Evaluating Frequency, Diagnostic Quality, and Cost of Lyme Borreliosis Testing in Germany : A Retrospective Model Analysis

Background. Data on the economic impact of Lyme borreliosis (LB) on European health care systems is scarce. This project focused on the epidemiology and costs for laboratory testing in LB patients in Germany. Materials and Methods. We performed a sentinel analysis of epidemiological and medicoeconom...

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Vydáno v:Clinical & developmental immunology Ročník 2012; číslo 2012; s. 1 - 13
Hlavní autoři: Freitag, M. H., Müller, I., Poggensee, G., Scharnetzky, E., Straube, E., Schoerner, Ch, Hlobil, H., Hagedorn, H.-J., Stanek, Gerold, Schubert-Unkmeir, A., Norris, D. E., Gensichen, J., Hunfeld, Klaus P.
Médium: Journal Article
Jazyk:angličtina
Vydáno: Cairo, Egypt Hindawi Puplishing Corporation 01.01.2012
Hindawi Publishing Corporation
Wiley
Témata:
Borrelia - immunology
Clinical Laboratory Techniques - economics
Clinical Laboratory Techniques - standards
Germany - epidemiology
Health Care Costs
Humans
Incidence
Insurance, Health - economics
Lyme Disease - diagnosis
Lyme Disease - economics
Lyme Disease - epidemiology
Models, Statistical
Outpatients
Prevalence
Reagent Kits, Diagnostic - standards
Reproducibility of Results
Retrospective Studies
Sensitivity and Specificity
Germany
ISSN:1740-2522, 1740-2530, 1740-2530
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Abstract Background. Data on the economic impact of Lyme borreliosis (LB) on European health care systems is scarce. This project focused on the epidemiology and costs for laboratory testing in LB patients in Germany. Materials and Methods. We performed a sentinel analysis of epidemiological and medicoeconomic data for 2007 and 2008. Data was provided by a German statutory health insurance (DAK) company covering approx. 6.04 million members. In addition, the quality of diagnostic testing for LB in Germany was studied. Results. In 2007 and 2008, the incident diagnosis LB was coded on average for 15,742 out of 6.04 million insured members (0.26%). 20,986 EIAs and 12,558 immunoblots were ordered annually for these patients. For all insured members in the outpatient sector, a total of 174,820 EIAs and 52,280 immunoblots were reimbursed annually to health care providers (cost: 2,600,850€). For Germany, the overall expected cost is estimated at 51,215,105€. However, proficiency testing data questioned test quality and standardization of diagnostic assays used. Conclusion. Findings from this study suggest ongoing issues related to care for LB and may help to improve future LB disease management.
AbstractList Background. Data on the economic impact of Lyme borreliosis (LB) on European health care systems is scarce. This project focused on the epidemiology and costs for laboratory testing in LB patients in Germany. Materials and Methods. We performed a sentinel analysis of epidemiological and medicoeconomic data for 2007 and 2008. Data was provided by a German statutory health insurance (DAK) company covering approx. 6.04 million members. In addition, the quality of diagnostic testing for LB in Germany was studied. Results. In 2007 and 2008, the incident diagnosis LB was coded on average for 15,742 out of 6.04 million insured members (0.26%). 20,986 EIAs and 12,558 immunoblots were ordered annually for these patients. For all insured members in the outpatient sector, a total of 174,820 EIAs and 52,280 immunoblots were reimbursed annually to health care providers (cost: 2,600,850€). For Germany, the overall expected cost is estimated at 51,215,105€. However, proficiency testing data questioned test quality and standardization of diagnostic assays used. Conclusion. Findings from this study suggest ongoing issues related to care for LB and may help to improve future LB disease management.
