Economic burden of venous thromboembolism in surgical patients: A propensity score analysis from the national claims database in Vietnam
Venous thromboembolism (VTE) associated with surgery can cause serious comorbidities or death and imposes a substantial economic burden to society. The study examined VTE cases after surgery to determined how this condition imposed an economic burden on patients based on the national health insuranc...
Gespeichert in:
| Veröffentlicht in: | PloS one 2020-04, Vol.15 (4), p.e0231411-e0231411 |
|---|---|
| Hauptverfasser: | , , , , , , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | e0231411 |
|---|---|
| container_issue | 4 |
| container_start_page | e0231411 |
| container_title | PloS one |
| container_volume | 15 |
| creator | Bui, My Hanh Le, Quang Cuong Duong, Duc Hung Nguyen, Truong Son Tran, Binh Giang Duong, Tuan Duc Tran, Tien Hung Nguyen, Huu Chinh Kieu, Thi Tuyet Mai Nguyen, Hong Ha Hoang, Long Nguyen, Thanh Binh Pham, Thanh Viet Hoang, Thi Hong Xuyen |
| description | Venous thromboembolism (VTE) associated with surgery can cause serious comorbidities or death and imposes a substantial economic burden to society. The study examined VTE cases after surgery to determined how this condition imposed an economic burden on patients based on the national health insurance reimbursement database. Methods: This retrospective analysis adopted the public payer's perspective. The direct medical cost was estimated using data from the national claims database of Vietnam from Jan 1, 2017 to Sep 31, 2018. Adult patients who underwent surgeries were recruited for the study. Patients with a diagnostic code of up to 90 days after surgery were considered VTE cases with the outcome measure being the surgery-related costs within 90 days.
The 90-day cost of VTE patients was found to be US$2,939. The rate of readmission increased by 5.4 times, the rate of outpatient visits increased by 1.8 times and total costs over 90 days in patients with VTE undergoing surgery increased by 2.2 times. Estimation using propensity score matching method showed that an increase of US$1,019 in the 90-day cost of VTE patients.
The VTE-related costs can be used to assess the potential economic benefit and cost-savings from prevention efforts. |
| doi_str_mv | 10.1371/journal.pone.0231411 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_plos_</sourceid><recordid>TN_cdi_plos_journals_2387998612</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A619970164</galeid><doaj_id>oai_doaj_org_article_191f9951875c4753804eb5c5480cf64c</doaj_id><sourcerecordid>A619970164</sourcerecordid><originalsourceid>FETCH-LOGICAL-c692t-ccd725aad22829f3ef37bdea804ad3533df4bdfdcb62aef9d1d006bb4580147e3</originalsourceid><addsrcrecordid>eNqNk11rFDEUhgdRbK3-A9GAIHqxa77mywthKVUXCgU_ehsyyclulplkmswU9x_4s82627IjvZAhTDh5zpvkzTlZ9pLgOWEl-bDxY3CynffewRxTRjghj7JTUjM6Kyhmj4_mJ9mzGDcY56wqiqfZCaO0JBUjp9nvC-Wd76xCzRg0OOQNugXnx4iGdfBd4yGN1sYOWYfiGFZWyRb1crDghvgRLVAffA8u2mGLovIBkEzH2kYbkUkCSQaQS7hPUaRaabuItBxkIyPsNK8tDE52z7MnRrYRXhz-Z9nPzxc_zr_OLq--LM8XlzNV1HSYKaVLmkupKa1obRgYVjYaZIW51CxnTBveaKNVU1AJptZEY1w0Dc8rTHgJ7Cx7vdftWx_FwcQoKKvKuq4KQhOx3BPay43og-1k2Aovrfgb8GElZBisakGQmpi6zklV5oqXyV3MoclVziusTMFV0vp02G1sOtAqeRZkOxGdrji7Fit_K0rCc0xYEnh3EAj-ZoQ4iM5GBW0rHaRH2p27qgjlvE7om3_Qh293oFYyXcA649O-aicqFgWp6xKTgidq_gCVPg2pVlLFGZvik4T3k4TEDPBrWMkxRrH8_u3_2avrKfv2iF2DbId19O24q6c4BfkeVMHHGMDcm0yw2DXMnRti1zDi0DAp7dXxA90n3XUI-wOilhMW</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2387998612</pqid></control><display><type>article</type><title>Economic burden of venous thromboembolism in surgical patients: A propensity score analysis from the national claims database in Vietnam</title><source>DOAJ Directory of Open Access Journals</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><source>Free Full-Text Journals in Chemistry</source><source>Public Library of Science (PLoS)</source><creator>Bui, My Hanh ; Le, Quang Cuong ; Duong, Duc Hung ; Nguyen, Truong Son ; Tran, Binh Giang ; Duong, Tuan Duc ; Tran, Tien Hung ; Nguyen, Huu Chinh ; Kieu, Thi Tuyet Mai ; Nguyen, Hong Ha ; Hoang, Long ; Nguyen, Thanh Binh ; Pham, Thanh Viet ; Hoang, Thi Hong Xuyen</creator><contributor>Serra, Raffaele</contributor><creatorcontrib>Bui, My Hanh ; Le, Quang Cuong ; Duong, Duc Hung ; Nguyen, Truong Son ; Tran, Binh Giang ; Duong, Tuan Duc ; Tran, Tien Hung ; Nguyen, Huu Chinh ; Kieu, Thi Tuyet Mai ; Nguyen, Hong Ha ; Hoang, Long ; Nguyen, Thanh Binh ; Pham, Thanh Viet ; Hoang, Thi Hong Xuyen ; Serra, Raffaele</creatorcontrib><description>Venous thromboembolism (VTE) associated with surgery can cause serious comorbidities or death and imposes a substantial economic burden to society. The study examined VTE cases after surgery to determined how this condition imposed an economic burden on patients based on the national health insurance reimbursement database. Methods: This retrospective analysis adopted the public payer's perspective. The direct medical cost was estimated using data from the national claims database of Vietnam from Jan 1, 2017 to Sep 31, 2018. Adult patients who underwent surgeries were recruited for the study. Patients with a diagnostic code of up to 90 days after surgery were considered VTE cases with the outcome measure being the surgery-related costs within 90 days.
The 90-day cost of VTE patients was found to be US$2,939. The rate of readmission increased by 5.4 times, the rate of outpatient visits increased by 1.8 times and total costs over 90 days in patients with VTE undergoing surgery increased by 2.2 times. Estimation using propensity score matching method showed that an increase of US$1,019 in the 90-day cost of VTE patients.
The VTE-related costs can be used to assess the potential economic benefit and cost-savings from prevention efforts.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0231411</identifier><identifier>PMID: 32271831</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Analysis ; Anticoagulants ; Bone surgery ; Comorbidity ; Consent ; Costs ; Data bases ; Death ; Diagnostic systems ; Economic analysis ; Economic aspects ; Economics ; Embolisms ; Health insurance ; Hospital patients ; Hospitals ; Insurance ; International cooperation ; Medical economics ; Medical research ; Medicine and Health Sciences ; Methods ; National health insurance ; Patients ; People and Places ; Social Sciences ; Studies ; Surgery ; Thromboembolism</subject><ispartof>PloS one, 2020-04, Vol.15 (4), p.e0231411-e0231411</ispartof><rights>COPYRIGHT 2020 Public Library of Science</rights><rights>2020 Bui et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2020 Bui et al 2020 Bui et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-ccd725aad22829f3ef37bdea804ad3533df4bdfdcb62aef9d1d006bb4580147e3</citedby><cites>FETCH-LOGICAL-c692t-ccd725aad22829f3ef37bdea804ad3533df4bdfdcb62aef9d1d006bb4580147e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7145013/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7145013/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,2915,23847,27903,27904,53769,53771,79346,79347</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32271831$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Serra, Raffaele</contributor><creatorcontrib>Bui, My Hanh</creatorcontrib><creatorcontrib>Le, Quang Cuong</creatorcontrib><creatorcontrib>Duong, Duc Hung</creatorcontrib><creatorcontrib>Nguyen, Truong Son</creatorcontrib><creatorcontrib>Tran, Binh Giang</creatorcontrib><creatorcontrib>Duong, Tuan Duc</creatorcontrib><creatorcontrib>Tran, Tien Hung</creatorcontrib><creatorcontrib>Nguyen, Huu