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. 2023 Dec 1;44(45):4752-4767.
doi: 10.1093/eurheartj/ehad583.

Economic burden of cardiovascular diseases in the European Union: a population-based cost study

Ramon Luengo-Fernandez  1 , Marjan Walli-Attaei  1 , Alastair Gray  1 , Aleksandra Torbica  2 , Aldo P Maggioni  3 , Radu Huculeci  4 , Firoozeh Bairami  4 , Victor Aboyans  5 , Adam D Timmis  6 , Panos Vardas  4   7 , Jose Leal  1
Affiliations

Economic burden of cardiovascular diseases in the European Union: a population-based cost study

Ramon Luengo-Fernandez et al. Eur Heart J. .

Abstract

Background and aims: Cardiovascular disease (CVD) impacts significantly health and social care systems as well as society through premature mortality and disability, with patients requiring care from relatives. Previous pan-European estimates of the economic burden of CVD are now outdated. This study aims to provide novel, up-to-date evidence on the economic burden across the 27 European Union (EU) countries in 2021.

Methods: Aggregate country-specific resource use data on morbidity, mortality, and health, social and informal care were obtained from international sources, such as the Statistical Office of the European Communities, enhanced by data from the European Society of Cardiology Atlas programme and patient-level data from the Survey of Health, Ageing and Retirement in Europe. Country-specific unit costs were used, with cost estimates reported on a per capita basis, after adjustment for price differentials.

Results: CVD is estimated to cost the EU €282 billion annually, with health and long-term care accounting for €155 billion (55%), equalling 11% of EU-health expenditure. Productivity losses accounted for 17% (€48 billion), whereas informal care costs were €79 billion (28%). CVD represented a cost of €630 per person, ranging from €381 in Cyprus to €903 in Germany. Coronary heart disease accounted for 27% (€77 billion) and cerebrovascular diseases for 27% (€76 billion) of CVD costs.

Conclusions: This study provides contemporary estimates of the wide-ranging impact of CVD on all aspects of the economy. The data help inform evidence-based policies to reduce the impact of CVD, promoting care access and better health outcomes and economic sustainability.

Keywords: Cardiovascular disease; Cerebrovascular disease; Coronary heart disease; Cost.

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Figures

Structured Graphical Abstract
Structured Graphical Abstract
Cardiovascular disease costs €282 billion annually across the 27 European Union countries, representing a cost of €630 per EU citizen. CVD-related costs were estimated using country-specific national data on morbidity, mortality, and health, social and informal care.
Figure 1
Figure 1
Cardiovascular disease-related health and social care costs per capita, adjusted for price differentials
Figure 2
Figure 2
Distribution of cardiovascular disease-related total costs across cost categories
Figure 3
Figure 3
Cardiovascular disease-related total costs per capita, adjusted for price differentials
See this image and copyright information in PMC

Comment in

References

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