{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T17:08:28Z","timestamp":1784308108788,"version":"3.55.0"},"reference-count":27,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T00:00:00Z","timestamp":1774915200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T00:00:00Z","timestamp":1774915200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100004359","name":"Vetenskapsr\u00e5det","doi-asserted-by":"publisher","award":["2020\u201001092"],"award-info":[{"award-number":["2020\u201001092"]}],"id":[{"id":"10.13039\/501100004359","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004063","name":"Knut och Alice Wallenbergs Stiftelse","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004063","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Paediatrica"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>Extremely preterm birth is associated with high morbidity and long\u2010term support needs. This study estimated long\u2010term medical and non\u2010medical costs throughout childhood among children born before 24\u2009weeks of gestation in Sweden.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This nationwide register\u2010based study included 344 infants born before 24\u2009weeks of gestation in Sweden between 2007 and 2018 who survived at least one year. Individual\u2010level data from national health registers and social insurance records were linked to estimate costs of hospital care, outpatient care, prescribed drugs and parental support until the end of 2022. Costs were analysed from a societal perspective and expressed in 2022 Swedish kronor.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The mean follow up time was 7.8\u2009years. Average total costs per child were 1.68 million Swedish kronor in the first year of life, with medical care accounting for more than 80% of expenditures. Non\u2010medical costs increased during childhood and exceeded medical costs from approximately four years of age. Neonatal morbidities, including bronchopulmonary dysplasia, treated retinopathy of prematurity, and severe intraventricular haemorrhage, were associated with sustained long\u2010term costs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Birth before 24\u2009weeks of gestation was linked to high long\u2010term costs. Early costs were related to hospital care, while long\u2010term costs increasingly reflected social and welfare support.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/apa.70527","type":"journal-article","created":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T08:56:01Z","timestamp":1774947361000},"page":"1638-1645","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Long\u2010Term Societal Costs After Births Before 24\u2009Weeks of Gestation in Sweden"],"prefix":"10.1111","volume":"115","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4371-5164","authenticated-orcid":false,"given":"Chatarina","family":"L\u00f6fqvist","sequence":"first","affiliation":[{"name":"Institute of Health and Care Sciences, Sahlgrenska Academy University of Gothenburg  Gothenburg Sweden"},{"name":"University of Gothenburg Centre for Person\u2010Centred Care \u2010 GPCC University of Gothenburg  Gothenburg 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Gothenburg  Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ann","family":"Hellstr\u00f6m","sequence":"additional","affiliation":[{"name":"Department of Clinical Neuroscience, Institute of Neuroscience and Physiology, Sahlgrenska Academy University of Gothenburg  Gothenburg Sweden"},{"name":"Department of Ophthalmology Sahlgrenska University Hospital  Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hanna","family":"Gyllensten","sequence":"additional","affiliation":[{"name":"Institute of Health and Care Sciences, Sahlgrenska Academy University of Gothenburg  Gothenburg Sweden"},{"name":"University of Gothenburg Centre for Person\u2010Centred Care \u2010 GPCC University of Gothenburg  Gothenburg 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