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Economic burden associated with chronic constipation in Sweden: a retrospective cohort study
BACKGROUND: Chronic constipation is a common condition, but few studies have assessed its cost and impact on resource use. The purpose of this cohort study was to assess the health care utilization and costs of chronic constipation in a Swedish population using health care claims data. METHODS: Data...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Dove Medical Press
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4136960/ https://www.ncbi.nlm.nih.gov/pubmed/25143749 http://dx.doi.org/10.2147/CEOR.S61985 |
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author | Bruce Wirta, Sara Hodgkins, Paul Joseph, Alain |
author_facet | Bruce Wirta, Sara Hodgkins, Paul Joseph, Alain |
author_sort | Bruce Wirta, Sara |
collection | PubMed |
description | BACKGROUND: Chronic constipation is a common condition, but few studies have assessed its cost and impact on resource use. The purpose of this cohort study was to assess the health care utilization and costs of chronic constipation in a Swedish population using health care claims data. METHODS: Data were compiled on health care costs, drug costs, and mortality for Västra Götaland, Sweden (2005–2009). These data were used to identify patients aged 18 years or older with chronic constipation, defined as: at least two health care contacts with a primary diagnosis of constipation within 12 months or at least one care contact with a primary diagnosis of constipation and two dispatches of laxatives 6 months before and 12 months after the index date. Patients with irritable bowel syndrome or taking opioids, both of which can cause constipation, were excluded. Costs, resource use, comorbidities, and laxative use were assessed during a 12-month follow-up period. RESULTS: In total, 4,043 patients with chronic constipation were identified. They had a mean (SD) age of 67±18 years. Mortality was 7% during the 12-month follow-up period and the most common comorbidity was hypertension (22%). In the 12-month follow-up period, patients with chronic constipation had a mean (SD) of 2.3±7.5 constipation-related health care contacts and a mean (SD) of 15.2±19.5 other health care contacts. Annual costs, adjusted for sex, age group, mortality, and comorbidities, were €5,388, of which €951 were for constipation-related care. CONCLUSION: Patients with chronic constipation constituted an elderly population with a high disease burden in Sweden between 2005 and 2009. Mean annual constipation-related health care costs, adjusted for potentially confounding factors, were €951 per patient. |
format | Online Article Text |
id | pubmed-4136960 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Dove Medical Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-41369602014-08-20 Economic burden associated with chronic constipation in Sweden: a retrospective cohort study Bruce Wirta, Sara Hodgkins, Paul Joseph, Alain Clinicoecon Outcomes Res Original Research BACKGROUND: Chronic constipation is a common condition, but few studies have assessed its cost and impact on resource use. The purpose of this cohort study was to assess the health care utilization and costs of chronic constipation in a Swedish population using health care claims data. METHODS: Data were compiled on health care costs, drug costs, and mortality for Västra Götaland, Sweden (2005–2009). These data were used to identify patients aged 18 years or older with chronic constipation, defined as: at least two health care contacts with a primary diagnosis of constipation within 12 months or at least one care contact with a primary diagnosis of constipation and two dispatches of laxatives 6 months before and 12 months after the index date. Patients with irritable bowel syndrome or taking opioids, both of which can cause constipation, were excluded. Costs, resource use, comorbidities, and laxative use were assessed during a 12-month follow-up period. RESULTS: In total, 4,043 patients with chronic constipation were identified. They had a mean (SD) age of 67±18 years. Mortality was 7% during the 12-month follow-up period and the most common comorbidity was hypertension (22%). In the 12-month follow-up period, patients with chronic constipation had a mean (SD) of 2.3±7.5 constipation-related health care contacts and a mean (SD) of 15.2±19.5 other health care contacts. Annual costs, adjusted for sex, age group, mortality, and comorbidities, were €5,388, of which €951 were for constipation-related care. CONCLUSION: Patients with chronic constipation constituted an elderly population with a high disease burden in Sweden between 2005 and 2009. Mean annual constipation-related health care costs, adjusted for potentially confounding factors, were €951 per patient. Dove Medical Press 2014-08-12 /pmc/articles/PMC4136960/ /pubmed/25143749 http://dx.doi.org/10.2147/CEOR.S61985 Text en © 2014 Bruce Wirta et al. This work is published by Dove Medical Press Limited, and licensed under Creative Commons Attribution – Non Commercial (unported, v3.0) License The full terms of the License are available at http://creativecommons.org/licenses/by-nc/3.0/. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. |
spellingShingle | Original Research Bruce Wirta, Sara Hodgkins, Paul Joseph, Alain Economic burden associated with chronic constipation in Sweden: a retrospective cohort study |
title | Economic burden associated with chronic constipation in Sweden: a retrospective cohort study |
title_full | Economic burden associated with chronic constipation in Sweden: a retrospective cohort study |
title_fullStr | Economic burden associated with chronic constipation in Sweden: a retrospective cohort study |
title_full_unstemmed | Economic burden associated with chronic constipation in Sweden: a retrospective cohort study |
title_short | Economic burden associated with chronic constipation in Sweden: a retrospective cohort study |
title_sort | economic burden associated with chronic constipation in sweden: a retrospective cohort study |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4136960/ https://www.ncbi.nlm.nih.gov/pubmed/25143749 http://dx.doi.org/10.2147/CEOR.S61985 |
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