Document Detail


Inflammatory bowel disease: medical cost algorithms.
MedLine Citation:
PMID:  1607608     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In this study we describe medical cost estimates for the two major types of inflammatory bowel disease, Crohn's disease and ulcerative colitis, using a literature-based medical decision algorithm costing methodology. Surgery and inpatient costs were estimated to account for roughly half of inflammatory bowel disease medical costs. Outpatient medical care represented only 3.0-7.1% of average cost of medical care for inflammatory bowel disease; initial diagnostic workups were only 1.5-7.8% of medical costs. Long-term complications were estimated to average $439 for ulcerative colitis, nearly twice the average for Crohn's disease. Medications averaged about 10% of total costs. The average annual medical cost per patient with Crohn's disease was estimated at $6,561 (1990 U.S. dollars). The total annual medical costs for U.S. Crohn's disease patients in 1990 was estimated at $1.0-1.2 billion. The average annual medical cost per patient with ulcerative colitis was estimated at $1,488. The total annual medical costs for U.S. patients with ulcerative colitis in 1990 was estimated at $0.4-0.6 billion.
Authors:
A R Hay; J W Hay
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of clinical gastroenterology     Volume:  14     ISSN:  0192-0790     ISO Abbreviation:  J. Clin. Gastroenterol.     Publication Date:  1992 Jun 
Date Detail:
Created Date:  1992-07-23     Completed Date:  1992-07-23     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7910017     Medline TA:  J Clin Gastroenterol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  318-27     Citation Subset:  IM    
Affiliation:
Department of Pharmaceutical Economics and Policy, University of Southern California, Los Angeles 90033.
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MeSH Terms
Descriptor/Qualifier:
Algorithms*
Colitis, Ulcerative / economics*,  epidemiology
Costs and Cost Analysis / methods
Crohn Disease / economics*,  epidemiology
Drug Therapy / economics
Health Care Costs / statistics & numerical data*
Humans
Models, Econometric*
Prevalence
Surgical Procedures, Operative / economics
United States / epidemiology

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


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