Table 3.
Studies calculating the cost of adverse drug events, economic data
| N° | First author (year) (ref) | Costs Settings | Perspective | Time horizon | Quality score | Individual cost (per patient) |
|---|---|---|---|---|---|---|
| 1 | Katsuno et al. (2021) [19] |
Direct costs (micro-costing): Each clinic/technical fee including medical supplies and drugs |
Public health insurance | 6 months | 0.74 | € 5 937 |
| 2 | Trumbo et al. (2021) [8] |
Estimated direct costs: Hospital admission costs |
Hospital | 6 years | 0.69 | NA |
| 3 | Iwasaki et al. (2021) [18] |
Estimated direct costs: Daily hospital medical expenditure |
Hospital | 3 months | 0.87 | € 6 034 |
| 4 | Tissot et al. (2021) [9] |
Direct medical costs: Hospital admission costs and additional items (daily supplements for extreme lengths of hospital stays, daily supplements for intensive care stay, expensive drugs or medical devices) |
Public health insurance | 4 years | 0.67 |
€5 559 ± 8 448 median: €3 725 IQR: [401;114 576] |
| 5 | Maity et al. (2021) [10] |
Direct costs: Direct healthcare costs (national average cost of hospitalisation for poisoning/toxic effect of drug category for different age groups) Indirect/Opportunity costs: Potential loss of income over a lifetime with human capital approach (calculated for patient aged between 19–64; ages below 19, only future forgone incomes were included) Lost productivity with friction cost approach |
3 = Patient + Health system + Societal | 4 years | 0.92 |
Patient perspective: €451 (infliximab) €359 (adalimumab) Health system perspective: €230 (infliximab) €100 (adalimumab) Society perspective: €240 (infliximab) €110 (adalimumab) |
| 6 | Knight et al. (2019) [11] |
Direct costs: Hospital costs (bed, food, basic nursing, infrastructure), average (mid-range) salary in each personnel category was applied accounting for the varying levels of attending staff, laboratory and radiology investigations, medications costs |
Hospital | 5 years | 0.63 |
€5 831 CI95%: 5134–6527 |
| 7 | Boostani et al. (2019) [20] |
Estimated direct costs: Medication cost |
2 = Patient, Health insurance | 8 months | 0.70 | €7.46 |
| 8 | Riaz et al. (2019) [16] |
Direct costs: Hospital admission costs |
Public health insurance (MEDICARE) | 11 months | 0.87 | NK |
| 9 | Beck et al. (2019) [12] |
Estimated direct costs: Emergency department visit + intensive care stay + hospital admission costs |
Public health insurance (MEDICAID) | 1 year | 0.48 | €456 |
| 10 | Lee et al. (2019) [21] |
Direct medical costs (micro-costing): Costs related to physician + medication cost + laboratory + radiology + hospital admission + surgical + medical supplies |
Hospital | 6 months | 0.67 |
€1 881 incremental costs compare to before ADR |
| 11 | Liao et al. (2019) [17] |
Direct medical costs: Hospital admission and medication costs |
Hospital | 6 years | 0.70 |
€5 422.40 medical expenses incremental costs compare to non-ADR group control €1459.40 medication incremental costs compare to non-ADR group control |
| 12 | Pok et al. (2018) [14] |
Direct medical costs: Hospital admission + outpatient care + surgical procedures + diagnostic investigations + treatment costs for managing upper GI adverse events |
Hospital | 2 years | 0.67 | €136.60 |
| 13 | Schnippel et al. (2018) [13] |
Direct medical costs: Medication cost + laboratory/investigation + outpatient care + hospital admission + medical supplies |
Hospital | 10 years | 0.70 | €380.17 incremental costs compared to no ADR |
| 14 | Shafi et al. (2018) [15] |
Direct medical costs: Hospital admission costs |
Health system | 33 months | 0.71 |
€8 225 incremental cost compared to no ADR |
| 15 | Kurle et al. (2018) [22] |
Direct costs: Investigation + drugs + transport costs Indirect costs: Loss of income (patient + relatives) |
Patient | 1 year | 0.70 | €83.97 |
| 16 | Slight et al. (2018) [23] |
Estimated cost of a preventable ADE in inpatients: Bates 1997 [28]: Hospital admission costs Hug 2012 [29]: Hospital admission + overheads + capital costs Opportunity costs: Estimating the time and cost of responding to Clinical Decision Support alerts |
Hospital | 1 year | 0.76 | NK |
| 17 | Gyllensten et al. (2017) [24] |
Direct costs: Outpatient care + home visits (nurse or physician) + hospital admission costs |
Unspecified | 3 months | 0.76 |
€1 500 (diagnostic code method) €414 000 (unit cost method) |
| 18 | Natanaelsson et al. (2017) [25] |
Direct costs: Outpatient care + ambulatory care + hospital admission + medication costs + Labour Indirect costs: Lost productivity/income |
4 = Hospital, patient, public health insurance, employer | 3 months | 0.83 |
€505 (with €192 of indirect costs) (real costs) €1 631 (€410 of indirect costs) (propension scoring) |
| 19 | McCarthy Jr. et al. (2017) [26] |
Direct medical costs: Hospital admission costs |
Hospital | 13 months | 0.65 |
€2 271€ IQR: 981–13 455 (incremental costs) |
| 20 | Spector et al. (2017) [27] |
Direct costs: Hospital admission/annual hospital costs (“production of hospital services) excluding physician wages |
Hospital | 3 years | 0.67 |
Anticoagulant: €7 644 (acute myocardial infarction) to €12 849€ (pneumonia) Hypoglycaemic agent: €2 747 (heart failure) to €9 054 (major surgery) |
NK Not known, NA Not applicable