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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...

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Autores principales: Popova, Svetlana, Lange, Shannon, Burd, Larry, Rehm, Jürgen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2012
Materias:
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.
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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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