Costs Higher for Those With Comorbid Noncommunicable Diseases
Health expenditure greater for person with 2 diseases simultaneously than for the diseases separately.
(HealthDay News) -- The costs of having 2 noncommunicable diseases (NCDs) is generally superadditive, according to a study published online in PLOS Medicine.
Tony Blakely, MBChB, MPH, PhD, from the University of Otago in Wellington, New Zealand, and colleagues examined the health expenditure by disease phase for NCDs in New Zealand using data for 18.9 million person-years and $26.4 billion in spending. The researchers identified persons with any type of cancer, cardiovascular disease (CVD), diabetes, or musculoskeletal, neurological, or chronic lung/liver/kidney disease. The presence of any of the 15 possible comorbidity pairings of these NCDs were identified.
The researchers found that 59% of health expenditure was attributable to NCDs; disease-related expenditure was generally highest in the year of diagnosis and year of death. Greater health expenditure was reported for a person with 2 diseases simultaneously compared with the expected sum of having the diseases separately for all 15 comorbidity pairs, apart from the CVD-cancer pair. In addition, for a person with 2 diseases, the excess comorbidity costs were higher at younger ages. At the population level, 23.8% of total health expenditure was due to higher costs of one of the 15 comorbidity pairs versus the 6 NCDs separately.
"We suspect that the general patterns of these results (i.e., of comorbidity impacts being superadditive) for New Zealand are likely to be generalizable to other high-income countries," the authors write.
Blakely T, Kvizhinadze G, Atkinson J, Dieleman J, and Clarke P. Health system costs for individual and comorbid noncommunicable diseases: An analysis of publicly funded health events from New Zealand. PLOS Med. DOI:10.1371/journal.pmed.1002716