The Direct and Indirect Cost Burden of Crohn's Disease and Ulcerative Colitis
Objective: To estimate the direct medical and indirect (absenteeism and short-term disability) cost burden of Crohn's Disease (CD) and Ulcerative Colitis (UC). Methods: Data were obtained from 1999 to 2005 MarketScan databases. Twelve-month expenditures for patients with CD and UC were compared...
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| Veröffentlicht in: | Journal of occupational and environmental medicine 2008-11, Vol.50 (11), p.1261-1272 |
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| container_title | Journal of occupational and environmental medicine |
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| creator | Gibson, Teresa B. Ng, Eliza Ozminkowski, Ronald J. Wang, Shaohung Burton, Wayne N. Goetzel, Ron Z. Maclean, Ross |
| description | Objective: To estimate the direct medical and indirect (absenteeism and short-term disability) cost burden of Crohn's Disease (CD) and Ulcerative Colitis (UC). Methods: Data were obtained from 1999 to 2005 MarketScan databases. Twelve-month expenditures for patients with CD and UC were compared to expenditures among an equal number of propensity score matched comparison group patients. Regression analysis controlled for demographics and case-mix. Results: Annual medical expenditures were significantly higher for commercially insured CD and UC patients compared to matched comparison group patients ($18,963 vs $5300 for CD patients, $15,020 vs $4982 for UC patients, respectively, all P < 0.001). Indirect costs were also high for employed patients with these conditions. Conclusions: CD and UC are costly diseases with a significant cost burden related to health care utilization and productivity loss. |
| doi_str_mv | 10.1097/JOM.0b013e318181b8ca |
| format | Article |
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Methods: Data were obtained from 1999 to 2005 MarketScan databases. Twelve-month expenditures for patients with CD and UC were compared to expenditures among an equal number of propensity score matched comparison group patients. Regression analysis controlled for demographics and case-mix. Results: Annual medical expenditures were significantly higher for commercially insured CD and UC patients compared to matched comparison group patients ($18,963 vs $5300 for CD patients, $15,020 vs $4982 for UC patients, respectively, all P < 0.001). Indirect costs were also high for employed patients with these conditions. Conclusions: CD and UC are costly diseases with a significant cost burden related to health care utilization and productivity loss.</description><identifier>ISSN: 1076-2752</identifier><identifier>EISSN: 1536-5948</identifier><identifier>DOI: 10.1097/JOM.0b013e318181b8ca</identifier><identifier>PMID: 19001952</identifier><identifier>CODEN: JOEMFM</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams & Wilkins</publisher><subject>Absenteeism ; Adolescent ; Adult ; Aged ; Biological and medical sciences ; Colitis, Ulcerative - economics ; Colitis, Ulcerative - surgery ; Comorbidity ; Cost estimates ; Cost of Illness ; Crohn Disease - economics ; Crohn Disease - surgery ; Crohn's disease ; Databases, Factual ; Digestive System Surgical Procedures - economics ; Disabled Persons ; Female ; Gastroenterology. Liver. Pancreas. Abdomen ; Health Care Costs - statistics & numerical data ; Health care expenditures ; Health Expenditures - statistics & numerical data ; Health Status ; Humans ; Inflammatory bowel disease ; Insurance, Health ; Male ; Medical sciences ; Middle Aged ; ORIGINAL ARTICLES ; Other diseases. Semiology ; Regression Analysis ; Retrospective Studies ; Sick Leave - economics ; Stomach. Duodenum. Small intestine. Colon. Rectum. Anus ; United States ; Young Adult</subject><ispartof>Journal of occupational and environmental medicine, 2008-11, Vol.50 (11), p.1261-1272</ispartof><rights>Copyright © 2008 American College of Occupational and Environmental Medicine</rights><rights>2008The American College of Occupational and Environmental Medicine</rights><rights>2009 INIST-CNRS</rights><rights>Copyright Lippincott Williams & Wilkins Nov 2008</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4297-45cbc6cc72c52c9d45b77bb7cb73e9bda6c0b271c7abe4609a5416601fadd52f3</citedby><cites>FETCH-LOGICAL-c4297-45cbc6cc72c52c9d45b77bb7cb73e9bda6c0b271c7abe4609a5416601fadd52f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/44997705$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/44997705$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>314,777,781,800,27905,27906,57998,58231</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=20846493$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19001952$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gibson, Teresa B.