Document Detail


Direct medical costs of acute pancreatitis hospitalizations in the United States.
MedLine Citation:
PMID:  18090234     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: To determine the direct medical costs of hospitalizations for acute pancreatitis in the United States and analyze the demographic characteristics of hospitalized patients. METHODS: We searched the 2003 Healthcare Cost and Utilization Project-National Inpatient Sample for hospitalizations with a primary discharge diagnosis of acute pancreatitis. These were analyzed with respect to patient demographics, hospitalization rates, and total hospital charges and costs. RESULTS: The estimated total cost for acute pancreatitis admissions was $2.2 billion (95% confidence interval [CI], 2.0 billion-2.3 billion) at a mean cost per hospitalization of $9870 (95% CI, 9300-10,400), and a mean cost per hospital day of $1670 (95% CI, 1620-1720). Costs per hospitalization were higher in urban hospitals, teaching hospitals, and for patients older than 65 years, based on a longer length of stay (LOS). The hospitalization rate was 0.52 per 1000 US population (95% CI, 0.48-0.56) for whites versus 0.76 per 1000 (95% CI, 0.65-0.87) for blacks. CONCLUSIONS: Acute pancreatitis hospitalizations cost more than $2 billion annually, and certain population groups (blacks and older patients) have disproportionately high hospitalization rates. This study highlights the need for prevention efforts, particularly targeting high-risk groups, and for further studies to identify cost effective treatment strategies for acute pancreatitis.
Authors:
Peter J Fagenholz; Carlos Fernández-del Castillo; N Stuart Harris; Andrea J Pelletier; Carlos A Camargo
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Publication Detail:
Type:  Comparative Study; Journal Article; Multicenter Study    
Journal Detail:
Title:  Pancreas     Volume:  35     ISSN:  1536-4828     ISO Abbreviation:  Pancreas     Publication Date:  2007 Nov 
Date Detail:
Created Date:  2007-12-19     Completed Date:  2008-01-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8608542     Medline TA:  Pancreas     Country:  United States    
Other Details:
Languages:  eng     Pagination:  302-7     Citation Subset:  IM    
Affiliation:
Department of Surgery, Massachusetts General Hospital, Boston, MA 02114, USA.
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MeSH Terms
Descriptor/Qualifier:
Acute Disease
Adolescent
Adult
African Americans / statistics & numerical data
Age Factors
Aged
Child
Cross-Sectional Studies
European Continental Ancestry Group / statistics & numerical data
Female
Health Care Surveys
Hospital Costs / statistics & numerical data*
Hospitalization / economics*,  statistics & numerical data
Hospitals, Teaching / economics,  statistics & numerical data
Hospitals, Urban / economics,  statistics & numerical data
Humans
Length of Stay / economics,  statistics & numerical data
Male
Middle Aged
Pancreatitis / economics*,  epidemiology,  therapy
Residence Characteristics / statistics & numerical data
United States / epidemiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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