Journal «Angiology and Vascular Surgery» • 

2004 • VOLUME 10 • №4

THE CLINICAL AND PHARMACOECONOMIC ASPECTS OF CHRONIC VENOUS INSUFFICIENCY OF THE LOWER LIMBS

Yu.M. Stoiko, N.A. Yermakov
N.I. Pirogov Medicosurgical Center
Moscow, Russia

Presented, herein is a review of the paper "Chronic venous insufficiency; effect of public health reforms on the cost of treatment and hospitalization. Italian prospects" by C.Allegra. The paper evaluates the effect of public health reforms carried out in Italy on the cost of the treatment of patients suffering from chronic venous insufficiency of the lower limbs. It is demonstrated that the change over in Italy to the American system of the classification of the diagnoses and discontinuance of donations for phlebotropic drugs has led to a 23.6 million euro rise of the annual expenditures for the treatment of this group patients due to an increase of the expenditures for hospitalization as well as to material redistribution of the financial expenditures from outpatients to inpatients. The review also contains the results of the author's investigations related to the clinical and economic estimation of the treatment of patients with different forms of varicosity using different types of analysis of the financial expenditures.

KEY WORDS: chronic venous insufficiency of lower limbs, analysis of expenditures.

P. 67

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