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Health care costs associated with muscle weakness: a UK population-based estimate

Health care costs associated with muscle weakness: a UK population-based estimate
Health care costs associated with muscle weakness: a UK population-based estimate
Sarcopenia and muscle weakness are responsible for considerable health care expenditure but little is known about these costs in the UK. To address this, we estimated the excess economic burden for individuals with muscle weakness regarding the provision of health and social care among 442 men and women (aged 71-80 years) who participated in the Hertfordshire Cohort Study (UK). Muscle weakness, characterised by low grip strength, was defined according to the Foundation for the National Institutes of Health (FNIH) criteria (men<26kg, women<16kg). Costs associated with primary care consultations and visits, outpatient and inpatient secondary care, medications, and formal (paid) as well as informal care for each participant were calculated. Mean total costs per person and their corresponding components were compared between groups with and without muscle weakness. Prevalence of muscle weakness in the sample was 11%. Mean total annual costs for participants with muscle weakness were £4,592 (CI £2,962-£6,221), with informal care, inpatient secondary care and primary care accounting for the majority of total costs (38%, 23% and 19% respectively). For participants without muscle weakness, total annual costs were £1,885 (CI £1,542-£2,228) and their three highest cost categories were informal care (26%), primary care (23%) and formal care (20%). Total excess costs associated with muscle weakness were £2,707 per person per year, with informal care costs accounting for 46% of this difference. This results in an estimated annual excess cost in the UK of £2.5 billion.
0171-967X
Pinedo-Villanueva, Rafael
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Westbury, Leo
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Syddall, Holly Emma
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Sanchez-Santos, Maria T.
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Dennison, Elaine
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Robinson, Sian
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Cooper, Cyrus
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Pinedo-Villanueva, Rafael
d038070d-b785-4ec9-9b27-4724561fd6ef
Westbury, Leo
5ed45df3-3df7-4bf9-bbad-07b63cd4b281
Syddall, Holly Emma
a0181a93-8fc3-4998-a996-7963f0128328
Sanchez-Santos, Maria T.
04817dfd-fc86-4801-88f4-e3d54319fe39
Dennison, Elaine
ee647287-edb4-4392-8361-e59fd505b1d1
Robinson, Sian
ba591c98-4380-456a-be8a-c452f992b69b
Cooper, Cyrus
e05f5612-b493-4273-9b71-9e0ce32bdad6

Pinedo-Villanueva, Rafael, Westbury, Leo, Syddall, Holly Emma, Sanchez-Santos, Maria T., Dennison, Elaine, Robinson, Sian and Cooper, Cyrus (2018) Health care costs associated with muscle weakness: a UK population-based estimate. Calcified Tissue International. (doi:10.1007/s00223-018-0478-1).

Record type: Article

Abstract

Sarcopenia and muscle weakness are responsible for considerable health care expenditure but little is known about these costs in the UK. To address this, we estimated the excess economic burden for individuals with muscle weakness regarding the provision of health and social care among 442 men and women (aged 71-80 years) who participated in the Hertfordshire Cohort Study (UK). Muscle weakness, characterised by low grip strength, was defined according to the Foundation for the National Institutes of Health (FNIH) criteria (men<26kg, women<16kg). Costs associated with primary care consultations and visits, outpatient and inpatient secondary care, medications, and formal (paid) as well as informal care for each participant were calculated. Mean total costs per person and their corresponding components were compared between groups with and without muscle weakness. Prevalence of muscle weakness in the sample was 11%. Mean total annual costs for participants with muscle weakness were £4,592 (CI £2,962-£6,221), with informal care, inpatient secondary care and primary care accounting for the majority of total costs (38%, 23% and 19% respectively). For participants without muscle weakness, total annual costs were £1,885 (CI £1,542-£2,228) and their three highest cost categories were informal care (26%), primary care (23%) and formal care (20%). Total excess costs associated with muscle weakness were £2,707 per person per year, with informal care costs accounting for 46% of this difference. This results in an estimated annual excess cost in the UK of £2.5 billion.

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Accepted/In Press date: 18 September 2018
e-pub ahead of print date: 22 September 2018

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Local EPrints ID: 423701
URI: https://eprints.soton.ac.uk/id/eprint/423701
ISSN: 0171-967X
PURE UUID: 61005761-0c30-4b1e-8401-02ceab786122
ORCID for Holly Emma Syddall: ORCID iD orcid.org/0000-0003-0171-0306
ORCID for Elaine Dennison: ORCID iD orcid.org/0000-0002-3048-4961
ORCID for Sian Robinson: ORCID iD orcid.org/0000-0003-1766-7269
ORCID for Cyrus Cooper: ORCID iD orcid.org/0000-0003-3510-0709

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Date deposited: 27 Sep 2018 16:30
Last modified: 03 Dec 2019 05:12

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Contributors

Author: Rafael Pinedo-Villanueva
Author: Leo Westbury
Author: Maria T. Sanchez-Santos
Author: Elaine Dennison ORCID iD
Author: Sian Robinson ORCID iD
Author: Cyrus Cooper ORCID iD

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