Data on the economic impact of Lyme borreliosis (LB) on European health care systems is scarce. This project focused on the epidemiology and costs for laboratory testing in LB patients in Germany.BACKGROUNDData on the economic impact of Lyme borreliosis (LB) on European health care systems is scarce. This project focused on the epidemiology and costs for laboratory testing in LB patients in Germany.We performed a sentinel analysis of epidemiological and medicoeconomic data for 2007 and 2008. Data was provided by a German statutory health insurance (DAK) company covering approx. 6.04 million members. In addition, the quality of diagnostic testing for LB in Germany was studied.MATERIALS AND METHODSWe performed a sentinel analysis of epidemiological and medicoeconomic data for 2007 and 2008. Data was provided by a German statutory health insurance (DAK) company covering approx. 6.04 million members. In addition, the quality of diagnostic testing for LB in Germany was studied.In 2007 and 2008, the incident diagnosis LB was coded on average for 15,742 out of 6.04 million insured members (0.26%). 20,986 EIAs and 12,558 immunoblots were ordered annually for these patients. For all insured members in the outpatient sector, a total of 174,820 EIAs and 52,280 immunoblots were reimbursed annually to health care providers (cost: 2,600,850€). For Germany, the overall expected cost is estimated at 51,215,105€. However, proficiency testing data questioned test quality and standardization of diagnostic assays used.RESULTSIn 2007 and 2008, the incident diagnosis LB was coded on average for 15,742 out of 6.04 million insured members (0.26%). 20,986 EIAs and 12,558 immunoblots were ordered annually for these patients. For all insured members in the outpatient sector, a total of 174,820 EIAs and 52,280 immunoblots were reimbursed annually to health care providers (cost: 2,600,850€). For Germany, the overall expected cost is estimated at 51,215,105€. However, proficiency testing data questioned test quality and standardization of diagnostic assays used.Findings from this study suggest ongoing issues related to care for LB and may help to improve future LB disease management.CONCLUSIONFindings from this study suggest ongoing issues related to care for LB and may help to improve future LB disease management.
Data on the economic impact of Lyme borreliosis (LB) on European health care systems is scarce. This project focused on the epidemiology and costs for laboratory testing in LB patients in Germany. We performed a sentinel analysis of epidemiological and medicoeconomic data for 2007 and 2008. Data was provided by a German statutory health insurance (DAK) company covering approx. 6.04 million members. In addition, the quality of diagnostic testing for LB in Germany was studied. In 2007 and 2008, the incident diagnosis LB was coded on average for 15,742 out of 6.04 million insured members (0.26%). 20,986 EIAs and 12,558 immunoblots were ordered annually for these patients. For all insured members in the outpatient sector, a total of 174,820 EIAs and 52,280 immunoblots were reimbursed annually to health care providers (cost: 2,600,850€). For Germany, the overall expected cost is estimated at 51,215,105€. However, proficiency testing data questioned test quality and standardization of diagnostic assays used. Findings from this study suggest ongoing issues related to care for LB and may help to improve future LB disease management.
Background . Data on the economic impact of Lyme borreliosis (LB) on European health care systems is scarce. This project focused on the epidemiology and costs for laboratory testing in LB patients in Germany. Materials and Methods . We performed a sentinel analysis of epidemiological and medicoeconomic data for 2007 and 2008. Data was provided by a German statutory health insurance (DAK) company covering approx. 6.04 million members. In addition, the quality of diagnostic testing for LB in Germany was studied. Results . In 2007 and 2008, the incident diagnosis LB was coded on average for 15,742 out of 6.04 million insured members (0.26%). 20,986 EIAs and 12,558 immunoblots were ordered annually for these patients. For all insured members in the outpatient sector, a total of 174,820 EIAs and 52,280 immunoblots were reimbursed annually to health care providers (cost: 2,600,850€). For Germany, the overall expected cost is estimated at 51,215,105€. However, proficiency testing data questioned test quality and standardization of diagnostic assays used. Conclusion . Findings from this study suggest ongoing issues related to care for LB and may help to improve future LB disease management.
Author Schoerner, Ch
Freitag, M. H.
