An exploratory analysis of healthcare costs and utilization of pediatric patients with Crohn's disease.
Dig Dis Sci
; 54(12): 2650-4, 2009 Dec.
Article
en En
| MEDLINE
| ID: mdl-19130225
ABSTRACT
OBJECTIVE:
To evaluate the healthcare costs and resource utilization associated with pediatric Crohn's disease (PCD) from a payer perspective.METHODS:
A retrospective analysis was conducted using claims from 1 January 2003 through 31 December 2006 from the HealthCare Partners database. Patients were younger than 18 years of age, had a new diagnosis of PCD, and continuous health plan eligibility 6 months before and 12 months after the disease index date (the date of the first claim with a PCD diagnosis). For comparison, a non-PCD cohort was matched on age, sex, and birthday (within 30 days).RESULTS:
Data from 30 patients with PCD and 10,864 non-PCD controls were included. The total cost per member per month (PMPM) for the PCD cohort was $2,547 compared with $101 for the non-PCD cohort. Inpatient admissions accounted for the largest portion (54%) of the total cost PMPM for PCD patients. There were 500 admissions per thousand members per year (PTMPY) for the PCD cohort and 11 admissions PTMPY for the non-PCD cohort. The average lengths of stay were 7.6 and 4.4 days for the PCD cohort and the non-PCD cohort, respectively, and the inpatient costs PMPM were $1,409 and $18, respectively. Costs and resource utilization were also higher for PCD patients treated with systemic therapies.CONCLUSION:
PCD was associated with higher costs and resource utilization, compared with non-PCD controls, primarily driven by inpatient stays. Treating PCD appropriately before the disease progresses to a level requiring hospitalization may help reduce the costs associated with this disease.
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Evaluación de Procesos y Resultados en Atención de Salud
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Costos de la Atención en Salud
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Atención a la Salud
Tipo de estudio:
Diagnostic_studies
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Health_economic_evaluation
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Observational_studies
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Prognostic_studies
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Risk_factors_studies
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Sysrev_observational_studies
Límite:
Adolescent
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Female
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Humans
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Male
País/Región como asunto:
America do norte
Idioma:
En
Revista:
Dig Dis Sci
Año:
2009
Tipo del documento:
Article
País de afiliación:
Estados Unidos