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Health care utilization and costs for children and adults with duchenne muscular dystrophy

The annual economic cost of DMD was found to be high, reflecting a significant socioeconomic burden, especially in boys who reach adulthood

Authors:
Teoh LJ, Geelhoed EA, Bayley K, Leonard H, Laing NG.

Authors notes:
Muscle and Nerve. 2016;53(6):877-84.

Keywords:
Burden, Cost, DMD, Duchenne muscular dystrophy, Healthcare, Muscular dystrophy, Resource use

Abstract:
Introduction: Duchenne muscular dystrophy (DMD) is an incurable neuromuscular disorder of childhood.

Healthcare, caregiving, and other resource needs of affected individuals are thought to be substantial; however, the economic burden associated with DMD has not yet been assessed specifically in Australia.

Methods: Australian households with a child with DMD were asked to complete a cross-sectional survey.

Data were collected on annual resource utilization including hospital and medical services, equipment, home modifications, informal care, and working days lost.

Results: Mean healthcare costs were found to be $10,046 Australian dollars per affected individual and were markedly higher than average Australian health expenditures at each age group.

The mean total cost was $46,700 (median $32,300), with healthcare costs contributing 22% of total costs.

Conclusions: The annual economic cost of DMD was found to be high, reflecting a significant socioeconomic burden, especially in boys who reach adulthood, where household resource use and caregiving burden is highest.