Hlobil, H.
Stanek, Gerold
Hunfeld, Klaus P.
Poggensee, G.
Straube, E.
Schubert-Unkmeir, A.
Gensichen, J.
Hagedorn, H.-J.
Norris, D. E.
Scharnetzky, E.
Müller, I.
AuthorAffiliation 4 Deutsche Angestellten-Krankenkasse (DAK), Nagelsweg 27-31, 20097 Hamburg, Germany
3 Surveillance Unit, Department of Infectious Disease Epidemiology, Robert Koch-Institute, DGZ-Ring 1, 13086 Berlin, Germany
5 Department of Molecular Microbiology and Immunology, Johns Hopkins Bloomberg School of Public Health, Baltimore, North Wolfe Street, MD 21205, USA
2 Department of General Practice and Family Medicine, Jena University Hospital, Bachstraße 18, 07743 Jena, Germany
1 Bacteriologic Infection Serology Study Group of Germany (BISSGG), Central Laboratory, Institute for Laboratory Medicine, Northwest Medical Centre, Academic Teaching Hospital, Medical Faculty, Johann Wolfgang Goethe-University, Steinbacher Hohl 2-26, 60488 Frankfurt am Main, Germany
AuthorAffiliation_xml – name: 4 Deutsche Angestellten-Krankenkasse (DAK), Nagelsweg 27-31, 20097 Hamburg, Germany
– name: 3 Surveillance Unit, Department of Infectious Disease Epidemiology, Robert Koch-Institute, DGZ-Ring 1, 13086 Berlin, Germany
– name: 1 Bacteriologic Infection Serology Study Group of Germany (BISSGG), Central Laboratory, Institute for Laboratory Medicine, Northwest Medical Centre, Academic Teaching Hospital, Medical Faculty, Johann Wolfgang Goethe-University, Steinbacher Hohl 2-26, 60488 Frankfurt am Main, Germany
– name: 5 Department of Molecular Microbiology and Immunology, Johns Hopkins Bloomberg School of Public Health, Baltimore, North Wolfe Street, MD 21205, USA
– name: 2 Department of General Practice and Family Medicine, Jena University Hospital, Bachstraße 18, 07743 Jena, Germany
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BackLink https://www.ncbi.nlm.nih.gov/pubmed/22242037$$D View this record in MEDLINE/PubMed
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Straube, E
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Müller, I
Hagedorn, H.-J
Norris, D. E
Freitag, M. H
Hlobil, H
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27
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33
12
34
16
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SSID ssj0025298
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Snippet Background. Data on the economic impact of Lyme borreliosis (LB) on European health care systems is scarce. This project focused on the epidemiology and costs...
Background . Data on the economic impact of Lyme borreliosis (LB) on European health care systems is scarce. This project focused on the epidemiology and costs...
Data on the economic impact of Lyme borreliosis (LB) on European health care systems is scarce. This project focused on the epidemiology and costs for...
SourceID doaj
pubmedcentral
proquest
pubmed
crossref
hindawi
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SourceType Open Website
Open Access Repository
Aggregation Database
Index Database
Enrichment Source
Publisher
StartPage 1
SubjectTerms Borrelia - immunology
Clinical Laboratory Techniques - economics
Clinical Laboratory Techniques - standards
Germany - epidemiology
Health Care Costs
Humans
Incidence
Insurance, Health - economics
Lyme Disease - diagnosis
Lyme Disease - economics
Lyme Disease - epidemiology
Models, Statistical
Outpatients
Prevalence
Reagent Kits, Diagnostic - standards
Reproducibility of Results
Retrospective Studies
Sensitivity and Specificity
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Title Evaluating Frequency, Diagnostic Quality, and Cost of Lyme Borreliosis Testing in Germany : A Retrospective Model Analysis
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https://dx.doi.org/10.1155/2012/595427
https://www.ncbi.nlm.nih.gov/pubmed/22242037
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Volume 2012
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