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Factors influencing the health care expenditures of patients with laryngeal disorders.
Otolaryngol Head Neck Surg. 2012 Dec; 147(6):1099-107.OH

Abstract

OBJECTIVE

To identify factors related to the health care spending of patients with laryngeal disorders.

STUDY DESIGN AND SETTING

Retrospective analysis of data from a large, nationally representative administrative US claims database.

SUBJECTS AND METHODS

Patients with a laryngeal disorder based on International Classification of Diseases, Ninth Revision, Clinical Modification codes from January 1, 2004, to December 31, 2008, and who were continuously enrolled for 12 months were included. Age, sex, comorbidity, geography, provider type, visit type, and type of laryngeal pathology were collected. To identify which factors were related to the direct costs, a generalized linear regression with gamma distribution was used.

RESULTS

Of almost 55 million individuals in the database, 309,300 patients with a laryngeal disorder and 12 months of follow-up data were identified (mean [SD] age, 47.3 [21.3] years; 63.5% female). Age, sex, geographic region, number of comorbid conditions, type of provider, visit type, and laryngeal pathology were significantly associated with the health care expenditures (all P values <.05). Costs increased with increasing age and were greater for male patients, higher in the South and Northeast compared with the West and North-central regions, greater in 2008 compared with 2004, higher for inpatient compared with outpatient care, higher with increasing number of comorbid conditions, and lower if a patient was treated by a primary care physician only. Among the various laryngeal pathologies, the greatest direct costs were for laryngeal cancer and patients with multiple diagnoses.

CONCLUSION

This study identified multiple factors associated with the health care expenditures of patients with laryngeal disorders.

Authors+Show Affiliations

Duke Voice Care Center, Division of Otolaryngology-Head & Neck Surgery, Duke University Medical Center, Durham, North Carolina, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

22820973

Citation

Cohen, Seth M., et al. "Factors Influencing the Health Care Expenditures of Patients With Laryngeal Disorders." Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery, vol. 147, no. 6, 2012, pp. 1099-107.
Cohen SM, Kim J, Roy N, et al. Factors influencing the health care expenditures of patients with laryngeal disorders. Otolaryngol Head Neck Surg. 2012;147(6):1099-107.
Cohen, S. M., Kim, J., Roy, N., Asche, C., & Courey, M. (2012). Factors influencing the health care expenditures of patients with laryngeal disorders. Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery, 147(6), 1099-107. https://doi.org/10.1177/0194599812454838
Cohen SM, et al. Factors Influencing the Health Care Expenditures of Patients With Laryngeal Disorders. Otolaryngol Head Neck Surg. 2012;147(6):1099-107. PubMed PMID: 22820973.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Factors influencing the health care expenditures of patients with laryngeal disorders. AU - Cohen,Seth M, AU - Kim,Jaewhan, AU - Roy,Nelson, AU - Asche,Carl, AU - Courey,Mark, Y1 - 2012/07/20/ PY - 2012/7/24/entrez PY - 2012/7/24/pubmed PY - 2013/1/24/medline SP - 1099 EP - 107 JF - Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery JO - Otolaryngol Head Neck Surg VL - 147 IS - 6 N2 - OBJECTIVE: To identify factors related to the health care spending of patients with laryngeal disorders. STUDY DESIGN AND SETTING: Retrospective analysis of data from a large, nationally representative administrative US claims database. SUBJECTS AND METHODS: Patients with a laryngeal disorder based on International Classification of Diseases, Ninth Revision, Clinical Modification codes from January 1, 2004, to December 31, 2008, and who were continuously enrolled for 12 months were included. Age, sex, comorbidity, geography, provider type, visit type, and type of laryngeal pathology were collected. To identify which factors were related to the direct costs, a generalized linear regression with gamma distribution was used. RESULTS: Of almost 55 million individuals in the database, 309,300 patients with a laryngeal disorder and 12 months of follow-up data were identified (mean [SD] age, 47.3 [21.3] years; 63.5% female). Age, sex, geographic region, number of comorbid conditions, type of provider, visit type, and laryngeal pathology were significantly associated with the health care expenditures (all P values <.05). Costs increased with increasing age and were greater for male patients, higher in the South and Northeast compared with the West and North-central regions, greater in 2008 compared with 2004, higher for inpatient compared with outpatient care, higher with increasing number of comorbid conditions, and lower if a patient was treated by a primary care physician only. Among the various laryngeal pathologies, the greatest direct costs were for laryngeal cancer and patients with multiple diagnoses. CONCLUSION: This study identified multiple factors associated with the health care expenditures of patients with laryngeal disorders. SN - 1097-6817 UR - https://www.unboundmedicine.com/medline/citation/22820973/Factors_influencing_the_health_care_expenditures_of_patients_with_laryngeal_disorders_ L2 - https://journals.sagepub.com/doi/10.1177/0194599812454838?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -