Health Care Resource Utilization by Patients with Alagille Syndrome.
J Pediatr
; 253: 144-151.e1, 2023 02.
Article
en En
| MEDLINE
| ID: mdl-36179890
ABSTRACT
OBJECTIVE:
To assess and characterize health care resource utilization (HRU) in children with the rare, genetic, multisystem disorder, Alagille syndrome. STUDYDESIGN:
This retrospective analysis reviewed commercially insured and Medicaid-insured claims from October 1, 2015 to December 31, 2019 to assess HRU in patients with Alagille syndrome. As there is no specific International Classification ofDiseases-10 code for Alagille syndrome, patients were identified using the following algorithm ≥1 claim with diagnosis code Q44.7 (other congenital malformations of the liver); <18 years of age, with no history of biliary atresia (International Classification ofDiseases-10 code Q44.2); and ≥6 months of insurance eligibility prior to diagnosis. HRU was summarized per patient per year over all available claims postdiagnosis.RESULTS:
A total of 171 commercially insured and 215 Medicaid-insured patients with Alagille syndrome were available for analysis. Annually, commercially insured and Medicaid-insured patients averaged 31 medical visits (range, 1.5-237) and 48 medical visits (range, 0.7-690), respectively. The most common visits were outpatient with the majority encompassing lab/imaging and primary care visits (commercially insured 21 [range, 0.0-183]; Medicaid-insured 26 [range, 0.0-609]). Inpatient visits were the highest driver of costs in both the commercial and Medicaid populations.CONCLUSIONS:
Patients with Alagille syndrome have a substantial HRU burden driven largely by numerous outpatient visits and costly inpatient stays. Given the complexity and variability of Alagille syndrome presentation, patients may benefit from multidisciplinary and subspecialized care.Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Costos de la Atención en Salud
/
Síndrome de Alagille
Tipo de estudio:
Prognostic_studies
Límite:
Child
/
Humans
País como asunto:
America do norte
Idioma:
En
Año:
2023
Tipo del documento:
Article