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在患有性或宫性 dystonia 的患者中,医疗保健资源的利用和成本

Michael Hull¹, Natalya Danchenko², Vamshi Ruthwik Anupindi¹

¹IQVIA, Falls Church, VA.

Journal of managed care & specialty pharmacy

|December 6, 2023

概括

性和宫性 dystonia (CD) 显著增加医疗保健成本和资源使用在成人和儿童. 更好地管理这些情况为医疗保健系统的成本节省提供了大量机会.

科学领域:

神经学神经学
卫生经济学卫生经济学
公共卫生公共卫生

背景情况:

性和宫性 dystonia (CD) 是普遍存在的运动障碍,具有显著的,但未得到量化,经济影响.
现有的研究主要集中在临床方面,在了解与这些疾病相关的财务负担方面存在差距.

研究的目的:

评估综合医疗资源利用率 (HCRU) 和成人和儿科患者的相关成本,这些患者被诊断患有性或CD.
建立这些神经运动障碍的明确经济概况.

主要方法:

一项回顾性,观察性队列研究,利用来自IQVIA PharMetrics Plus数据库 (2015年10月 - 2019年12月) 的行政保险索赔数据.
患者使用ICD-10-CM代码来识别性或CD,并建立了匹配的比较组.
队列包括成人性,儿科性和CD患者,并对中风和脑性麻相关的子队列分析.

主要成果:

该研究确定了215,739名成年性患者,29,644名儿科性患者和9,035名CD患者.
与匹配的对照组相比,患有性或CD的患者表现出显著更高的HCRU,包括增加门诊,急诊室和住院访问 (P<0.0001).
对于患有性或CD的患者 (例如,成人性:29,912美元;CD:20,168美元) 的平均年度医疗费用远高于对比者 (例如,分别为7,464美元和7,141美元).

结论:

性和宫性 dystonia 的管理导致医疗保健支出大幅增加.
在成人和儿科人口中实施更有效的性和CD管理策略,为管理医疗保健系统的成本降低提供了重大机会.

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