TABLE 1 -.
Variables included in the socioeconomic model according to domains: diagnosis and post-diagnosis (first year)
Variable | Best scenario | Reference scenario | Worst scenario | Resource/financial proxy | Unit cost (€, 2019 Euro) | Cost typology | |
---|---|---|---|---|---|---|---|
All variables refer specifically to patients with ADHD. | |||||||
ADHD = attention-deficit/hyperactivity disorder; ED = emergency department. | |||||||
†Advisory board. | |||||||
‡Median rates for health services published in the official bulletins of the Spanish Autonomous Communities. | |||||||
§Applies to the percentage of ADHD patients with addiction. | |||||||
¶Applies to the percentage of patients undergoing treatment with stimulant medication who present with high blood pressure. | |||||||
#Two annual consumptions were assumed for this resource. | |||||||
Healthcare domain | Diagnosis | ||||||
Medical consultations | |||||||
Number of specialized care consultations (27) | 3.8 | 3.8 | 3.8 | First specialized care consultation‡ | 151.8 | One-time | |
Post-diagnosis (first year) | |||||||
Medical consultations | |||||||
Number of annual primary care consultations† | 6.0 | 7.0 | 8.0 | Follow-up consultation with a primary care physician‡ | 50.1 | One-time | |
Number of annual psychiatric consultations† | 4.0 | 5.0 | 6.0 | Follow-up specialized care consultation‡ | 88.3 | One-time | |
Number of annual addiction therapy consultations†§ | 12.0 | 12.0 | 12.0 | Follow-up specialized care consultation‡ | 88.3 | One-time | |
Number of annual hospital nurse consultations†¶ | 1.0 | 1.0 | 1.0 | Hospital nurse consultation‡ | 42.0 | One-time | |
Number of annual social work consultations† | 1.0 | 1.0 | 1.0 | Social work consultation‡ | 36.3 | One-time | |
Medication | |||||||
Maximum daily adult methylphenidate dose (mg) (16) | 80.0 | 80.0 | 80.0 | Cost per mg of methylphenidate (retail price + taxes) (16,18) | 0.03403 | One-time | |
Maximum daily adult atomoxetine dose (mg) (17) | 100.0 | 100.0 | 100.0 | Cost per mg of atomoxetine (retail price + taxes) (17,18) | 0.02603 | One-time | |
Maximum daily adult lisdexamfetamine dose (mg) (15) | 70.0 | 70.0 | 70.0 | Cost per mg of lisdexamfetamine (retail price + taxes) (15,18) | 0.05553 | One-time | |
ED visits and hospitalizations | |||||||
Patients visiting the ED in the last 6 months# (28) | 30.2% | 30.2% | 30.2% | Hospital ED visit‡ | 182.2 | One-time | |
Patients hospitalized in the last 6 months# (28) | 26.0% | 26.0% | 26.0% | Hospitalization (29) | 3,509.7 | One-time |