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The relationship between a cirrhosis-specific comorbidity scoring system and healthcare utilization patterns

Ankur A Dashputre1, Branden D Nemecek2,3, Khalid M Kamal2

  • 1Institute for Health Outcomes and Policy, University of Tennessee Health Science Center, Memphis, Tennessee, USA.

Journal of Gastroenterology and Hepatology
|November 6, 2018
PubMed

Insights

The Cirrhosis Comorbidity (CirCom) score effectively predicts general healthcare use in liver cirrhosis patients but does not predict cirrhosis-specific utilization. This tool may aid in risk assessment and management.

Area of Science:

  • Hepatology
  • Internal Medicine
  • Healthcare Management

Background:

  • Comorbidities significantly impact healthcare utilization and survival in liver cirrhosis patients.
  • A validated scoring system is needed to assess comorbidity burden in this population.

Purpose of the Study:

  • To evaluate the relationship between a novel cirrhosis-specific comorbidity scoring system (CirCom) and healthcare utilization.
  • To determine if CirCom can predict all-cause and cirrhosis-specific healthcare resource use.

Main Methods:

  • Retrospective cohort analysis of 957 liver cirrhosis patients using electronic health records.
  • CirCom scores were calculated based on comorbidities at diagnosis.
  • All-cause and cirrhosis-specific outpatient and hospital utilization were assessed over one year post-diagnosis.

Main Results:

  • Higher CirCom scores correlated with increased all-cause outpatient (RR: 1.75) and hospital (RR: 1.71) utilization.
  • CirCom did not show a significant association with cirrhosis-specific outpatient (RR: 1.08) or hospital (RR: 0.87) utilization.
  • Model for End-stage Liver Disease (MELD) score was also considered as a predictor.

Conclusions:

  • The CirCom score demonstrates utility in predicting overall healthcare utilization in liver cirrhosis.
  • CirCom may serve as a valuable tool for risk stratification and management strategies in patients with liver cirrhosis.
  • Further research is needed to refine CirCom's predictive capabilities for disease-specific outcomes.
Abstract

Keywords:
CirComcirrhosiscomorbiditieshealthcare utilization

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