Prevention & lipids

Ten-year costs of cardiovascular disease in genetically verified familial hypercholesterolaemia compared with age- and sex-matched controls

Eur J Prev CardiolPublished Matched cohort study

Authors' conclusion

Familial hypercholesterolaemia patients had about three times higher CVD-related hospital costs and more than 10 times higher pharmaceutical costs than age- and sex-matched controls during a 10-year follow-up. During the 10 years, costs for pharmaceuticals increased and costs for hospital decreased.

Study context

Population
Individuals with genetically verified familial hypercholesterolaemia (FH) (Norwegian Unit for Cardiac and Cardiovascular Genetics registry) and matched controls, Norway, 2010–2019
Participants
5,585 vs 111,483
Exposure
Genetically verified FH vs age- and sex-matched controls
  • FHn = 5,585
  • Controlsn = 111,483reference
Outcome
CVD-related hospital and pharmaceutical resource use and costs
Follow-up
2010 through 2019
Methodological detailsage- and sex-matched controls, registry-based, Costs from Norwegian Patient Registry, Cause of Death Registry and Norwegian Prescription Database; Diagnosis-related group (DRG) cost weights and drug prices (Norwegian kroner 1 = euros (EUR) 0.1015)
  • Age- and sex-matched controls
  • Registry-based
  • Costs from Norwegian Patient Registry, Cause of Death Registry and Norwegian Prescription Database; DRG cost weights and drug prices (Norwegian kroner 1 = EUR 0.1015)

Main finding

As reported in the abstract

CVD-related costs per person · 2010-19
GroupHospital carePharmaceuticals
FH€3911€6119
Controls€1498€514

Hospital care

FH€3911
Controls€1498

Pharmaceuticals

FH€6119
Controls€514

Observational data: associations, not effects.

Further findings

OutcomeFHControls
10-year PCI costs per person€561€140

Trend in cardiovascular disease (CVD) prescription drug costs, 2010-19

Increase in FH
P = 0.002
Increase in controls
P = 0.005
Costs doubled in FH, largely due to introduction of PCSK9 inhibitors

Trend in hospital care costs, 2010-19

Decrease in FH
P = 0. 0069
Decrease in controls
P = 0. 0943

Original publication

Ten-year costs of cardiovascular disease in genetically verified familial hypercholesterolaemia compared with age- and sex-matched controls. Eur J Prev Cardiol. Published 23 September 2025. doi:10.1093/eurjpc/zwaf592

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