Chinh</creatorcontrib><creatorcontrib>Kieu, Thi Tuyet Mai</creatorcontrib><creatorcontrib>Nguyen, Hong Ha</creatorcontrib><creatorcontrib>Hoang, Long</creatorcontrib><creatorcontrib>Nguyen, Thanh Binh</creatorcontrib><creatorcontrib>Pham, Thanh Viet</creatorcontrib><creatorcontrib>Hoang, Thi Hong Xuyen</creatorcontrib><title>Economic burden of venous thromboembolism in surgical patients: A propensity score analysis from the national claims database in Vietnam</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Venous thromboembolism (VTE) associated with surgery can cause serious comorbidities or death and imposes a substantial economic burden to society. The study examined VTE cases after surgery to determined how this condition imposed an economic burden on patients based on the national health insurance reimbursement database. Methods: This retrospective analysis adopted the public payer's perspective. The direct medical cost was estimated using data from the national claims database of Vietnam from Jan 1, 2017 to Sep 31, 2018. Adult patients who underwent surgeries were recruited for the study. Patients with a diagnostic code of up to 90 days after surgery were considered VTE cases with the outcome measure being the surgery-related costs within 90 days.
The 90-day cost of VTE patients was found to be US$2,939. The rate of readmission increased by 5.4 times, the rate of outpatient visits increased by 1.8 times and total costs over 90 days in patients with VTE undergoing surgery increased by 2.2 times. Estimation using propensity score matching method showed that an increase of US$1,019 in the 90-day cost of VTE patients.
The VTE-related costs can be used to assess the potential economic benefit and cost-savings from prevention efforts.</description><subject>Analysis</subject><subject>Anticoagulants</subject><subject>Bone surgery</subject><subject>Comorbidity</subject><subject>Consent</subject><subject>Costs</subject><subject>Data bases</subject><subject>Death</subject><subject>Diagnostic systems</subject><subject>Economic analysis</subject><subject>Economic aspects</subject><subject>Economics</subject><subject>Embolisms</subject><subject>Health insurance</subject><subject>Hospital patients</subject><subject>Hospitals</subject><subject>Insurance</subject><subject>International cooperation</subject><subject>Medical economics</subject><subject>Medical research</subject><subject>Medicine and Health Sciences</subject><subject>Methods</subject><subject>National health insurance</subject><subject>Patients</subject><subject>People and Places</subject><subject>Social Sciences</subject><subject>Studies</subject><subject>Surgery</subject><subject>Thromboembolism</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><sourceid>DOA</sourceid><recordid>eNqNk11rFDEUhgdRbK3-A9GAIHqxa77mywthKVUXCgU_ehsyyclulplkmswU9x_4s82627IjvZAhTDh5zpvkzTlZ9pLgOWEl-bDxY3CynffewRxTRjghj7JTUjM6Kyhmj4_mJ9mzGDcY56wqiqfZCaO0JBUjp9nvC-Wd76xCzRg0OOQNugXnx4iGdfBd4yGN1sYOWYfiGFZWyRb1crDghvgRLVAffA8u2mGLovIBkEzH2kYbkUkCSQaQS7hPUaRaabuItBxkIyPsNK8tDE52z7MnRrYRXhz-Z9nPzxc_zr_OLq--LM8XlzNV1HSYKaVLmkupKa1obRgYVjYaZIW51CxnTBveaKNVU1AJptZEY1w0Dc8rTHgJ7Cx7vdftWx_FwcQoKKvKuq4KQhOx3BPay43og-1k2Aovrfgb8GElZBisakGQmpi6zklV5oqXyV3MoclVziusTMFV0vp02G1sOtAqeRZkOxGdrji7Fit_K0rCc0xYEnh3EAj-ZoQ4iM5GBW0rHaRH2p27qgjlvE7om3_Qh293oFYyXcA649O-aicqFgWp6xKTgidq_gCVPg2pVlLFGZvik4T3k4TEDPBrWMkxRrH8_u3_2avrKfv2iF2DbId19O24q6c4BfkeVMHHGMDcm0yw2DXMnRti1zDi0DAp7dXxA90n3XUI-wOilhMW</recordid><startdate>20200409</startdate><enddate>20200409</enddate><creator>Bui, My Hanh</creator><creator>Le, Quang Cuong</creator><creator>Duong, Duc Hung</creator><creator>Nguyen, Truong Son</creator><creator>Tran, Binh Giang</creator><creator>Duong, Tuan Duc</creator><creator>Tran, Tien Hung</creator><creator>Nguyen, Huu Chinh</creator><creator>Kieu, Thi