Evaluating frequency, diagnostic quality, and cost of Lyme borreliosis testing in Germany : a retrospective model analysis

Background: Data on the economic impact of Lyme borreliosis (LB) on European health care systems is scarce. This project focused on the epidemiology and costs for laboratory testing in LB patients in Germany.
Materials 
Background: Data on the economic impact of Lyme borreliosis (LB) on European health care systems is scarce. This project focused on the epidemiology and costs for laboratory testing in LB patients in Germany.
Materials and Methods: We performed a sentinel analysis of epidemiological and medicoeconomic data for 2007 and 2008. Data was provided by a German statutory health insurance (DAK) company covering approx. 6.04 million members. In addition, the quality of diagnostic testing for LB in Germany was studied. 
Results: In 2007 and 2008, the incident diagnosis LB was coded on average for 15,742 out of 6.04 million insured members (0.26%). 20,986 EIAs and 12,558 immunoblots were ordered annually for these patients. For all insured members in the outpatient sector, a total of 174,820 EIAs and 52,280 immunoblots were reimbursed annually to health care providers (cost: 2,600,850€). For Germany, the overall expected cost is estimated at 51,215,105€. However, proficiency testing data questioned test quality and standardization of diagnostic assays used.
Conclusion: Findings from this study suggest ongoing issues related to care for LB and may help to improve future LB disease management.
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Author:Iris Müller, Michael H. Freitag, Gabriele Poggensee, Elke Scharnetzky, Eberhard Straube, Christof Schoerner, Harald Hlobil, Hans-Jochen Hagedorn, Gerold Stanek, Alexandra Schubert-Unkmeir, Douglas E. Norris, Jochen Gensichen, Klaus-Peter Hunfeld
URN:urn:nbn:de:hebis:30:3-250137
DOI:http://dx.doi.org/doi:10.1155/2012/595427
ISSN:1740-2530
ISSN:1740-2522
Pubmed Id:http://www.ncbi.nlm.nih.gov/pubmed?term=22242037
Parent Title (English):Clinical and developmental immunology
Publisher:Hindawi
Place of publication:New York, NY
Document Type:Article
Language:English
Date of Publication (online):2011/12/27
Date of first Publication:2011/12/27
Publishing Institution:Universitätsbibliothek Johann Christian Senckenberg
Release Date:2012/06/04
Volume:Volume 2012 (2012)
Issue:Article ID 595427
Pagenumber:13
HeBIS PPN:357391128
Institutes:Medizin
Dewey Decimal Classification:610 Medizin und Gesundheit
Sammlungen:Universitätspublikationen
Licence (German):License Logo Veröffentlichungsvertrag für Publikationen

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