1. UKM Learning and Research Repository
2. PHD Thesis / Tesis PHD
3. Faculty of Medicine / Fakulti Perubatan

Title:	Economic burden and cost-effectiveness analysis of periodontitis management in Malaysia
Authors:	Tuti Ningseh binti Mohd Dom (P47225)
Supervisor:	Syed Mohamed Aljunid, Professor Dato' Dr
Keywords:	Cost-effectiveness analysis Periodontitis Malaysia Periodontitis -- Malaysia
Issue Date:	13-Sep-2013
Description:	Periodontitis is an established common chronic disease, yet its burden on health care costs remains largely neglected. This study was a multi-centre, economic evaluation study to estimate the economic burden of managing periodontitis patients seen at the Ministry of Health (MOH) specialist periodontal clinics. A total of 165 periodontitis patients were recruited from five selected clinics and given periodontal treatment for one year. Cost of treating these patients was estimated from the societal perspective using activity-based and step-down costing methods, and extracted information from a clinical pathway. Treatment outcomes comprised changes in clinical parameters, quality-of-life scores (EuroQol; EQ5D and Oral Health Impact Profile; OHIP-14), quality-adjusted tooth years (QATY) and quality-adjusted life years (QALY). Statistically significant differences were determined using paired t-test. A cost-effectiveness analysis (CEA) was performed to compare the specialist periodontal programme with a hypothetical scenario where patients attend biannual dental visits only for regular dental check-up and scaling. Average cost for managing periodontitis patients was RM 376 per outpatient visit and RM 2,820 per annum. National economic burden of treating adults with severe periodontitis was estimated to be RM 11.5 billion, which is 1.35% of the country's Gross Domestic Product. Economic burden from providers perspectives was RM 10.3 billion, which is 60.9% of the MOH budget. Clinically, a gain of an average of 0.3 mm of clinical attachment level was attained at post-treatment (t=4.8, P<0.001). Mean OHIP-14 scores improved 39% while mean EQ5D utilities improved 12% (t=10.8 and t=6.3, P<0.001). Patients gained an average of 17.1 QATY and 3.8 QALY post-treatment (t=49.4 and t=6.1, P<0.001). For CEA, the specialist periodontal programme was more cost-effective than the hypothesised biannual dental visits, with incremental cost-effectiveness ratios (ICER) of RM 100 and RM 451 per additional QATY and QALY gained respectively. In conclusion, the economic burden of managing periodontitis is substantial and it is more cost-effective to provide specialist periodontal treatment than conventional biannual dental treatment.,Ph.D
Pages:	299
Call Number:	WU77.T966e 2013 9 tesis
Publisher:	UKM, Kuala Lumpur
Appears in Collections:	Faculty of Medicine / Fakulti Perubatan

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.