The impact of psoriasis on health care costs and patient work loss

Background There are few comprehensive estimates of the cost of psoriasis in the United States. Objective We sought to quantify the incremental direct medical and indirect work loss costs associated with psoriasis. Methods A de-identified claims database from 31 self-insured employers during the per...

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Veröffentlicht in:Journal of the American Academy of Dermatology 2008-11, Vol.59 (5), p.772-780
Hauptverfasser: Fowler, Joseph F., MD, Duh, Mei Sheng, MPH, ScD, Rovba, Ludmila, PhD, Buteau, Sharon, MA, Pinheiro, Lisa, MS, Lobo, Francis, PhD, Sung, Jennifer, MS, PharmD, Doyle, Joseph J., RPh, MBA, Swensen, Andrine, MS, PhD, Mallett, David A., MBA, MHA, Kosicki, George, PhD
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container_end_page 780
container_issue 5
container_start_page 772
container_title Journal of the American Academy of Dermatology
container_volume 59
creator Fowler, Joseph F., MD
Duh, Mei Sheng, MPH, ScD
Rovba, Ludmila, PhD
Buteau, Sharon, MA
Pinheiro, Lisa, MS
Lobo, Francis, PhD
Sung, Jennifer, MS, PharmD
Doyle, Joseph J., RPh, MBA
Swensen, Andrine, MS, PhD
Mallett, David A., MBA, MHA
Kosicki, George, PhD
description Background There are few comprehensive estimates of the cost of psoriasis in the United States. Objective We sought to quantify the incremental direct medical and indirect work loss costs associated with psoriasis. Methods A de-identified claims database from 31 self-insured employers during the period 1998 to 2005 was used. Patients with at least two psoriasis diagnosis claims (N = 12,280) were compared with 3 control subjects (matched on year of birth and sex) without psoriasis. Multivariate two-part regression analysis was used to isolate the incremental cost of psoriasis by controlling for comorbidities and other confounding factors. Results After multivariate adjustment, the incremental direct and indirect costs of psoriasis were approximately $900 and $600 ( P < .001) per patient per year, respectively. Limitations The database used in this study does not contain information on patient out-of-pocket costs or loss of productivity costs at work. Conclusion The incremental cost of psoriasis is approximately $1500 per patient per year, with work loss costs accounting for 40% of the cost burden.
doi_str_mv 10.1016/j.jaad.2008.06.043
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Objective We sought to quantify the incremental direct medical and indirect work loss costs associated with psoriasis. Methods A de-identified claims database from 31 self-insured employers during the period 1998 to 2005 was used. Patients with at least two psoriasis diagnosis claims (N = 12,280) were compared with 3 control subjects (matched on year of birth and sex) without psoriasis. Multivariate two-part regression analysis was used to isolate the incremental cost of psoriasis by controlling for comorbidities and other confounding factors. Results After multivariate adjustment, the incremental direct and indirect costs of psoriasis were approximately $900 and $600 ( P &lt; .001) per patient per year, respectively. Limitations The database used in this study does not contain information on patient out-of-pocket costs or loss of productivity costs at work. Conclusion The incremental cost of psoriasis is approximately $1500 per patient per year, with work loss costs accounting for 40% of the cost burden.</description><identifier>ISSN: 0190-9622</identifier><identifier>EISSN: 1097-6787</identifier><identifier>DOI: 10.1016/j.jaad.2008.06.043</identifier><identifier>PMID: 19119095</identifier><identifier>CODEN: JAADDB</identifier><language>eng</language><publisher>New York, NY: Mosby, Inc</publisher><subject>Absenteeism ; Adult ; Biological and medical sciences ; Cohort Studies ; Comorbidity ; Cost of Illness ; Dermatology ; Female ; Health Care Costs ; Health Expenditures ; Humans ; Male ; Medical sciences ; Middle Aged ; Multivariate Analysis ; Psoriasis - economics ; Psoriasis. Parapsoriasis. Lichen ; Retrospective Studies</subject><ispartof>Journal of the American Academy of Dermatology, 2008-11, Vol.59 (5), p.772-780</ispartof><rights>American Academy of Dermatology, Inc.</rights><rights>2008 American Academy of Dermatology, Inc.</rights><rights>2008 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c505t-cf34527503e143b305f502a5055655e1ba8bd90e44abd3ec5169213cdf1f44453</citedby><cites>FETCH-LOGICAL-c505t-cf34527503e143b305f502a5055655e1ba8bd90e44abd3ec5169213cdf1f44453</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jaad.2008.06.043$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>315,781,785,3551,27929,27930,46000</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=20810366$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19119095$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fowler, Joseph F., MD</creatorcontrib><creatorcontrib>Duh, Mei Sheng, MPH, ScD</creatorcontrib><creatorcontrib>Rovba, Ludmila, PhD</creatorcontrib><creatorcontrib>Buteau, Sharon, MA</creatorcontrib><creatorcontrib>Pinheiro, Lisa, MS</creatorcontrib><creatorcontrib>Lobo, Francis, PhD</creatorcontrib><creatorcontrib>Sung, Jennifer, MS, PharmD</creatorcontrib><creatorcontrib>Doyle, Joseph