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Trends in healthcare expenditure in United States adults with chronic kidney disease: 2002–2011
BACKGROUND: This study examines trends in healthcare expenditure in adults with chronic kidney disease (CKD) and other kidney diseases (OKD) in the U.S. from 2002 to 2011. METHODS: One hundred and eighty-seven thousand, three hundred and fourty-one adults aged ≥18 from the Medical Expenditure Panel...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5441091/ https://www.ncbi.nlm.nih.gov/pubmed/28532412 http://dx.doi.org/10.1186/s12913-017-2303-3 |
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author | Ozieh, Mukoso N. Bishu, Kinfe G. Dismuke, Clara E. Egede, Leonard E. |
author_facet | Ozieh, Mukoso N. Bishu, Kinfe G. Dismuke, Clara E. Egede, Leonard E. |
author_sort | Ozieh, Mukoso N. |
collection | PubMed |
description | BACKGROUND: This study examines trends in healthcare expenditure in adults with chronic kidney disease (CKD) and other kidney diseases (OKD) in the U.S. from 2002 to 2011. METHODS: One hundred and eighty-seven thousand, three hundred and fourty-one adults aged ≥18 from the Medical Expenditure Panel Survey (MEPS) Household Component were analyzed. CKD and OKD were based on ICD-9 or CCC codes. A novel two-part model was used to estimate the likelihood of any healthcare use and total expenditures. Covariates included individual demographics and comorbidities. RESULTS: Approximately 711 adults surveyed from 2002 to 2011 had CKD and 3693 had OKD. CKD was more likely among Non-Hispanic Blacks (NHB), Midwest and Western residents while OKD was more likely among Non-Hispanic Whites (NHW), Hispanics, married and Northeast residents. Both CKD and OKD were more likely in ≥45 years, males, widowed/divorced/single, ≤high school educated, publicly insured, Southern residents, poor and low income individuals. All comorbidities were more likely among people with CKD and OKD. Unadjusted analysis for mean expenditures for CKD and OKD vs. no kidney disease was $39,873 and $13,247 vs. $5411 for the pooled sample. After adjusting for covariates as well as time, individuals with CKD had $17,472 and OKD $5014 higher expenditures, while adjusted mean expenditures increased by $293 to $658 compared to the reference year group. Unadjusted yearly expenditures for CKD and OKD in the US population were approximately $24.6 and $48.1 billion, while adjusted expenditures were approximately $10.7 and $18.2 billion respectively. CONCLUSION: CKD and OKD are significant cost-drivers and impose a profound economic burden to the US population. |
format | Online Article Text |
id | pubmed-5441091 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-54410912017-05-24 Trends in healthcare expenditure in United States adults with chronic kidney disease: 2002–2011 Ozieh, Mukoso N. Bishu, Kinfe G. Dismuke, Clara E. Egede, Leonard E. BMC Health Serv Res Research Article BACKGROUND: This study examines trends in healthcare expenditure in adults with chronic kidney disease (CKD) and other kidney diseases (OKD) in the U.S. from 2002 to 2011. METHODS: One hundred and eighty-seven thousand, three hundred and fourty-one adults aged ≥18 from the Medical Expenditure Panel Survey (MEPS) Household Component were analyzed. CKD and OKD were based on ICD-9 or CCC codes. A novel two-part model was used to estimate the likelihood of any healthcare use and total expenditures. Covariates included individual demographics and comorbidities. RESULTS: Approximately 711 adults surveyed from 2002 to 2011 had CKD and 3693 had OKD. CKD was more likely among Non-Hispanic Blacks (NHB), Midwest and Western residents while OKD was more likely among Non-Hispanic Whites (NHW), Hispanics, married and Northeast residents. Both CKD and OKD were more likely in ≥45 years, males, widowed/divorced/single, ≤high school educated, publicly insured, Southern residents, poor and low income individuals. All comorbidities were more likely among people with CKD and OKD. Unadjusted analysis for mean expenditures for CKD and OKD vs. no kidney disease was $39,873 and $13,247 vs. $5411 for the pooled sample. After adjusting for covariates as well as time, individuals with CKD had $17,472 and OKD $5014 higher expenditures, while adjusted mean expenditures increased by $293 to $658 compared to the reference year group. Unadjusted yearly expenditures for CKD and OKD in the US population were approximately $24.6 and $48.1 billion, while adjusted expenditures were approximately $10.7 and $18.2 billion respectively. CONCLUSION: CKD and OKD are significant cost-drivers and impose a profound economic burden to the US population. BioMed Central 2017-05-22 /pmc/articles/PMC5441091/ /pubmed/28532412 http://dx.doi.org/10.1186/s12913-017-2303-3 Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Ozieh, Mukoso N. Bishu, Kinfe G. Dismuke, Clara E. Egede, Leonard E. Trends in healthcare expenditure in United States adults with chronic kidney disease: 2002–2011 |
title | Trends in healthcare expenditure in United States adults with chronic kidney disease: 2002–2011 |
title_full | Trends in healthcare expenditure in United States adults with chronic kidney disease: 2002–2011 |
title_fullStr | Trends in healthcare expenditure in United States adults with chronic kidney disease: 2002–2011 |
title_full_unstemmed | Trends in healthcare expenditure in United States adults with chronic kidney disease: 2002–2011 |
title_short | Trends in healthcare expenditure in United States adults with chronic kidney disease: 2002–2011 |
title_sort | trends in healthcare expenditure in united states adults with chronic kidney disease: 2002–2011 |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5441091/ https://www.ncbi.nlm.nih.gov/pubmed/28532412 http://dx.doi.org/10.1186/s12913-017-2303-3 |
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