Tuyet Mai</creator><creator>Nguyen, Hong Ha</creator><creator>Hoang, Long</creator><creator>Nguyen, Thanh Binh</creator><creator>Pham, Thanh Viet</creator><creator>Hoang, Thi Hong Xuyen</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20200409</creationdate><title>Economic burden of venous thromboembolism in surgical patients: A propensity score analysis from the national claims database in Vietnam</title><author>Bui, My Hanh ; Le, Quang Cuong ; Duong, Duc Hung ; Nguyen, Truong Son ; Tran, Binh Giang ; Duong, Tuan Duc ; Tran, Tien Hung ; Nguyen, Huu Chinh ; Kieu, Thi Tuyet Mai ; Nguyen, Hong Ha ; Hoang, Long ; Nguyen, Thanh Binh ; Pham, Thanh Viet ; Hoang, Thi Hong Xuyen</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c692t-ccd725aad22829f3ef37bdea804ad3533df4bdfdcb62aef9d1d006bb4580147e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Analysis</topic><topic>Anticoagulants</topic><topic>Bone surgery</topic><topic>Comorbidity</topic><topic>Consent</topic><topic>Costs</topic><topic>Data bases</topic><topic>Death</topic><topic>Diagnostic systems</topic><topic>Economic analysis</topic><topic>Economic aspects</topic><topic>Economics</topic><topic>Embolisms</topic><topic>Health insurance</topic><topic>Hospital patients</topic><topic>Hospitals</topic><topic>Insurance</topic><topic>International cooperation</topic><topic>Medical economics</topic><topic>Medical research</topic><topic>Medicine and Health Sciences</topic><topic>Methods</topic><topic>National health insurance</topic><topic>Patients</topic><topic>People and Places</topic><topic>Social Sciences</topic><topic>Studies</topic><topic>Surgery</topic><topic>Thromboembolism</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bui, My Hanh</creatorcontrib><creatorcontrib>Le, Quang Cuong</creatorcontrib><creatorcontrib>Duong, Duc Hung</creatorcontrib><creatorcontrib>Nguyen, Truong Son</creatorcontrib><creatorcontrib>Tran, Binh Giang</creatorcontrib><creatorcontrib>Duong, Tuan Duc</creatorcontrib><creatorcontrib>Tran, Tien Hung</creatorcontrib><creatorcontrib>Nguyen, Huu Chinh</creatorcontrib><creatorcontrib>Kieu, Thi Tuyet Mai</creatorcontrib><creatorcontrib>Nguyen, Hong Ha</creatorcontrib><creatorcontrib>Hoang, Long</creatorcontrib><creatorcontrib>Nguyen, Thanh Binh</creatorcontrib><creatorcontrib>Pham, Thanh Viet</creatorcontrib><creatorcontrib>Hoang, Thi Hong Xuyen</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: Opposing Viewpoints</collection><collection>Gale In Context: Science</collection><collection>ProQuest Central (Corporate)</collection><collection>Animal Behavior Abstracts</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Ecology Abstracts</collection><collection>Entomology Abstracts (Full archive)</collection><collection>Immunology Abstracts</collection><collection>Meteorological & Geoastrophysical Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Agricultural Science Collection</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Materials Science & Engineering Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Materials Science Collection</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Materials Science Database</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Meteorological & Geoastrophysical Abstracts - Academic</collection><collection>ProQuest Engineering Collection</collection><collection>ProQuest Biological Science Collection</collection><collection>Agricultural Science Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Engineering Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Environmental Science Database</collection><collection>Materials Science Collection</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>Engineering Collection</collection><collection>Environmental Science Collection</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bui, My