</creatorcontrib><creatorcontrib>Ng, Eliza</creatorcontrib><creatorcontrib>Ozminkowski, Ronald J.</creatorcontrib><creatorcontrib>Wang, Shaohung</creatorcontrib><creatorcontrib>Burton, Wayne N.</creatorcontrib><creatorcontrib>Goetzel, Ron Z.</creatorcontrib><creatorcontrib>Maclean, Ross</creatorcontrib><title>The Direct and Indirect Cost Burden of Crohn's Disease and Ulcerative Colitis</title><title>Journal of occupational and environmental medicine</title><addtitle>J Occup Environ Med</addtitle><description>Objective: To estimate the direct medical and indirect (absenteeism and short-term disability) cost burden of Crohn's Disease (CD) and Ulcerative Colitis (UC). Methods: Data were obtained from 1999 to 2005 MarketScan databases. Twelve-month expenditures for patients with CD and UC were compared to expenditures among an equal number of propensity score matched comparison group patients. Regression analysis controlled for demographics and case-mix. Results: Annual medical expenditures were significantly higher for commercially insured CD and UC patients compared to matched comparison group patients ($18,963 vs $5300 for CD patients, $15,020 vs $4982 for UC patients, respectively, all P < 0.001). Indirect costs were also high for employed patients with these conditions. Conclusions: CD and UC are costly diseases with a significant cost burden related to health care utilization and productivity loss.</description><subject>Absenteeism</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Colitis, Ulcerative - economics</subject><subject>Colitis, Ulcerative - surgery</subject><subject>Comorbidity</subject><subject>Cost estimates</subject><subject>Cost of Illness</subject><subject>Crohn Disease - economics</subject><subject>Crohn Disease - surgery</subject><subject>Crohn's disease</subject><subject>Databases, Factual</subject><subject>Digestive System Surgical Procedures - economics</subject><subject>Disabled Persons</subject><subject>Female</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Health Care Costs - statistics & numerical data</subject><subject>Health care expenditures</subject><subject>Health Expenditures - statistics & numerical data</subject><subject>Health Status</subject><subject>Humans</subject><subject>Inflammatory bowel disease</subject><subject>Insurance, Health</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>ORIGINAL ARTICLES</subject><subject>Other diseases. Semiology</subject><subject>Regression Analysis</subject><subject>Retrospective Studies</subject><subject>Sick Leave - economics</subject><subject>Stomach. Duodenum. Small intestine. Colon. Rectum. Anus</subject><subject>United States</subject><subject>Young Adult</subject><issn>1076-2752</issn><issn>1536-5948</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkN1u1DAQhS0Eou3CGwCKkApXKWPHP_ElLJS2atWb9tqynYk2izcudkLF22O6UStVI2tmpO8cjw4h7yicUNDqy8X11Qk4oA02tC3lWm9fkEMqGlkLzduXZQYla6YEOyBHOW8BqKAgXpMDqsusBTskVzcbrL4PCf1U2bGrzsduv6xjnqpvc-pwrGJfrVPcjJ9zQTPajA_sbfCY7DT8wUKHYRryG_KqtyHj26WvyO3pj5v1WX15_fN8_fWy9pxpVXPhnZfeK-YF87rjwinlnPJONahdZ6UHxxT1yjrkErQVnEoJtLddJ1jfrMinve9dir9nzJPZDdljCHbEOGcjtWq10E0BPz4Dt3FOY7nNMMoUcFaoFeF7yKeYc8Le3KVhZ9NfQ8H8z9qUrM3zrIvsw-I9ux12T6Il3AIcL4DN3oY-2dEP-ZFj0HLJH45c_r-PYcKUf4X5HpPZoA3TxgAAb5TkNQNoKS1rXR6oInu_l23zFNOjLedaKwWi-QcKWqA2</recordid><startdate>200811</startdate><enddate>200811</enddate><creator>Gibson, Teresa B.</creator><creator>Ng, Eliza</creator><creator>Ozminkowski, Ronald J.</creator><creator>Wang, Shaohung</creator><creator>Burton, Wayne N.</creator><creator>Goetzel, Ron Z.</creator><creator>Maclean, Ross</creator><general>Lippincott Williams & Wilkins</general><general>The American College of Occupational and Environmental Medicine</general><general>Lippincott Williams & Wilkins Ovid Technologies</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T2</scope><scope>7U7</scope><scope>7U9</scope><scope>C1K</scope><scope>H94</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>200811</creationdate><title>The Direct and Indirect Cost Burden of Crohn's Disease and Ulcerative Colitis</title><author>Gibson, Teresa B. ; Ng, Eliza ; Ozminkowski, Ronald J. ; Wang, Shaohung ; Burton, Wayne N. ; Goetzel, Ron Z. ; Maclean, Ross</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4297-45cbc6cc72c52c9d45b77bb7cb73e9bda6c0b271c7abe4609a5416601fadd52f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Absenteeism</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Colitis, Ulcerative - economics</topic><topic>Colitis, Ulcerative - surgery</topic><topic>Comorbidity</topic><topic>Cost estimates</topic><topic>Cost of Illness</topic><topic>Crohn Disease - economics</topic><topic>Crohn Disease - surgery</topic><topic>Crohn's disease</topic><topic>Databases, Factual</topic><topic>Digestive System Surgical Procedures - economics</topic><topic>Disabled Persons</topic><topic>Female</topic><topic>Gastroenterology. Liver. Pancreas. Abdomen</topic><topic>Health Care Costs - statistics & numerical data</topic><topic>Health care expenditures</topic><topic>Health Expenditures - statistics & numerical data</topic><topic>Health Status</topic><topic>Humans</topic><topic>Inflammatory bowel disease</topic><topic>Insurance, Health</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>ORIGINAL ARTICLES</topic><topic>Other diseases. Semiology</topic><topic>Regression Analysis</topic><topic>Retrospective Studies</topic><topic>Sick Leave - economics</topic><topic>Stomach. Duodenum. Small intestine. Colon. Rectum. Anus</topic><topic>United States</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gibson, Teresa B.</creatorcontrib><creatorcontrib>Ng, Eliza</creatorcontrib><creatorcontrib>Ozminkowski, Ronald J.</creatorcontrib><creatorcontrib>Wang, Shaohung</creatorcontrib><creatorcontrib>Burton, Wayne N.</creatorcontrib><creatorcontrib>Goetzel, Ron Z.</creatorcontrib><creatorcontrib>Maclean, Ross</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Toxicology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of occupational and environmental medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gibson, Teresa B.</au><au>Ng, Eliza</au><au>Ozminkowski, Ronald J.</au><au>Wang, Shaohung</au><au>Burton, Wayne N.</au><au>Goetzel, Ron Z.</au><au>Maclean, Ross</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Direct and Indirect Cost Burden of Crohn's Disease and Ulcerative Colitis</atitle><jtitle>Journal of occupational and environmental medicine</jtitle><addtitle>J Occup Environ Med</addtitle><date>2008-11</date><risdate>2008</risdate><volume>50</volume><issue>11</issue><spage>1261</spage><epage>1272</epage><pages>1261-1272</pages><issn>1076-2752</issn><eissn>1536-5948</eissn><coden>JOEMFM</coden><abstract>Objective: To estimate the direct medical and indirect (absenteeism and short-term disability) cost burden of Crohn's Disease (CD) and Ulcerative Colitis (UC). Methods: Data were obtained from 1999 to 2005 MarketScan databases. Twelve-month expenditures for patients with CD and UC were compared to expenditures among an equal number of propensity score matched comparison group patients. Regression analysis controlled for demographics and case-mix. Results: Annual medical expenditures were significantly higher for commercially insured CD and UC patients compared to matched comparison group patients ($18,963 vs $5300 for CD patients, $15,020 vs $4982 for UC patients, respectively, all P < 0.001). Indirect costs were also high for employed patients with these conditions. Conclusions: CD and UC are costly diseases with a significant cost burden related to health care utilization and productivity loss.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams & Wilkins</pub><pmid>19001952</pmid><doi>10.1097/JOM.0b013e318181b8ca</doi><tpages>12</tpages></addata></record> |
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| ispartof | Journal of occupational and environmental medicine, 2008-11, Vol.50 (11), p.1261-1272 |
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| subjects | Absenteeism Adolescent Adult Aged Biological and medical sciences Colitis, Ulcerative - economics Colitis, Ulcerative - surgery Comorbidity Cost estimates Cost of Illness Crohn Disease - economics Crohn Disease - surgery Crohn's disease Databases, Factual Digestive System Surgical Procedures - economics Disabled Persons Female Gastroenterology. Liver. Pancreas. Abdomen Health Care Costs - statistics & numerical data Health care expenditures Health Expenditures - statistics & numerical data Health Status Humans Inflammatory bowel disease Insurance, Health Male Medical sciences Middle Aged ORIGINAL ARTICLES Other diseases. Semiology Regression Analysis Retrospective Studies Sick Leave - economics Stomach. Duodenum. Small intestine. Colon. Rectum. Anus United States Young Adult |
| title | The Direct and Indirect Cost Burden of Crohn's Disease and Ulcerative Colitis |
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