{"paper_id":"7ea24baf-c323-4254-99fb-7f3be6d30456","body_text":"Abstract\nPurpose\nThe literature includes a wealth of medical data on endometriosis, but the economic significance of the condition has so far been neglected. An analysis of hospital costs for endometriosis in Austria was, therefore, carried out for economic purposes.\nMethods\nSeventy-three patients with endometriosis were included in the study. A bottom-up approach was used to collect data on the average hospital costs of an endometriosis patient over a time period of 1 year. In addition, a prevalence approach was used that allows subsequent estimation of the total costs of endometriosis for the health-care system in Austria for that period. Retrospective questionnaire survey was conducted.\nResults\nThe average annual costs of one case of endometriosis are €7,712, with €5,605.55 attributable to direct costs and €2,106.34 to indirect costs. This indicates an overall economic burden of €328 million. In-patient care (45 %) and loss of productivity (27 %) were identified as the major cost factors. The patients themselves pay for 13 % of the costs (through out-of-pocket payments).\nConclusions\nThis study impressively demonstrates the financial burden on the economy and on each individually affected patient caused by the disease of endometriosis. The massive consumption of resources represents a high level of usage of the medical services provided. The question arises as to whether more timely diagnosis, followed by better-targeted treatment, might have the potential to reduce these costs. The overall economic burden of endometriosis in Austria is currently comparable with that of Parkinson’s disease.\nSimilar content being viewed by others\nAbbreviations\n- EVA:\n-\nEndometriose Vereinigung Austria (Austrian Endometriosis Association)\n- GnRH:\n-\nGonadotropin-releasing hormone\n- ICD:\n-\nInternational Classification of Diseases\n- ICSI:\n-\nIntracytoplasmic sperm injection\n- IUI:\n-\nIntrauterine insemination\n- IVF:\n-\nIn vitro fertilization\nReferences\nBjörnberg A, Garrofé BC, Lindblad S. Euro Health Consumer Index 2009 (2009) Danderyd, Sweden: Health Consumer Powerhouse. Available online at: http://www.healthpowerhouse.com/files/Report%20EHCI%202009%20091005%20final%20with%20cover.pdf. Accessed 14 Dec 2012\nEndometriose Schweppe K (2003) Eine Erkrankung ohne Lobby. Zentralbl Gynäkol. 125:233\nStatistik Austria. Available online at: http://www.statistik.at. Accessed 12 Aug 2011)\nBrandes I, Kleine-Budde K, Mittendorf T (2009) Krankheitskosten bei Endometriose. 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Wien Klin Wochenschr 121:574–582 [Article in German]\nLevy AR, Osenenko KM, Lozano-Ortega G, Sambrook R, Jeddi M, Bélisle S et al (2011) Economic burden of surgically confirmed endometriosis in Canada. J Obstet Gynaecol Can 33:830–837\nSimoens S, Dunselman G, Dirksen C, Hummelshoj L, Bokor A, Brandes I et al (2012) The burden of endometriosis: costs and quality of life of women with endometriosis and treated in referral centres. Hum Reprod 27:1292–1299\nAcknowledgments\nThe authors are grateful to Ms Steinberger, MA, and Ms Hofmeister of the managing committee of the Austrian Endometriosis Association (Endometriose Vereinigung Austria, EVA) for their assistance. Furthermore, the authors would like to thank the following institutions for providing support: General Hospital Linz, Endometriosis competence center; University of Innsbruck, Department for Endocrinology and Reproductive Medizin; LKH Villach, Endometriosis competence center; Wilheminenspital Vienna, Department for Gynecology and Obstetrics and University of Salzburg, Department for Gynecology and Obstetrics. No financial support was provided to this article\nConflict of interest\nThe authors hereby state that there were no conflicts of interest.\nAuthor information\nAuthors and Affiliations\nCorresponding author\nRights and permissions\nAbout this article\nCite this article\nPrast, J., Oppelt, P., Shamiyeh, A. et al. Costs of endometriosis in Austria: a survey of direct and indirect costs. Arch Gynecol Obstet 288, 569–576 (2013). https://doi.org/10.1007/s00404-013-2793-0\nReceived:\nAccepted:\nPublished:\nIssue date:\nDOI: https://doi.org/10.1007/s00404-013-2793-0","source_license":"CC0","license_restricted":false}