J., RPh, MBA</creatorcontrib><creatorcontrib>Swensen, Andrine, MS, PhD</creatorcontrib><creatorcontrib>Mallett, David A., MBA, MHA</creatorcontrib><creatorcontrib>Kosicki, George, PhD</creatorcontrib><title>The impact of psoriasis on health care costs and patient work loss</title><title>Journal of the American Academy of Dermatology</title><addtitle>J Am Acad Dermatol</addtitle><description>Background There are few comprehensive estimates of the cost of psoriasis in the United States. Objective We sought to quantify the incremental direct medical and indirect work loss costs associated with psoriasis. Methods A de-identified claims database from 31 self-insured employers during the period 1998 to 2005 was used. Patients with at least two psoriasis diagnosis claims (N = 12,280) were compared with 3 control subjects (matched on year of birth and sex) without psoriasis. Multivariate two-part regression analysis was used to isolate the incremental cost of psoriasis by controlling for comorbidities and other confounding factors. Results After multivariate adjustment, the incremental direct and indirect costs of psoriasis were approximately $900 and $600 ( P &lt; .001) per patient per year, respectively. Limitations The database used in this study does not contain information on patient out-of-pocket costs or loss of productivity costs at work. Conclusion The incremental cost of psoriasis is approximately $1500 per patient per year, with work loss costs accounting for 40% of the cost burden.</description><subject>Absenteeism</subject><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Cohort Studies</subject><subject>Comorbidity</subject><subject>Cost of Illness</subject><subject>Dermatology</subject><subject>Female</subject><subject>Health Care Costs</subject><subject>Health Expenditures</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Multivariate Analysis</subject><subject>Psoriasis - economics</subject><subject>Psoriasis. Parapsoriasis. 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Parapsoriasis. Lichen</topic><topic>Retrospective Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fowler, Joseph F., MD</creatorcontrib><creatorcontrib>Duh, Mei Sheng, MPH, ScD</creatorcontrib><creatorcontrib>Rovba, Ludmila, PhD</creatorcontrib><creatorcontrib>Buteau, Sharon, MA</creatorcontrib><creatorcontrib>Pinheiro, Lisa, MS</creatorcontrib><creatorcontrib>Lobo, Francis, PhD</creatorcontrib><creatorcontrib>Sung, Jennifer, MS, PharmD</creatorcontrib><creatorcontrib>Doyle, Joseph J., RPh, MBA</creatorcontrib><creatorcontrib>Swensen, Andrine, MS, PhD</creatorcontrib><creatorcontrib>Mallett, David A., MBA, MHA</creatorcontrib><creatorcontrib>Kosicki, George, PhD</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>MEDLINE - Academic</collection><jtitle>Journal of the American Academy of Dermatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fowler, Joseph F., MD</au><au>Duh, Mei Sheng, MPH, ScD</au><au>Rovba, Ludmila, PhD</au><au>Buteau, Sharon, MA</au><au>Pinheiro, Lisa, MS</au><au>Lobo, Francis, PhD</au><au>Sung, Jennifer, MS, PharmD</au><au>Doyle, Joseph J., RPh, MBA</au><au>Swensen, Andrine, MS, PhD</au><au>Mallett, David A., MBA, MHA</au><au>Kosicki, George, PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The impact of psoriasis on health care costs and patient work loss</atitle><jtitle>Journal of the American Academy of Dermatology</jtitle><addtitle>J Am Acad Dermatol</addtitle><date>2008-11-01</date><risdate>2008</risdate><volume>59</volume><issue>5</issue><spage>772</spage><epage>780</epage><pages>772-780</pages><issn>0190-9622</issn><eissn>1097-6787</eissn><coden>JAADDB</coden><abstract>Background There are few comprehensive estimates of the cost of psoriasis in the United States. Objective We sought to quantify the incremental direct medical and indirect work loss costs associated with psoriasis. Methods A de-identified claims database from 31 self-insured employers during the period 1998 to 2005 was used. Patients with at least two psoriasis diagnosis claims (N = 12,280) were compared with 3 control subjects (matched on year of birth and sex) without psoriasis. Multivariate two-part regression analysis was used to isolate the incremental cost of psoriasis by controlling for comorbidities and other confounding factors. Results After multivariate adjustment, the incremental direct and indirect costs of psoriasis were approximately $900 and $600 ( P &lt; .001) per patient per year, respectively. Limitations The database used in this study does not contain information on patient out-of-pocket costs or loss of productivity costs at work. Conclusion The incremental cost of psoriasis is approximately $1500 per patient per year, with work loss costs accounting for 40% of the cost burden.</abstract><cop>New York, NY</cop><pub>Mosby, Inc</pub><pmid>19119095</pmid><doi>10.1016/j.jaad.2008.06.043</doi><tpages>9</tpages></addata></record>
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subjects Absenteeism
Adult
Biological and medical sciences
Cohort Studies
Comorbidity
Cost of Illness
Dermatology
Female
Health Care Costs
Health Expenditures
Humans
Male
Medical sciences
Middle Aged
Multivariate Analysis
Psoriasis - economics
Psoriasis. Parapsoriasis. Lichen
Retrospective Studies
title The impact of psoriasis on health care costs and patient work loss
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