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Health Care Burden and Cost Associated with Fetal Alcohol Syndrome: Based on Official Canadian Data
BACKGROUND: Fetal Alcohol Spectrum Disorder (FASD) is a group of disorders caused by prenatal alcohol exposure. From this group, Fetal Alcohol Syndrome (FAS) is the only disorder coded in the International Classification of Diseases, version 10 (ICD-10). This coding was used to gain an understanding...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Public Library of Science
2012
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3416838/ https://www.ncbi.nlm.nih.gov/pubmed/22900084 http://dx.doi.org/10.1371/journal.pone.0043024 |
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author | Popova, Svetlana Lange, Shannon Burd, Larry Rehm, Jürgen |
author_facet | Popova, Svetlana Lange, Shannon Burd, Larry Rehm, Jürgen |
author_sort | Popova, Svetlana |
collection | PubMed |
description | BACKGROUND: Fetal Alcohol Spectrum Disorder (FASD) is a group of disorders caused by prenatal alcohol exposure. From this group, Fetal Alcohol Syndrome (FAS) is the only disorder coded in the International Classification of Diseases, version 10 (ICD-10). This coding was used to gain an understanding on the health care utilization and the mortality rate for individuals diagnosed with FAS, as well as to estimate the associated health care costs in Canada for the most recent available fiscal year (2008–2009). METHODS: Health care utilization data associated with a diagnosis of FAS were directly obtained from the Canadian Institute for Health Information (CIHI). Mortality data associated with a diagnosis of FAS were obtained from Statistics Canada. RESULTS: The total direct health care cost of acute care, psychiatric care, day surgery, and emergency department services associated with FAS in Canada in 2008–2009, based on the official CIHI data, was about $6.7 million. The vast majority of the most responsible diagnoses, which account for the majority of a patient’s length of stay in hospital, fall within the ICD-10 category Mental and Behavioural Disorders (F00–F99). It was evident that the burden and cost of acute care hospitalizations due to FAS is increasing −1.6 times greater in 2008–2009, compared to 2002–2003. The mortality data due to FAS, obtained from Statistics Canada (2000–2008), may be underreported, and are likely invalid. DISCUSSION: The official data on the utilization of health care services by individuals diagnosed with FAS are likely to be underreported and therefore, the reported cost figures are most likely underestimated. The quantification of the health care costs associated with FAS is crucial for policy developers and decision makers alike, of the impact of prenatal alcohol exposure, with the ultimate goal of initiating preventive interventions to address FASD. |
format | Online Article Text |
id | pubmed-3416838 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-34168382012-08-16 Health Care Burden and Cost Associated with Fetal Alcohol Syndrome: Based on Official Canadian Data Popova, Svetlana Lange, Shannon Burd, Larry Rehm, Jürgen PLoS One Research Article BACKGROUND: Fetal Alcohol Spectrum Disorder (FASD) is a group of disorders caused by prenatal alcohol exposure. From this group, Fetal Alcohol Syndrome (FAS) is the only disorder coded in the International Classification of Diseases, version 10 (ICD-10). This coding was used to gain an understanding on the health care utilization and the mortality rate for individuals diagnosed with FAS, as well as to estimate the associated health care costs in Canada for the most recent available fiscal year (2008–2009). METHODS: Health care utilization data associated with a diagnosis of FAS were directly obtained from the Canadian Institute for Health Information (CIHI). Mortality data associated with a diagnosis of FAS were obtained from Statistics Canada. RESULTS: The total direct health care cost of acute care, psychiatric care, day surgery, and emergency department services associated with FAS in Canada in 2008–2009, based on the official CIHI data, was about $6.7 million. The vast majority of the most responsible diagnoses, which account for the majority of a patient’s length of stay in hospital, fall within the ICD-10 category Mental and Behavioural Disorders (F00–F99). It was evident that the burden and cost of acute care hospitalizations due to FAS is increasing −1.6 times greater in 2008–2009, compared to 2002–2003. The mortality data due to FAS, obtained from Statistics Canada (2000–2008), may be underreported, and are likely invalid. DISCUSSION: The official data on the utilization of health care services by individuals diagnosed with FAS are likely to be underreported and therefore, the reported cost figures are most likely underestimated. The quantification of the health care costs associated with FAS is crucial for policy developers and decision makers alike, of the impact of prenatal alcohol exposure, with the ultimate goal of initiating preventive interventions to address FASD. Public Library of Science 2012-08-10 /pmc/articles/PMC3416838/ /pubmed/22900084 http://dx.doi.org/10.1371/journal.pone.0043024 Text en © 2012 Popova et al http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly credited. |
spellingShingle | Research Article Popova, Svetlana Lange, Shannon Burd, Larry Rehm, Jürgen Health Care Burden and Cost Associated with Fetal Alcohol Syndrome: Based on Official Canadian Data |
title | Health Care Burden and Cost Associated with Fetal Alcohol Syndrome: Based on Official Canadian Data |
title_full | Health Care Burden and Cost Associated with Fetal Alcohol Syndrome: Based on Official Canadian Data |
title_fullStr | Health Care Burden and Cost Associated with Fetal Alcohol Syndrome: Based on Official Canadian Data |
title_full_unstemmed | Health Care Burden and Cost Associated with Fetal Alcohol Syndrome: Based on Official Canadian Data |
title_short | Health Care Burden and Cost Associated with Fetal Alcohol Syndrome: Based on Official Canadian Data |
title_sort | health care burden and cost associated with fetal alcohol syndrome: based on official canadian data |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3416838/ https://www.ncbi.nlm.nih.gov/pubmed/22900084 http://dx.doi.org/10.1371/journal.pone.0043024 |
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