results from the KORA FF4 study</title><author>Wang, X. ; Strobl, Ralf ; Holle, R. ; Seidl, H. ; Peters, A. ; Grill, E.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-b8faf5a77cc8ee9194d98443bd118b1990d849b2b25cde79c803bcd1a2aa5813</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Costs</topic><topic>Cross-Sectional Studies</topic><topic>Dizziness - economics</topic><topic>Dizziness - epidemiology</topic><topic>Dizziness - therapy</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Germany - epidemiology</topic><topic>Health Care Costs - trends</topic><topic>Humans</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Neurology</topic><topic>Neuroradiology</topic><topic>Neurosciences</topic><topic>Nutrition Surveys - trends</topic><topic>Original Communication</topic><topic>Patient Acceptance of Health Care</topic><topic>Primary care</topic><topic>Vertigo</topic><topic>Vertigo - economics</topic><topic>Vertigo - epidemiology</topic><topic>Vertigo - therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wang, X.</creatorcontrib><creatorcontrib>Strobl, Ralf</creatorcontrib><creatorcontrib>Holle, R.</creatorcontrib><creatorcontrib>Seidl, H.</creatorcontrib><creatorcontrib>Peters, A.</creatorcontrib><creatorcontrib>Grill, E.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><jtitle>Journal of neurology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wang, X.</au><au>Strobl, Ralf</au><au>Holle, R.</au><au>Seidl, H.</au><au>Peters, A.</au><au>Grill, E.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Vertigo and dizziness cause considerable more health care resource use and costs: results from the KORA FF4 study</atitle><jtitle>Journal of neurology</jtitle><stitle>J Neurol</stitle><addtitle>J Neurol</addtitle><date>2019-09-01</date><risdate>2019</risdate><volume>266</volume><issue>9</issue><spage>2120</spage><epage>2128</epage><pages>2120-2128</pages><issn>0340-5354</issn><eissn>1432-1459</eissn><abstract>Objectives
Vertigo is a common reason for primary care consultations, and its diagnosis and treatment consume considerable medical resources. However, limited information on the specific cost of vertigo is currently available. The aim of this study is to analyse the health care costs of vertigo and examine which individual characteristics would affect these costs.
Study design
We used cross-sectional data from the German KORA (“Cooperative Health Research in the Augsburg Region”) FF4 study in 2013.
Methods
Impact of personal characteristics and other factors was modelled using a two-part model. Information on health care utilisation was collected by self-report.
Results
We included 2277 participants with a mean age of 60.8 (SD = 12.4), 48.4% male. Moderate or severe vertigo was reported by 570 (25.0%) participants. People with vertigo spent 818 Euro more than people without vertigo in the last 12 months (2720.9 Euro to 1902.9 Euro, SD = 4873.3 and 5944.1, respectively). Consultation costs at primary care physicians accounted for the largest increase in total health care costs with 177.2 Euro (
p
< 0.01). After adjusting for covariates, the presence of vertigo increased both the probability of having any health care costs (OR = 1.6, 95% CI =[1.2;2.4]) and the amount of costs (exp(
β
) = 1.3, 95% CI = [1.1;1.5]). The analysis of determinants of vertigo showed that private insurance and a medium level of education decreased the probability of any costs, while higher income increased it.
Conclusions
The presence of vertigo and dizziness required considerable health care resources and created significantly more related costs in different health care sectors for both primary and pertinent secondary care.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>31119449</pmid><doi>10.1007/s00415-019-09386-x</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-7719-948X</orcidid></addata></record> |
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| subjects | Adult Aged Aged, 80 and over Costs Cross-Sectional Studies Dizziness - economics Dizziness - epidemiology Dizziness - therapy Female Follow-Up Studies Germany - epidemiology Health Care Costs - trends Humans Male Medicine Medicine & Public Health Middle Aged Neurology Neuroradiology Neurosciences Nutrition Surveys - trends Original Communication Patient Acceptance of Health Care Primary care Vertigo Vertigo - economics Vertigo - epidemiology Vertigo - therapy |
| title | Vertigo and dizziness cause considerable more health care resource use and costs: results from the KORA FF4 study |
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