Problems of Social Hygiene, Public Health and History of MedicineProblems of Social Hygiene, Public Health and History of Medicine0869-866X2412-2106Joint-Stock Company Chicot47710.32687/0869-866X-2021-29-1-80-85Научная статьяThe cost of specialized medical care of children under spinal muscular atrophy in MoscowMalakhovaA. R.malakhovaar@nriph.ruKrysanovI. S.-VasilievaT. P.-KrasilnikovaE. Yu.-AleksandrovaO. Yu.-ZinchenkoR. A.-KutsevS. I.-N. A. Semashko National Research Institute of Public HealthThe Federal State Budget Scientific Institution «The Academician N. P. Bochkov Medical Genetic Scientific Center»15122021291808506042021Copyright © 2021,2021The spinal muscular atrophy is neuromuscular disease caused by mutations in SMN1 gene. The clinical picture of disease is characterized by progressive muscular weakness and atrophy associated with degeneration of spine, and in severe cases by affection of motor neurons of lower bulbar cells. The spinal muscular atrophy progressing course resulting in disability and infant mortality. Actually, specific treatment is at the stage of clinical trials. However, patients are needed in permanent symptomatic arresting of manifestations and pathogenetic treatment preventing development of disease. The article presents calculations of direct medical costs for treatment in pediatric patients (0-17 years old) in Moscow with the main types of spinal muscular atrophy. It is established that the cost of specialized medical care of children with spinal muscular atrophy per single under age patient in Moscow consisted 7,131,185.84 rubles annually, including primary diagnostic, treatment and rehabilitation and medicinal treatment. In total, according to data for 2020 in Moscow, where number of children patients is 144, the cost of specialized medical care of children with spinal muscular atrophy is estimated as 1,024,580,269.16 rubles. At that, data takes into account only direct medical costs for out-patient and in-patient care of children with spinal muscular atrophy, excluding number of exacerbations of disease. Taking into account average numbers of hospitalizations per year because of illness, the cost of in-patient care of single child amounts to 7,844,304.42 rubles annually and 1,127,018,732.08 rubles for all children with spinal muscular atrophy in Moscow (according data of 2020).spinal muscular atrophyspecialized pediatric carecost analysisспинальная мышечная атрофиядетская специализированная помощьанализ стоимости лечения1.Смирнова Н. С. Практический справочник пациента по правовым основам оказания медицинской помощи и лекарственного обеспечения больных спинальной мышечной атрофией. М.: Проспект; 2020. 168 с.2.Treatment of Patients with Infantile-Onset and Later-Onset Spinal Muscular Atrophy in Sweden. PharmacoEconomics. 2019;37:845-65. doi: 10.1007/s40273-019-00769-63.Darras B. T. Spinal muscular atrophies. Pediatr. Clin. N. Am. 2015;62:743-66. doi: 10.1016/j.pcl.2015.03.0104.Приложение к приказу Министерства здравоохранения Российской Федерации от 29 декабря 2012 г. № 1691н «Cтандарт специализированной медицинской помощи детям при спинальных мышечных атрофиях». Режим доступа: http://docs.cntd.ru/document/499002238 (дата обращения 08.09.2020).5.Тарифное соглашение на оплату медицинской помощи, оказываемой по территориальной программе обязательного медицинского страхования города Москвы за 2020 год. Режим доступа: http://docs.cntd.ru/document/499002238 (дата обращения 08.09.2020).6.Государственный реестр предельных отпускных цен. Режим доступа: https://grls.rosminzdrav.ru/Default.aspx (дата обращения 08.09.2020).7.Портал Государственных закупок РФ. Режим доступа: https://zakupki.gov.ru/epz/main/public/home.html (дата обращения 08.09.2020).