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Optimizing Cost-Effective Care for Chronic Constipation in General Gastroenterology Using an Office-Based,
1Michigan Medicine, Ann Arbor, Michigan, USA.
Introduction:
We aimed to evaluate the cost-effectiveness/cost-savings of point-of-care anorectal function testing with an investigational device (RED) to triage therapy for chronic constipation in general gastroenterology.
Methods:
A Markov model was constructed to evaluate cost-effectiveness/cost-savings over a 1-year time horizon comparing empiric drug/pelvic floor physical therapy to testing guided care.
Results:
RED appears to inform the cost-effective strategy for chronic constipation. Compared with usual care without RED, it reduces insurer costs by $810 and patient costs by $6,903.
Discussion:
Point-of-care testing using RED appears cost-effective/cost-saving to triage chronic constipation care in general gastroenterology.
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