Economic assessments for Chikungunya: a narrative review

Abstract

Chikungunya is an important and growing public health problem that causes high morbidity. Despite the high social and economic impact generated by the disease, few economic evaluations have focused on the disease. The objective of the present study was to perform a narrative review of economic evaluations related to Chikungunya. A review of the scientific literature was performed using the PubMed and Lilacs databases. All identified articles were reviewed by two researchers. The literature search identified 24 articles related to the topic, and after analysis, six studies were included in the present review. These articles were published between 2011 and 2019 and were conducted in the United States, Colombia, France, Mexico and Brazil. All of these studies reported the economic and/or social burden of Chikungunya for patients and/or health services. The main items described in the studies were direct costs related to diagnostic tests, consultations, hospitalizations, medications and rehabilitation, and indirect costs resulting from the loss of patient productivity, years lived with a disability and disability-adjusted life years lost. The results show that economic evaluations related to Chikungunya are recent and limited, and the results are difficult to extrapolate. In this context, more economic studies focusing on Chikungunya are needed

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