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- W2014966199 abstract "To evaluate total annual all-cause costs of chronic constipation (CC) among patients with different health plan benefit designs and assess incremental costs of CC in a commercially insured population Patients were identified from the HealthCore Integrated Research Database as follows: (1) age ≥18 years as of January 1, 2010; (2) continuous eligibility in 2010; (3) ≥2 constipation diagnoses (ICD-9-CM: 564.0x) occurring ≥90 days apart or ≥1 constipation diagnosis plus ≥1 constipation-related prescription occurring ≥90 days apart. A control group without irritable bowel syndrome, constipation, abdominal pain, or bloating was randomly selected using 1:1 matching on basic demographic characteristics. Patients were categorized by health plan benefit design into non-capitated health maintenance organizations (HMO), preferred provider organizations (PPO), Medicare Advantage (MA), and other benefit designs. Total all-cause health care costs included pharmacy costs and costs from medical services. Generalized linear models were used to evaluate the incremental costs attributable to CC Of 14,854 CC patients and controls identified, 71.7% had PPO, 12.0% had non-capitated HMO, 10.2% had MA, and 6.1% had other benefit designs. Mean age (±SD) was 58.7 (±20.4) years; 75.4% were female. Overall, CC patients had $8,713 (P<0.001) higher unadjusted total annual all-cause health care costs versus matched controls; costs were $9,736 (P<0.001) higher for non-capitated HMO, $8,029 (P<0.001) for PPO, and $11,813 (P<0.001) for MA. Medical costs were the primary driver of unadjusted all-cause costs regardless of benefit design (82%-84% of total costs). This finding remained consistent in the overall study population even after adjusting for demographics and comorbidities. Total incremental all-cause costs associated with CC were $3,508 (P<0.001), with 81% for medical services The economic burden of CC is substantial in a US commercially insured population. A consistent burden was seen across different health plan benefit designs, with costs driven by the use of medical services" @default.
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- W2014966199 date "2013-05-01" @default.
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- W2014966199 title "Economic Burden Of Chronic Constipation Among Patients In A Commercially Insured Population: A Retrospective Analysis Of All-Cause Costs" @default.
- W2014966199 doi "https://doi.org/10.1016/j.jval.2013.03.1079" @default.
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