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Direct medical costs of acute pancreatitis hospitalizations in the United States.
Pancreas. 2007 Nov; 35(4):302-7.P

Abstract

OBJECTIVES

To determine the direct medical costs of hospitalizations for acute pancreatitis in the United States and analyze the demographic characteristics of hospitalized patients.

METHODS

We searched the 2003 Healthcare Cost and Utilization Project-National Inpatient Sample for hospitalizations with a primary discharge diagnosis of acute pancreatitis. These were analyzed with respect to patient demographics, hospitalization rates, and total hospital charges and costs.

RESULTS

The estimated total cost for acute pancreatitis admissions was $2.2 billion (95% confidence interval [CI], 2.0 billion-2.3 billion) at a mean cost per hospitalization of $9870 (95% CI, 9300-10,400), and a mean cost per hospital day of $1670 (95% CI, 1620-1720). Costs per hospitalization were higher in urban hospitals, teaching hospitals, and for patients older than 65 years, based on a longer length of stay (LOS). The hospitalization rate was 0.52 per 1000 US population (95% CI, 0.48-0.56) for whites versus 0.76 per 1000 (95% CI, 0.65-0.87) for blacks.

CONCLUSIONS

Acute pancreatitis hospitalizations cost more than $2 billion annually, and certain population groups (blacks and older patients) have disproportionately high hospitalization rates. This study highlights the need for prevention efforts, particularly targeting high-risk groups, and for further studies to identify cost effective treatment strategies for acute pancreatitis.

Authors+Show Affiliations

Department of Surgery, Massachusetts General Hospital, Boston, MA 02114, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Multicenter Study

Language

eng

PubMed ID

18090234

Citation

Fagenholz, Peter J., et al. "Direct Medical Costs of Acute Pancreatitis Hospitalizations in the United States." Pancreas, vol. 35, no. 4, 2007, pp. 302-7.
Fagenholz PJ, Fernández-del Castillo C, Harris NS, et al. Direct medical costs of acute pancreatitis hospitalizations in the United States. Pancreas. 2007;35(4):302-7.
Fagenholz, P. J., Fernández-del Castillo, C., Harris, N. S., Pelletier, A. J., & Camargo, C. A. (2007). Direct medical costs of acute pancreatitis hospitalizations in the United States. Pancreas, 35(4), 302-7.
Fagenholz PJ, et al. Direct Medical Costs of Acute Pancreatitis Hospitalizations in the United States. Pancreas. 2007;35(4):302-7. PubMed PMID: 18090234.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Direct medical costs of acute pancreatitis hospitalizations in the United States. AU - Fagenholz,Peter J, AU - Fernández-del Castillo,Carlos, AU - Harris,N Stuart, AU - Pelletier,Andrea J, AU - Camargo,Carlos A,Jr PY - 2007/12/20/pubmed PY - 2008/1/30/medline PY - 2007/12/20/entrez SP - 302 EP - 7 JF - Pancreas JO - Pancreas VL - 35 IS - 4 N2 - OBJECTIVES: To determine the direct medical costs of hospitalizations for acute pancreatitis in the United States and analyze the demographic characteristics of hospitalized patients. METHODS: We searched the 2003 Healthcare Cost and Utilization Project-National Inpatient Sample for hospitalizations with a primary discharge diagnosis of acute pancreatitis. These were analyzed with respect to patient demographics, hospitalization rates, and total hospital charges and costs. RESULTS: The estimated total cost for acute pancreatitis admissions was $2.2 billion (95% confidence interval [CI], 2.0 billion-2.3 billion) at a mean cost per hospitalization of $9870 (95% CI, 9300-10,400), and a mean cost per hospital day of $1670 (95% CI, 1620-1720). Costs per hospitalization were higher in urban hospitals, teaching hospitals, and for patients older than 65 years, based on a longer length of stay (LOS). The hospitalization rate was 0.52 per 1000 US population (95% CI, 0.48-0.56) for whites versus 0.76 per 1000 (95% CI, 0.65-0.87) for blacks. CONCLUSIONS: Acute pancreatitis hospitalizations cost more than $2 billion annually, and certain population groups (blacks and older patients) have disproportionately high hospitalization rates. This study highlights the need for prevention efforts, particularly targeting high-risk groups, and for further studies to identify cost effective treatment strategies for acute pancreatitis. SN - 1536-4828 UR - https://www.unboundmedicine.com/medline/citation/18090234/Direct_medical_costs_of_acute_pancreatitis_hospitalizations_in_the_United_States_ L2 - http://dx.doi.org/10.1097/MPA.0b013e3180cac24b DB - PRIME DP - Unbound Medicine ER -