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Table 3 Costs for stroke, 2003–2007, Germany

From: Cost of clinical events in health economic evaluations in Germany: a systematic review

Study

Model type

Specification of disease severity

First cycle

  

Costs covered

   

Follow-up cycles

  
   

Time horizon

Unit cost (€)

Number of sourcesa

Direct costsb

Not specified

Time horizon

Unit cost (€)

Number of sourcesa

      

Hosp

Rehab

Other

    

Year of costing: 2003

Annemans L. Int J Clin Pract 2006; 60(9): 1129–37 [8]

Markov model

Fatal stroke

Not specified

1,897

1

   

Yes

No follow-up costs considered

Lamotte M. Pharmacoeconomics 2006; 24(2): 155–69 [16]

Markov model

Fatal stroke

Acute period

1,897

NA

Yes

   

No follow-up costs considered

Annemans L. Int J Clin Pract 2006; 60(9): 1129–37 [8]

Markov model

Non-fatal stroke

Not specified

3,390

1

   

Yes

Annual follow-up costs

676

1

Lamotte M. Pharmacoeconomics 2006; 24(2): 155–69 [16]

Markov model

Non-fatal stroke

Not specified

3,390

NA

Yes

   

Annual follow-up costs

676

1

Liebl A. Gesund ökon Qual Manag 2006; 11: 105–11 [18]

Decision tree

Stroke

First 3 months

12,068

1

   

Yes

Months 4–12

1,491

1

          

Annual follow-up costs

520

> 1

Year of costing: 2004

Lamotte M. Pharmacoeconomics. 2006; 24(8): 783–95 [17]

Decision tree

Stroke

Acute period

3,390

1

Yes

   

No follow-up costs considered

  

Roze S. Curr Med Res Opin 2006; 22(7): 1415–24 [23]

Semi-Markov model

Fatal stroke

Not specified

9,006

1

   

Yes

No follow-up costs considered

  

Rasch A. Suchtmed 2009; 11(2): 47–55 [21]

Markov model

Stroke

First 12 months

10,149

> 1

   

Yes

Annual follow-up costs

4,364

> 1

Brüggenjürgen B. Eur J Health Econ 2007; 8(1): 51–7 [12]

Markov model

Stroke

First 12 months

17,734

1

Yes

Yes

Yes

 

Annual follow-up costs

5,614

1

Roze S. Curr Med Res Opin 2006; 22(7): 1415–24 [23]

Semi-Markov model

Stroke

Year of event

19,399

1

   

Yes

Annual follow-up costs

6,060

1

Gandjour A. Health Policy 2007; 83(2–3): 257–67 [14]

Markov model

Stroke

First 12 months

24,936

> 1

   

Yes

Post-year 1

5,465

> 1

Year of costing: 2005

Scherbaum WA. Cost Eff Resour Alloc 2009; 7: 9 [25]

Semi-Markov model

TIA

Year of event

2,354

NA

Yes

   

Annual follow-up costs

0

NA

Claes C. Med Klin 2008; 103: 778–87 [13]

Markov model

Fatal stroke

Acute period

2,500

NA

Yes

   

No follow-up costs considered

  

Claes C. Med Klin 2008; 103: 778–87 [13]

Markov model

Stroke

Acute period

7,000

NA

Yes

   

Rehab after acute event

7000

NA

Scherbaum WA. Cost Eff Resour Alloc 2009; 7: 9 [25]

Semi-Markov model

Stoke

Year of event

10,524

> 1

   

Yes

Annual follow-up costs

6,178

> 1

Weber CJ. Diabetes Sci Technol 2007; 1(5): 676–84 [28]

Markov model

Stroke

Year of event

20,811

1

   

Yes

Year after event

6,501

1

Berger K. Curr Med Res Opin 2008; 24(1): 267–74 [11]

Markov model

Stroke

Initial treatment

4,692

NA

   

Yes

First 6 months after event

6,664

NA

  

Stroke

       

Second 6 months after event

5,936

NA

  

Stroke

       

Subsequent 6- month intervals

5,251

 

Berg J. Clin Ther 2007; 29(6): 1184–202 [9]

Decision tree and Markov model

Stroke

Month 1

6813

1

   

Yes

Months 2–12

12,112

1

  

Stroke

       

Annual follow-up costs

5,600

1

Year of costing: 2006

Valentine WJ. Adv Ther 2008; 25(6): 567–84 [27]

Semi-Markov model

Fatal stroke

Not specified

9,488

1

   

Yes

No follow-up costs considered

  

Schaufler TM. Gesund ökon Qual Manag 2009; 14: 71–5 [24]

Markov model

Stroke

First 12 months

18,649

1

   

Yes

Annual follow-up costs

4,416

1

Valentine WJ. Adv Ther 2008; 25(6): 567–84 [27]

Semi-Markov model

Stroke

Year of event

20,439

1

   

Yes

Annual follow-up events

6,385

1

Berg J. Curr Med Res Opin 2008; 24(7): 2089–101 [10]

Decision tree and Markov model

Stroke

Month 1

6,912

> 1

   

Yes

Months 2–12

12,289

1

  

Stroke

       

Annual follow-up costs

5,681

1

Year of costing: 2007

Schwander B. Value Health 2009; 12(6): 857–71 [26]

Markov model

TIA

First 12 months

3,365

> 1

   

Yes

Annual follow-up costs

0

NA

  

Stroke

First 12  months

17,629

> 1

   

Yes

Annual follow-up costs

7,337

> 1

Mittendorf T. Diabetes Obes Metab 2009; 11(11): 1068–79 [19]

Semi-Markov model

Fatal stroke

Year of event

19,534

1

   

Yes

No follow-up costs considered

  
  

Stroke

Year of event

19,534

1

   

Yes

Annual follow-up costs

5,780

1

Year of costing: not specified

Neeser K. J Kardiol 2006; 13: 131–20 [20]

Markov model

Fatal ischaemic stroke

Not specified

3,573

1

   

Yes

No follow-up costs considered

  
  

Severe bleeding

Not specified

9,000

> 1

   

Yes

After initial hospitalization until end of first year

5,003

1

  

Ischaemic stroke

Acute period

4,679

1

Yes

   

From second year onwards

12,500

1

  1. a Number of data sources from which unit costs were retrieved.
  2. b No indirect unit costs could be retrieved.
  3. hosp = hospital; rehab = rehabilitation; NA = not available; TIA = transient ischaemic attack.