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Health care costs associated with Australian tertiary inflammatory bowel disease care.

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.

journal_name

Scand J Gastroenterol

journal_title

Scandinavian journal of gastroenterology

authors

Jackson B,Con D,Ma R,Gorelik A,Liew D,De Cruz P

doi

10.1080/00365521.2017.1323117

subject

Has Abstract

pub_date

2017-08-01 00:00:00

pages

851-856

issue

8

eissn

0036-5521

issn

1502-7708

journal_volume

52

pub_type

杂志文章

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