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Cost and consultation patterns of abdominal pain in Uruguayan children
Miguel Saps1, Pablo Bolioli, Magali Espana
1Division of Pediatric Gastroenterology, Hepatology and Nutrition, Children's Memorial Hospital, Northwestern University Feinberg School of Medicine, Chicago, IL 60614, USA. msaps@childrensmemorial.org
Insights
Abdominal pain (AP) in South American children leads to significant healthcare costs. This study analyzed consultation patterns and expenses, revealing key demographic trends in AP consultations.
Area of Science:
- Pediatric healthcare utilization
- Public health economics
- Epidemiology of childhood illness
Background:
- Childhood abdominal pain (AP) negatively impacts quality of life, social functioning, and school attendance.
- This study is the first to examine AP consultation patterns and associated costs in South American children.
- Understanding these patterns is crucial for resource allocation and healthcare planning.
Purpose of the Study:
- To investigate consultation patterns for abdominal pain in children in South America.
- To determine the economic costs associated with pediatric abdominal pain consultations.
- To identify demographic variations in AP consultation rates.
Main Methods:
- Analysis of house call data from Unidad Coronaria Movil in Montevideo, Uruguay (2002-2005).
- Inclusion of 125,945 in-home visits and 1588 outpatient consultations.
- Examination of consultation variances by sex and age, and cost analysis per visit.
Main Results:
- AP consultation rates peaked in children aged 7–9 years.
- Females aged 9–14 years consulted more frequently for AP than males in the same age group.
- Each AP consultation represented approximately 3.8% of Uruguay's per capita healthcare spending in 2005.
Conclusions:
- Abdominal pain is a universal health issue affecting children globally.
- Pediatric AP is associated with substantial healthcare expenditures.
- This research highlights the economic burden of AP in a South American pediatric population.
Background:
Children with abdominal pain (AP) have worse quality of life and poorer social functioning and school attendance than their healthy peers. This is the first investigation of consultation patterns and costs of AP in South American children.
Patients And Methods:
All data were collected from Unidad Coronaria Movil in Montevideo, Uruguay. Diagnoses of all house calls during a 4-year period (January 2002 through December 2005) were analyzed. Variances in consultation patterns based on sex and age were investigated. Supply and personnel costs were analyzed and prorated to obtain an accurate estimate of the cost per house call and outpatient visit.
Results:
A total of 125,945 in-home visits and 1588 outpatient consultations were analyzed. Consultation rates for AP peaked among patients 7 to 9 years of age. Female subjects 9 to 14 years of age consulted significantly more frequently for AP than male subjects in the same age group. The average AP consultation accounted for approximately 3.8% of the per capita health care spending in Uruguay in 2005.
Conclusions:
AP is a global health problem that is present across ethnicities, nationalities, and geographic locations and is associated with significant health care expenditure.
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