An Exploratory Analysis of Healthcare Costs and Utilization of Pediatric Patients with Crohn’s Disease


Objective To evaluate the healthcare costs and resource utilization associated with pediatric Crohn’s disease (PCD) from a payer perspective. Methods A retrospective analysis was conducted using claims from 1 January 2003 through 31 December 2006 from the HealthCare Partners database. Patients were younger than 18 years of age, had a new diagnosis of PCD, and continuous health plan eligibility 6 months before and 12 months after the disease index date (the date of the first claim with a PCD diagnosis). For comparison, a non-PCD cohort was matched on age, sex, and birthday (within 30 days). Results Data from 30 patients with PCD and 10,864 non-PCD controls were included. The total cost per member per month (PMPM) for the PCD cohort was $2,547 compared with $101 for the non-PCD cohort. Inpatient admissions accounted for the largest portion (54%) of the total cost PMPM for PCD patients. There were 500 admissions per thousand members per year (PTMPY) for the PCD cohort and 11 admissions PTMPY for the non-PCD cohort. The average lengths of stay were 7.6 and 4.4 days for the PCD cohort and the non-PCD cohort, respectively, and the inpatient costs PMPM were $1,409 and $18, respectively. Costs and resource utilization were also higher for PCD patients treated with systemic therapies. Conclusion PCD was associated with higher costs and resource utilization, compared with non-PCD controls, primarily driven by inpatient stays. Treating PCD appropriately before the disease progresses to a level requiring hospitalization may help reduce the costs associated with this disease.

DOI: 10.1007/s10620-008-0670-7

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@article{Waters2008AnEA, title={An Exploratory Analysis of Healthcare Costs and Utilization of Pediatric Patients with Crohn’s Disease}, author={Heidi C. Waters and Rhadjena P. Hilliard and Elton Teng and Mirza I. Rahman and Ron Ferrer and Juvairiya Pulicharam and Bijan Nejadnik}, journal={Digestive Diseases and Sciences}, year={2008}, volume={54}, pages={2650-2654} }