Epilepsy Research
Volume 23, Issue 2 , Pages 139-148, March 1996

Cost of refractory epilepsy in adults in the USA

  • Miranda I. Murray

      Affiliations

    • Corresponding Author InformationCorresponding author.
    • Battelle, Centers for Public Health Research and Evaluation, 2101 Wilson Boulevard, Suite 800, Arlington, VA 22201, USA
  • ,
  • Michael T. Halpern

      Affiliations

    • Battelle, Centers for Public Health Research and Evaluation, 2101 Wilson Boulevard, Suite 800, Arlington, VA 22201, USA
  • ,
  • Ilo E. Leppik

      Affiliations

    • MINCEP Epilepsy Care and Department of Neurology and Pharmacy, University of Minnesota, 5775 Wayzata Boulevard, Minneapolis, MN 55416, USA

Received 1 May 1995; accepted 15 September 1995.

Abstract 

A cost of illness of refractory epilepsy was developed based on estimates supplied by an expert panel of physicians and a review of the current literature. The basic elements of model can be divided into two main components: direct and indirect costs. Direct costs include the medical resource utilization patterns associated with epilepsy care while the indirect costs represent lost productivity associated with the disease. The results of the analysis indicate that an estimated 24,578 incident cases of epilepsy incur a total of $318,582,669; while our prevalence estimates indicate that 335,167 individuals incur a total of $3,905,183,463, in a given year. Direct medical costs account for one-third of the total costs while indirect costs constitute the remaining two-thirds.

Keywords:  Cost, direct, Cost, indirect

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PII: 0920-1211(95)00090-9

Epilepsy Research
Volume 23, Issue 2 , Pages 139-148, March 1996