Out-Of-Pocket Costs In Alopecia Areata: A Cross-Sectional Study In German-Speaking Countries

    January 2023 in “ Acta dermato-venereologica
    Johaina Kullab, Maximilian Schielein, Caroline F Z Stuhlmann, Linda Tizek, Hannah Wecker, Alphina Kain, Tilo Biedermann, Alexander Zink
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    TLDR People with alopecia areata in German-speaking countries spend a lot on their condition, with hair products and treatments being the most costly.
    The cross-sectional study conducted in Germany, Austria, and Switzerland involved 346 individuals with alopecia areata, mostly women (95.1%), with a mean age of 38.5 years. The study found that these individuals spent an average of 1,248€ per person per year on everyday necessities related to their condition. Factors influencing this spending included the duration of the illness, the treatment provider, and disease severity. The highest costs were for hair replacement products and cosmetics, followed by physician visits, hospital treatments, and medication. A majority of participants (73.7%) were not undergoing treatment due to lack of efficacy, side-effects, costs, and acceptance of the disease. Women had higher expenditures than men. The study concluded that the out-of-pocket costs related to alopecia areata place a significant financial burden on affected individuals and are higher compared to other chronic diseases.
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