PMID- 27515102 OWN - NLM STAT- MEDLINE DCOM- 20181010 LR - 20181113 IS - 2149-2271 (Electronic) IS - 2149-2263 (Print) IS - 2149-2263 (Linking) VI - 16 IP - 8 DP - 2016 Aug TI - Cost of heart failure management in Turkey: results of a Delphi Panel. PG - 554-62 LID - 10.14744/AnatolJCardiol.2016.6999 [doi] AB - OBJECTIVE: To analyze health-related cost of heart failure (HF) and to evaluate health-related source utilization aiming to provide data on the economic burden of HF in actual clinical practice in Turkey. METHODS: The study used the Delphi process of seeking expert consensus of opinion including 11 cardiologists who are experienced in HF. The standardized questionnaire comprised items to reflect the opinion of the expert panelists on the distribution of the HF patients in terms of demographic and clinical characteristics and background disease states. Costs related to out-patient follow-up, in-patient follow-up, medications, and other therapies were also evaluated. RESULTS: 34.1% of the HF patients were in the age range of 60-69 years, and 62.3% were males. Coronary heart disease was the leading cause of HF (59.6%); 63.6% of the HF patients had reduced ejection fraction (rEF) and 42.3% were in New York Heart Association (NYHA)-II class. Approximately 75 % of the patients were followed up by a cardiology unit. The total annual visit number was estimated as 3.41. Approximately 32% of HF patients were hospitalized 1.64 times a year, for an average of 6.77 days each time. The total annual costs of all HF patients and HF-rEF patients were estimated as 1.537 TL and as 2.141 TL, respectively. CONCLUSION: The analysis demonstrating the magnitude of the economic impact of HF management on Turkey's healthcare system may help facilitate health and social policy interventions to improve the prevention and treatment of HF. FAU - Aras, Dursun AU - Aras D AD - Department of Cardiology, Faculty of Medicine, Karabuk University; Zonguldak-Turkey. FAU - Aydogdu, Sinan AU - Aydogdu S AD - Department of Cardiology, Faculty of Medicine, Karabuk University; Zonguldak-Turkey. FAU - Bozkurt, Engin AU - Bozkurt E AD - Department of Cardiology, Faculty of Medicine, Yildirim Beyazit University; Ankara-Turkey. FAU - Cavusoglu, Yuksel AU - Cavusoglu Y AD - Department of Cardiology, Faculty of Medicine, Eskisehir Osmangazi University; Eskisehir-Turkey. FAU - Eren, Mehmet AU - Eren M AD - Department of Cardiology, Siyami Ersek Cardiovascular Surgery Training and Research Hospital; Istanbul-Turkey. FAU - Erol, Cetin AU - Erol C AD - Department of Cardiology, Faculty of Medicine, Ankara University; Ankara-Turkey. FAU - Gulec, Sadi AU - Gulec S AD - Department of Cardiology, Faculty of Medicine, Ankara University; Ankara-Turkey. FAU - Kizilirmak, Pinar AU - Kizilirmak P AD - Medical Department, Novartis; Istanbul-Turkey. FAU - Ongen, Zeki AU - Ongen Z AD - Department of Cardiology, Cerrahpasa Faculty of Medicine, Istanbul University; Istanbul-Turkey. FAU - Ozdemir, Oktay AU - Ozdemir O AD - Department of Statistics, Yorum Consulting Ltd.; Istanbul-Turkey. FAU - Saylan, Mete AU - Saylan M AD - Medical Department, Novartis; Istanbul-Turkey. FAU - Tokgozoglu, Lale AU - Tokgozoglu L AD - Department of Cardiology, Faculty of Medicine, Hacettepe University; Ankara-Turkey. FAU - Yeter, Ekrem AU - Yeter E AD - Department of Cardiology, Faculty of Medicine, Yildirim Beyazit University; Ankara-Turkey. FAU - Yilmaz, Mehmet Birhan AU - Yilmaz MB AD - Department of Cardiology, Faculty of Medicine, Cumhuriyet University; Sivas-Turkey. mehmet.birhan.yilmaz@tkd.org.tr. LA - eng PT - Journal Article PL - Turkey TA - Anatol J Cardiol JT - Anatolian journal of cardiology JID - 101652981 SB - IM MH - Adult MH - Aged MH - *Health Care Costs MH - Heart Failure/*economics/therapy MH - Humans MH - Male MH - Middle Aged MH - Surveys and Questionnaires MH - Turkey PMC - PMC5368510 COIS- Conflict of interest: None declared. EDAT- 2016/08/16 06:00 MHDA- 2018/10/12 06:00 PMCR- 2016/08/01 CRDT- 2016/08/13 06:00 PHST- 2016/08/13 06:00 [entrez] PHST- 2016/08/16 06:00 [pubmed] PHST- 2018/10/12 06:00 [medline] PHST- 2016/08/01 00:00 [pmc-release] AID - AJC-16-554 [pii] AID - 10.14744/AnatolJCardiol.2016.6999 [doi] PST - ppublish SO - Anatol J Cardiol. 2016 Aug;16(8):554-62. doi: 10.14744/AnatolJCardiol.2016.6999.