Format

Send to

Choose Destination
BMC Med. 2016 Aug 29;14(1):113. doi: 10.1186/s12916-016-0657-8.

The epidemiology, healthcare and societal burden and costs of asthma in the UK and its member nations: analyses of standalone and linked national databases.

Author information

1
Asthma UK Centre for Applied Research, Centre for Medical Informatics, Usher Institute of Population Health Sciences and Informatics, The University of Edinburgh, Edinburgh, EH8 9AG, UK. mome.mukherjee@ed.ac.uk.
2
Edinburgh Clinical Trials Unit, Centre for Medical Informatics, Usher Institute of Population Health Sciences and Informatics, The University of Edinburgh, Edinburgh, EH8 9AG, UK. mome.mukherjee@ed.ac.uk.
3
Asthma UK Centre for Applied Research, Centre for Medical Informatics, Usher Institute of Population Health Sciences and Informatics, The University of Edinburgh, Edinburgh, EH8 9AG, UK.
4
Edinburgh Clinical Trials Unit, Centre for Medical Informatics, Usher Institute of Population Health Sciences and Informatics, The University of Edinburgh, Edinburgh, EH8 9AG, UK.
5
Population Health Research Institute, St George's, University of London, Cranmer Terrace, London, SW17 0RE, UK.
6
School of Health Sciences, University of Tampere, 33014, Tampere, Finland.
7
Swansea Centre for Health Economics (SCHE), College of Human and Health Science, Swansea University, Singleton Park, Swansea, SA2 8PP, UK.
8
Farr Institute, Swansea University Medical School, Singleton Park, Swansea, SA2 8PP, UK.
9
The University of Edinburgh & The Royal College of Surgeons of Edinburgh, Clinical Surgery, Royal Infirmary of Edinburgh, Edinburgh, EH16 4SA, UK.
10
Information Services Division (ISD), NHS National Services Scotland, Room 111, Gyle Square, 1 South Gyle Crescent, Edinburgh, EH12 9EB, UK.
11
School of Geosciences, The University of Edinburgh, Edinburgh, EH8 9AG, UK.
12
Centre for Experimental Medicine, School of Medicine, Dentistry and Biomedical Sciences, Wellcome Wolfson Institute Experimental Medicine, Queen's University Belfast, 97 Lisburn Road, Belfast, BT9 7BL, UK.
13
Asthma & Allergy Group, Institute of Life Science, Swansea University Medical School, Swansea University, Singleton Park, Swansea, SA2 8PP, UK.

Abstract

BACKGROUND:

There are a lack of reliable data on the epidemiology and associated burden and costs of asthma. We sought to provide the first UK-wide estimates of the epidemiology, healthcare utilisation and costs of asthma.

METHODS:

We obtained and analysed asthma-relevant data from 27 datasets: these comprised national health surveys for 2010-11, and routine administrative, health and social care datasets for 2011-12; 2011-12 costs were estimated in pounds sterling using economic modelling.

RESULTS:

The prevalence of asthma depended on the definition and data source used. The UK lifetime prevalence of patient-reported symptoms suggestive of asthma was 29.5 % (95 % CI, 27.7-31.3; n = 18.5 million (m) people) and 15.6 % (14.3-16.9, n = 9.8 m) for patient-reported clinician-diagnosed asthma. The annual prevalence of patient-reported clinician-diagnosed-and-treated asthma was 9.6 % (8.9-10.3, n = 6.0 m) and of clinician-reported, diagnosed-and-treated asthma 5.7 % (5.7-5.7; n = 3.6 m). Asthma resulted in at least 6.3 m primary care consultations, 93,000 hospital in-patient episodes, 1800 intensive-care unit episodes and 36,800 disability living allowance claims. The costs of asthma were estimated at least £1.1 billion: 74 % of these costs were for provision of primary care services (60 % prescribing, 14 % consultations), 13 % for disability claims, and 12 % for hospital care. There were 1160 asthma deaths.

CONCLUSIONS:

Asthma is very common and is responsible for considerable morbidity, healthcare utilisation and financial costs to the UK public sector. Greater policy focus on primary care provision is needed to reduce the risk of asthma exacerbations, hospitalisations and deaths, and reduce costs.

KEYWORDS:

Asthma; Burden; Cost; Epidemiology; UK

PMID:
27568881
PMCID:
PMC5002970
DOI:
10.1186/s12916-016-0657-8
[Indexed for MEDLINE]
Free PMC Article

Supplemental Content

Full text links

Icon for BioMed Central Icon for PubMed Central
Loading ...
Support Center