Epidemiology of Chronic Suppurative Otitis Media in the United States.

IF 1.3 4区医学 Q3 OTORHINOLARYNGOLOGY

Annals of Otology Rhinology and Laryngology Pub Date : 2024-08-01 Epub Date: 2024-06-01 DOI:10.1177/00034894241257103

Ankur Gupta, Anthony Thai, Peter Luke Santa Maria

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引用次数: 0

Abstract

Objective: This study aimed to evaluate the prevalence, incidence, and associated demographic factors of chronic suppurative otitis media (CSOM), utilizing a nationwide healthcare claims database.

Methods: This retrospective study utilized outpatient administrative claims data from the IBM MarketScan Research Database from 2007 to 2021. The database (11 246 909 584 claims with 148 147 615 unique patients) includes health data from the private-sector, Medicare/Medicaid, managed care providers, and EMR providers. Included patients had a diagnosis of CSOM based on ICD-9-CM and ICD-10-CM codes. Prevalence and health utilization were estimated by age, gender, and geographic region.

Results: In the United States, the estimated CSOM prevalence and incidence was 0.46% and 0.03%, respectively. Among CSOM patients (n = 679 906), mean age (SD) was 8.1 (15.4) years, and 52.8% were male. Most patients (81.1%) were aged 0 to 10 years. CSOM prevalence was lower in females (OR = 0.64, 95% CI 0.64-0.65, P < .001), less common in older age (OR = 0.94, 95% CI 0.94-0.94, P < .001), and highest in the South region (OR = 2.08, 95% CI 2.06-2.09, P < .001).

Conclusion: Our results show CSOM prevalence (0.46%) is similar to other developed countries. CSOM prevalence was highest in those aged 0 to 10 years, in males and in the South region. Of note, prevalence and cost are likely significantly underestimated given limitations in accurate ICD-CM coding and the exclusion of uninsured patients. Further epidemiological studies are warranted to characterize the impact of CSOM on the US healthcare system.

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美国慢性化脓性中耳炎流行病学。

研究目的本研究旨在利用全国范围内的医疗索赔数据库，评估慢性化脓性中耳炎（CSOM）的患病率、发病率和相关人口学因素：这项回顾性研究利用了 IBM MarketScan Research 数据库中 2007 年至 2021 年的门诊病人管理索赔数据。该数据库（11 246 909 584 份索赔，148 147 615 名患者）包括来自私营部门、医疗保险/医疗补助、管理式医疗服务提供商和 EMR 提供商的健康数据。纳入的患者根据 ICD-9-CM 和 ICD-10-CM 编码诊断为 CSOM。根据年龄、性别和地理区域对患病率和医疗利用率进行了估算：在美国，CSOM 的流行率和发病率估计分别为 0.46% 和 0.03%。在 CSOM 患者（n = 679 906）中，平均年龄（标清）为 8.1 (15.4)岁，52.8% 为男性。大多数患者（81.1%）的年龄在0至10岁之间。女性 CSOM 患病率较低（OR = 0.64，95% CI 0.64-0.65，P P P P 结论：我们的研究结果表明，CSOM发病率（0.46%）与其他发达国家相似。0-10岁儿童、男性和南部地区的CSOM发病率最高。值得注意的是，由于 ICD-CM 精确编码的局限性以及排除了未参保患者，患病率和费用很可能被大大低估。有必要进一步开展流行病学研究，以确定 CSOM 对美国医疗保健系统的影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Annals of Otology Rhinology and Laryngology 医学-耳鼻喉科学

CiteScore

3.10

自引率

7.10%

发文量

171

审稿时长

4-8 weeks

期刊介绍： The Annals of Otology, Rhinology & Laryngology publishes original manuscripts of clinical and research importance in otolaryngology–head and neck medicine and surgery, otology, neurotology, bronchoesophagology, laryngology, rhinology, head and neck oncology and surgery, plastic and reconstructive surgery, pediatric otolaryngology, audiology, and speech pathology. In-depth studies (supplements), papers of historical interest, and reviews of computer software and applications in otolaryngology are also published, as well as imaging, pathology, and clinicopathology studies, book reviews, and letters to the editor. AOR is the official journal of the American Broncho-Esophagological Association.