美国商业保险患者中与嗜酸性粒细胞食管炎相关的医疗资源利用率和成本。

IF 8 1区医学 Q1 GASTROENTEROLOGY & HEPATOLOGY

American Journal of Gastroenterology Pub Date : 2024-11-01 Epub Date: 2024-06-24 DOI:10.14309/ajg.0000000000002901

Qian Xia, Tom Tencer, Greeta Jobson, Ellen Qian, Evan S Dellon, Mousumi Biswas

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引用次数: 0

摘要

简介：目的：评估美国与嗜酸性粒细胞食管炎（EoE）相关的医疗资源利用率（HCRU）和成本：评估美国与嗜酸性粒细胞食管炎（EoE）相关的实际医疗资源利用率（HCRU）和成本：对 Optum Clinformatics 索偿数据（2008 年 1 月至 2020 年 9 月）进行回顾性病例对照队列分析，比较未调整和调整后的 HCRU（每千名患者每月就诊次数）和全因成本（每名患者每月）：结果：与匹配的对照组相比，肠易激综合征患者的每月 HCRU（调整后的 Δ [95% 置信区间]：住院就诊次数，2.8 [0.1-4.0]；急诊就诊次数，14.7 [4.3-32.1]；门诊就诊次数，388.8 [362.1-418.0]）和费用（581 美元 [421-600 美元]）明显更高（所有 P <0.001）：讨论：肠易激综合征造成了巨大的经济负担。需要更有效、更有针对性的治疗方法来改善患者的预后。

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Healthcare Resource Utilization and Costs Associated With Eosinophilic Esophagitis Among Commercially Insured Patients in the United States.

Introduction: To evaluate real-world healthcare resource utilization (HCRU) and costs associated with eosinophilic esophagitis (EoE) in the United States.

Methods: Retrospective case-control cohort analysis of Optum Clinformatics claims data (January 2008-September 2020) comparing unadjusted and adjusted HCRU (visits per 1,000 patients per month) and all-cause costs (per patient per month).

Results: Patients with EoE incurred significantly higher monthly HCRU (adjusted Δ [95% confidence interval]: inpatient visits, 2.8 [0.1-4.0]; emergency department visits, 14.7 [4.3-32.1]; outpatient visits, 388.8 [362.1-418.0]); and costs ($581 [$421-$600]) vs matched controls (all P < 0.001).

Discussion: EoE imposes substantial economic burden. More effective and targeted treatments that improve outcomes for patients are needed.

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来源期刊

American Journal of Gastroenterology 医学-胃肠肝病学

CiteScore

11.40

自引率

5.10%

发文量

458

审稿时长

12 months

期刊介绍： Published on behalf of the American College of Gastroenterology (ACG), The American Journal of Gastroenterology (AJG) stands as the foremost clinical journal in the fields of gastroenterology and hepatology. AJG offers practical and professional support to clinicians addressing the most prevalent gastroenterological disorders in patients.