Hanh</au><au>Le, Quang Cuong</au><au>Duong, Duc Hung</au><au>Nguyen, Truong Son</au><au>Tran, Binh Giang</au><au>Duong, Tuan Duc</au><au>Tran, Tien Hung</au><au>Nguyen, Huu Chinh</au><au>Kieu, Thi Tuyet Mai</au><au>Nguyen, Hong Ha</au><au>Hoang, Long</au><au>Nguyen, Thanh Binh</au><au>Pham, Thanh Viet</au><au>Hoang, Thi Hong Xuyen</au><au>Serra, Raffaele</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Economic burden of venous thromboembolism in surgical patients: A propensity score analysis from the national claims database in Vietnam</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2020-04-09</date><risdate>2020</risdate><volume>15</volume><issue>4</issue><spage>e0231411</spage><epage>e0231411</epage><pages>e0231411-e0231411</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Venous thromboembolism (VTE) associated with surgery can cause serious comorbidities or death and imposes a substantial economic burden to society. The study examined VTE cases after surgery to determined how this condition imposed an economic burden on patients based on the national health insurance reimbursement database. Methods: This retrospective analysis adopted the public payer's perspective. The direct medical cost was estimated using data from the national claims database of Vietnam from Jan 1, 2017 to Sep 31, 2018. Adult patients who underwent surgeries were recruited for the study. Patients with a diagnostic code of up to 90 days after surgery were considered VTE cases with the outcome measure being the surgery-related costs within 90 days.
The 90-day cost of VTE patients was found to be US$2,939. The rate of readmission increased by 5.4 times, the rate of outpatient visits increased by 1.8 times and total costs over 90 days in patients with VTE undergoing surgery increased by 2.2 times. Estimation using propensity score matching method showed that an increase of US$1,019 in the 90-day cost of VTE patients.
The VTE-related costs can be used to assess the potential economic benefit and cost-savings from prevention efforts.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>32271831</pmid><doi>10.1371/journal.pone.0231411</doi><tpages>e0231411</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2020-04, Vol.15 (4), p.e0231411-e0231411 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_2387998612 |
| source | DOAJ Directory of Open Access Journals; EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry; Public Library of Science (PLoS) |
| subjects | Analysis Anticoagulants Bone surgery Comorbidity Consent Costs Data bases Death Diagnostic systems Economic analysis Economic aspects Economics Embolisms Health insurance Hospital patients Hospitals Insurance International cooperation Medical economics Medical research Medicine and Health Sciences Methods National health insurance Patients People and Places Social Sciences Studies Surgery Thromboembolism |
| title | Economic burden of venous thromboembolism in surgical patients: A propensity score analysis from the national claims database in Vietnam |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-27T14%3A23%3A24IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Economic%20burden%20of%20venous%20thromboembolism%20in%20surgical%20patients:%20A%20propensity%20score%20analysis%20from%20the%20national%20claims%20database%20in%20Vietnam&rft.jtitle=PloS%20one&rft.au=Bui,%20My%20Hanh&rft.date=2020-04-09&rft.volume=15&rft.issue=4&rft.spage=e0231411&rft.epage=e0231411&rft.pages=e0231411-e0231411&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0231411&rft_dat=%3Cgale_plos_%3EA619970164%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2387998612&rft_id=info:pmid/32271831&rft_galeid=A619970164&rft_doaj_id=oai_doaj_org_article_191f9951875c4753804eb5c5480cf64c&rfr_iscdi=true |