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Healthcare Utilization and Costs associated with Hereditary Hemorrhagic Telangiectasia Patients in a Large US Claims Database.
Hasan Albitar, Hasan Ahmad; Van Houten, Holly; Sangaralingham, Lindsey R; Knoedler, Meghan; Almodallal, Yahya; Alkurashi, Adham K; De Moraes, Alice Gallo; Cajigas, Hector; DuBrock, Hillary; Warad, Deepti; Demirel, Nadir; Krowka, Michael; Brinjikji, Waleed; Iyer, Vivek N.
Afiliación
  • Hasan Albitar HA; Division of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, MN.
  • Van Houten H; Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, MN.
  • Sangaralingham LR; OptumLabs, Cambridge, MA.
  • Knoedler M; Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, MN.
  • Almodallal Y; OptumLabs, Cambridge, MA.
  • Alkurashi AK; Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, MN.
  • De Moraes AG; OptumLabs, Cambridge, MA.
  • Cajigas H; Department of Pediatrics, Mayo Clinic, Rochester, MN.
  • DuBrock H; Division of Cardiovascular Diseases, Mayo Clinic, Rochester, MN.
  • Warad D; Division of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, MN.
  • Demirel N; Division of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, MN.
  • Krowka M; Division of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, MN.
  • Brinjikji W; Division of Pediatric Hematology/Oncology, Mayo Clinic, Rochester, MN.
  • Iyer VN; Division of Pediatric Pulmonary Medicine, Mayo Clinic, Rochester, MN.
Mayo Clin Proc Innov Qual Outcomes ; 5(1): 55-64, 2021 Feb.
Article en En | MEDLINE | ID: mdl-33718784
OBJECTIVE: To assess the health care costs and utilization in patients with hereditary hemorrhagic telangiectasia (HHT) in the United States. PATIENTS AND METHODS: Retrospective analysis of patients with HHT diagnosed between 2007 and 2017 was performed using deidentified administrative claims data from the OptumLabs Data Warehouse. Adult patients with new (incident) diagnosis of HHT between January 1, 2007, and December 31, 2017, were included. Comparisons were made using the Wilcoxon rank sum test. RESULTS: Three thousand nine hundred seventy-seven patients with a first diagnosis of HHT between 2007 and 2017 were identified, of which 3590 were matched 1:1 to non-HHT patients with similar baseline characteristics and comorbidities. These 3590 patients with HHT were 63.1% female and 83.9% white with a mean age of 51.1 ± 18.5 years, and a mean follow-up period of 3.2 ± 2.2 years (range, 1.0-11.7 years). Compared with the control group, the cumulative 5-year median total health care cost for patients with HHT was 41.4% higher ($21,118 vs $14,929; P < .001) in those with private commercial insurance and 31.7% higher ($35,462 vs $26,925; P < .001) in those with Medicare Advantage coverage. The median annual health care costs were significantly higher in patients with HHT with commercial insurance and Medicare Advantage in the first year after diagnosis ($4,333 vs $1,804; P < .001), and ($7,322 vs $5,245; P < .001), respectively, and remained higher throughout the duration of follow-up. Further analysis showed that outpatient clinic visits, hospital admission, imaging rates, invasive procedures, iron infusions, and blood transfusions were all significantly higher in the HHT group. CONCLUSION: Patients with HHT have significantly higher health care costs compared with a matched control group. A better understanding of the reasons underlying these cost differences will provide opportunities for patients, providers, and other stakeholders to better manage this rare condition.
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Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Tipo de estudio: Health_economic_evaluation / Prognostic_studies / Risk_factors_studies Idioma: En Revista: Mayo Clin Proc Innov Qual Outcomes Año: 2021 Tipo del documento: Article

Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Tipo de estudio: Health_economic_evaluation / Prognostic_studies / Risk_factors_studies Idioma: En Revista: Mayo Clin Proc Innov Qual Outcomes Año: 2021 Tipo del documento: Article