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Healthcare utilization and comorbidity burden among children and young adults in the United States with systemic lupus erythematosus or inflammatory bowel disease.
J Pediatr 2012; 161(4):662-670.e2JPed

Abstract

OBJECTIVE

We sought to assess the feasibility of using a health insurance claims database to estimate the prevalence and health care utilization and costs among children diagnosed with systemic lupus erythematosus (SLE) and inflammatory bowel disease (IBD).

STUDY DESIGN

This was a retrospective analysis of the LifeLink insurance claims database for the years 2000-2006. Children (0-15 years) and young adults (16-25 years) with ≥ 2 diagnosis claims for SLE or IBD were selected as the 2 cohorts of interest. For each member of the SLE and IBD cohorts, 2 individuals were randomly selected for a matched comparison group. All the analyses were descriptive in nature, CI for differences between means and 2 proportions for measures including health care utilization, comorbidity burden were based on t tests and 2-group tests of proportions.

RESULTS

We identified 278 patients with SLE (prevalence estimate: 7.9 per/100000 population) and 1174 patients with IBD (33.2 per/100000 population). The mean annual total medical costs was substantially higher for the SLE (difference: $22223; 95% CI: $14961-$29485) and IBD (difference: $16238; 95% CI: $14395-$18082) cohorts compared with those of the comparator cohort. We observed higher comorbidity burdens in the SLE and IBD cohorts than we saw in the comparator cohort.

CONCLUSIONS

Administrative claims data can be a useful tool for assessing the comparative prevalence and associated resource utilization of rare conditions such as SLE and IBD.

Authors+Show Affiliations

RTI Health Solutions, Research Triangle Park, NC 27709-2194, USA. sjkarve@rti.orgNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

22578787

Citation

Karve, Sudeep, et al. "Healthcare Utilization and Comorbidity Burden Among Children and Young Adults in the United States With Systemic Lupus Erythematosus or Inflammatory Bowel Disease." The Journal of Pediatrics, vol. 161, no. 4, 2012, pp. 662-670.e2.
Karve S, Candrilli S, Kappelman MD, et al. Healthcare utilization and comorbidity burden among children and young adults in the United States with systemic lupus erythematosus or inflammatory bowel disease. J Pediatr. 2012;161(4):662-670.e2.
Karve, S., Candrilli, S., Kappelman, M. D., Tolleson-Rinehart, S., Tennis, P., & Andrews, E. (2012). Healthcare utilization and comorbidity burden among children and young adults in the United States with systemic lupus erythematosus or inflammatory bowel disease. The Journal of Pediatrics, 161(4), pp. 662-670.e2. doi:10.1016/j.jpeds.2012.03.045.
Karve S, et al. Healthcare Utilization and Comorbidity Burden Among Children and Young Adults in the United States With Systemic Lupus Erythematosus or Inflammatory Bowel Disease. J Pediatr. 2012;161(4):662-670.e2. PubMed PMID: 22578787.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Healthcare utilization and comorbidity burden among children and young adults in the United States with systemic lupus erythematosus or inflammatory bowel disease. AU - Karve,Sudeep, AU - Candrilli,Sean, AU - Kappelman,Michael D, AU - Tolleson-Rinehart,Sue, AU - Tennis,Patricia, AU - Andrews,Elizabeth, Y1 - 2012/05/10/ PY - 2011/08/25/received PY - 2012/02/16/revised PY - 2012/03/23/accepted PY - 2012/5/15/entrez PY - 2012/5/15/pubmed PY - 2013/1/2/medline SP - 662 EP - 670.e2 JF - The Journal of pediatrics JO - J. Pediatr. VL - 161 IS - 4 N2 - OBJECTIVE: We sought to assess the feasibility of using a health insurance claims database to estimate the prevalence and health care utilization and costs among children diagnosed with systemic lupus erythematosus (SLE) and inflammatory bowel disease (IBD). STUDY DESIGN: This was a retrospective analysis of the LifeLink insurance claims database for the years 2000-2006. Children (0-15 years) and young adults (16-25 years) with ≥ 2 diagnosis claims for SLE or IBD were selected as the 2 cohorts of interest. For each member of the SLE and IBD cohorts, 2 individuals were randomly selected for a matched comparison group. All the analyses were descriptive in nature, CI for differences between means and 2 proportions for measures including health care utilization, comorbidity burden were based on t tests and 2-group tests of proportions. RESULTS: We identified 278 patients with SLE (prevalence estimate: 7.9 per/100000 population) and 1174 patients with IBD (33.2 per/100000 population). The mean annual total medical costs was substantially higher for the SLE (difference: $22223; 95% CI: $14961-$29485) and IBD (difference: $16238; 95% CI: $14395-$18082) cohorts compared with those of the comparator cohort. We observed higher comorbidity burdens in the SLE and IBD cohorts than we saw in the comparator cohort. CONCLUSIONS: Administrative claims data can be a useful tool for assessing the comparative prevalence and associated resource utilization of rare conditions such as SLE and IBD. SN - 1097-6833 UR - https://www.unboundmedicine.com/medline/citation/22578787/Healthcare_utilization_and_comorbidity_burden_among_children_and_young_adults_in_the_United_States_with_systemic_lupus_erythematosus_or_inflammatory_bowel_disease_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0022-3476(12)00354-X DB - PRIME DP - Unbound Medicine ER -