Health care costs associated with Australian tertiary inflammatory bowel disease care
Journal article
Jackson, Belinda, Con, Danny, Ma, Ronald, Gorelik, Alexandra, Liew, Danny and De Cruz, Peter. (2017). Health care costs associated with Australian tertiary inflammatory bowel disease care. Scandinavian Journal of Gastroenterology. 52(8), pp. 851 - 856. https://doi.org/10.1080/00365521.2017.1323117
Authors | Jackson, Belinda, Con, Danny, Ma, Ronald, Gorelik, Alexandra, Liew, Danny and De Cruz, Peter |
---|---|
Abstract | Introduction: We aimed to describe the total costs of illness for IBD patients and compare the costs of patients with active disease to those with inactive disease. Materials and methods: Resource use for IBD management was itemized for attributable costs (AUD) among all IBD patients over a 12-month period at an Australian hospital. Results: One hundred and eighty-three patients were included (87 ulcerative colitis (UC); 93 Crohn’s disease (CD); three IBD-unclassified). The median (IQR) annual overall cost was higher in the CD versus UC group ($15,648 versus $5017; p < .001). The difference in cost between CD and UC was influenced by the difference in outpatient costs for CD patients $9602 ($4311–$29,805) versus $4867 ($3220–$7249), p < .001). The cost of treating patients with active disease was $3461 ($1607–$11,771) and was higher in the CD versus the UC group ($6098 ($2168–$16,471) versus $1638 ($1401–$3767); p = .026) and was influenced by inpatient admissions. The cost of treating patients in remission was $2090 ($1552–$12,954) and was higher in the CD versus the UC group [$7977 ($1579–$14,304) versus $1848 ($1508–$6601); p = .236]. Conclusions: There is a discrepancy in costs of inpatient versus outpatient IBD management and treating active disease compared with disease in remission. Proactive care may help prevent disease reaching a severity whereby reactive management of active disease is required. |
Keywords | health care costs; health economics; inflammatory bowel disease |
Year | 2017 |
Journal | Scandinavian Journal of Gastroenterology |
Journal citation | 52 (8), pp. 851 - 856 |
Publisher | Taylor & Francis |
ISSN | 0036-5521 |
Digital Object Identifier (DOI) | https://doi.org/10.1080/00365521.2017.1323117 |
Scopus EID | 2-s2.0-85019233274 |
Page range | 851 - 856 |
Publisher's version | File Access Level Controlled |
Place of publication | United Kingdom |
https://acuresearchbank.acu.edu.au/item/886x7/health-care-costs-associated-with-australian-tertiary-inflammatory-bowel-disease-care
Restricted files
Publisher's version
220
total views0
total downloads0
views this month0
downloads this month