- Title
- Longitudinal direct medical costs associated with constipation in women
- Creator
- Choung, R. S.; Branda, M. E.; Chitkara, D.; Shah, N. D.; Katusic, S. K.; Locke III, G. R.; Talley, Nicholas J.
- Relation
- Alimentary Pharmacology & Therapeutics Vol. 33, Issue 2, p. 251-260
- Publisher Link
- http://dx.doi.org/10.1111/j.1365-2036.2010.04513.x
- Publisher
- Wiley-Blackwell Publishing
- Resource Type
- journal article
- Date
- 2011
- Description
- Background: Although direct medical costs for constipation-related medical visits are thought to be high, to date, there have been no studies examining longitudinal resource utilisation in adults with constipation. Aim: To estimate the incremental direct medical costs associated with constipation in women. Methods: This is a nested case-control study. The study population consisted of all mothers of 5718 children in the population-based birth cohort born during 1976–1982 in a community. The cases presented to the medical facilities with constipation. The controls were randomly selected and matched to cases in a 2:1 ratio. Direct medical costs for constipated women and controls were collected for the years 1987–2002. Results: We identified 168 women with a diagnosis of constipation. The total direct medical costs over the 15-year period for constipated subjects were more than double those of controls [$63 591 (95% CI: 49 786–81 396) vs. $24 529 (95% CI: 20 667–29 260)]. The overall out-patient costs for constipated women were $38 897 (95% CI: 31 381–48 253) compared to $15 110 (95% CI: 12 904–17 781) for controls. The median of annual out-patient visits for constipated women was 0.16 compared to 0.11 for controls. Conclusion: Women with constipation have significantly higher medical care utilisation and expenditures compared with women without constipation.
- Subject
- constipation; direct medical costs; women; longitudinal resource utilisation
- Identifier
- http://hdl.handle.net/1959.13/936668
- Identifier
- uon:12372
- Identifier
- ISSN:0269-2813
- Language
- eng
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