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- W2912505173 abstract "Purpose: To estimate the direct medical costs and indirect costs (productivity related) for commercially-insured patients with Crohn's Disease. Methods: Data were obtained from the 1999 to 2005 MarketScan Commercial Claims and Encounters (CCAE), Medicare Supplemental, and Health and Productivity Management databases. Patients with a diagnosis of Crohn's Disease and at least a 1-year disease-free pre-period were found resulting in 6,569 nonelderly patients with Crohn's Disease and 1,628 elderly patients with Crohn's Disease. 12-month direct medical care expenditures (medical and prescription drug) for patients with Crohn's Disease were compared to expenditures among an equal number of propensity-score matched comparison group members. Propensity scores were estimated via demographic characteristics and comorbidities. Indirect costs, as measured by absenteeism and short-term disability costs, were compared for a sub-sample of employees in each group. Regression analysis controlled for demographic and case mix factors. A range of cost burden estimates were produced by varying the estimation and matching techniques. Results: Average 12-month direct medical care expenditures were $5,299 for nonelderly and $8,348 for elderly comparison group members. Average estimated direct medical expenditures for patients with Crohn's Disease exceeded comparison group members by as much as $16,388 for nonelderly patients and $8,648 for elderly patients (all P < .01). Absenteeism costs were $5,097 for employees with Crohn's Disease, although this was not significantly different from the comparison group. Short term disability expenditures were about $1,700, which was double the amount for the comparison group (P < .05). Conclusion: Crohn's Disease is a very costly disorder and merits consideration as interventions are developed to manage the burden of disease and improve productivity." @default.
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- W2912505173 date "2007-09-01" @default.
- W2912505173 modified "2023-09-28" @default.
- W2912505173 title "The Direct and Indirect Cost Burden of Crohnʼs Disease" @default.
- W2912505173 doi "https://doi.org/10.14309/00000434-200709002-00862" @default.
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