Asthma Cost Model

Data

Cost Due to Asthma Exacerbations

The data used in the cost model comes from the study [Yaghoubi, 2020], in Table I:

Variable

Value

Direct costs of exacerbation by severity: mild

$130 USD

Direct costs of exacerbation by severity: moderate

$594 USD

Direct costs of exacerbation by severity: (very) severe

$9900 USD

Note

In the paper, severe exacerbations are equivalent to our definition of very severe exacerbations. Thus, we are missing the cost of severe exacerbations. To account for this, we defined the cost of a severe exacerbation as:

\[\begin{split}\text{cost}_E(\text{severe}) &= \exp\left(\dfrac{ \text{log}(\text{cost}_E(\text{moderate})) + \text{log}(\text{cost}_E(\text{very severe})) }{2}\right) \\ &= \$2425 \text{ USD}\end{split}\]

Cost Due to Asthma Control Levels

The data used for the cost by asthma control level also comes from the study [Yaghoubi, 2020], in Table I:

Variable

Value

Annual direct costs of well-controlled asthma

$2372 USD

Annual direct costs of not-well-controlled asthma

$2965 USD

Annual direct costs of uncontrolled asthma

$3127 USD

Model

\[\text{cost} = \sum_{S=1}^4 n_E(S) \cdot \text{cost}_E(S) + \sum_{L=1}^3 P(L) \cdot \text{cost}_C(L)\]

where:

  • \(n_E(S)\) is the number of exacerbations at severity level \(S\)

  • \(\text{cost}_E(S)\) is the cost of an exacerbation at severity level \(S\)

  • \(P(L)\) is the probability of being at asthma control level \(L\)

  • \(\text{cost}_C(L)\) is the cost of being at asthma control level \(L\)