与成人生长激素缺乏的高/中等/低概率相关的医疗费用:一个医疗保健索赔数据库分析分析
Kevin C J Yuen1, Lewis S Blevins2, David R Clemmons3
1Barrow Pituitary Center, Barrow Neurological Institute and St. Joseph's Hospital and Medical Center, University of Arizona College of Medicine and Creighton School of Medicine, Phoenix, AZ, USA.
成人生长激素缺乏症 (AGHD) 显著增加了医疗费用,高概率的个人支付的费用要高得多. 这凸显了被诊断不足的 AGHD 的经济影响,以及需要更好的资源配置.
科学领域:
- 内分泌学 在内分泌学.
- 卫生经济学 卫生经济学
- 人口健康 人口健康
背景情况:
- 成人生长激素缺乏症 (AGHD) 经常被低诊断和治疗.
- 不充分诊断和不充分治疗AGHD导致显著的并发症和增加的医疗保健支出.
- 之前的工作建立了一个算法来按美国商业保险人群的AGHD概率对个人进行分层.
研究的目的:
- 估计和比较AGHD不同可能性水平的直接医疗成本.
- 分析与不同程度的成人生长激素缺乏相关的经济负担.
主要方法:
- 对Truven Health MarketScan数据库进行了回顾性观察分析.
- 根据开发的算法,对1.35亿美国成年人进行分类,分为高,中和低AGHD概率组.
- 按年龄和性别分层,并调查年度成本轨迹.
主要成果:
- 患有高概率AGHD的个体表现出更大的并发症负担 (例如,心血管疾病,糖尿病).
- 高概率AGHD (1844.51美元) 的平均每月直接医疗费用明显高于中等概率 (945.65美元) 和低概率 (459.10美元) 的组.
- 门诊访问是主要的成本驱动因素,尽管住院服务的每次访问成本较高;成本随着年龄的增长而增加,并在AGHD概率分配时达到顶峰.
结论:
- 在患有高风险的个体中,直接的医疗费用显著增加.
- 了解AGHD的医疗成本轨迹对于有效的医疗资源分配至关重要.
- 这些发现强调了改善AGHD诊断和治疗的经济理由.
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