Estimating the cost of preeclampsia in the healthcare system: cross sectional study using data from SCOPE study (Screening for Pregnancy End Points Study)

Thursday 18 January 2018, 12.15PM to 1.15pm

Speaker: Aimee Fox, Centre for Health Economics, University of YorK

Abstract: To estimate the cost of preeclampsia from the national health payer’s perspective using secondary data from the SCOPE study (Screening for Pregnancy End Points). SCOPE is an international observational prospective study of healthy nulliparous women with singleton pregnancies. Using data from the Irish cohort recruited between November 2008 and February 2011, all women with preeclampsia and a 10% random sample of women without preeclampsia were selected. Additional health service use data were extracted from the consenting participants’ medical records for maternity services which were not included in SCOPE. Unit costs were based on estimates from 3 existing Irish studies. Costs were extrapolated to a national level using a prevalence rate of 5% to 7% among nulliparous pregnancies. Within the cohort of 1774 women, 68 developed preeclampsia (3.8%) and 171 women were randomly selected as controls. Women with preeclampsia used higher levels of maternity services. The average cost of a pregnancy complicated by preeclampsia was €5243 per case compared with €2452 per case for an uncomplicated pregnancy. The national cost of preeclampsia is between €6.5 and €9.1 million per annum based on the 5% to 7% prevalence rate. Postpartum care was the largest contributor to these costs (€4.9–€6.9 million), followed by antepartum care (€0.9–€1.3 million) and peripartum care (€0.6–€0.7 million). Women with preeclampsia generate significantly higher maternity costs than women without preeclampsia. These cost estimates will allow policy-makers to efficiently allocate resources for this pregnancy-specific condition. Moreover, these estimates are useful for future research assessing the cost-effectiveness of preeclampsia screening and treatment.

Location: Alcuin A Block A019/20

Who to contact

For more information on these seminars, contact:

Thomas Patton
thomas.patton@york.ac.uk
Dina Jankovic
dina.jankovic@york.ac.uk

Economic evaluation seminar dates

  • Thursday 18 January
    Aimee Fox, Centre for Health Economics, University of York
  • Thursday 15 February
    Matthew Taylor, York Health Economics Consortium, University of York         
  • Thursday 15 March
    Dr David Epstein, University of Grenada
  • Thursday 22 March
    Professor Alec Morton, University of Strathclyde
  • Thursday 19 April
    Professor Alex McNeil, York School of Management, University of York 
  • Thursday 17 May
    Rita Faria, CHE, University of York
  • Thursday 14 June
    Dr Claire Rothery, CHE, University of York
  • Friday 13 July
    Julie Ratcliffe, Adelaide
  • Thursday 19 July
    David Tordrup, Triangulate Health Ltd
  • Wednesday 19 September
    Dr Gianluca Baio, UCL
  • Thursday 18 October
    Dr Han-I Wang, Health Sciences, University of York