- Title
- Functional dyspepsia: the economic impact to patients
- Creator
- Lacy, B. E.; Weiser, K. T.; Kennedy, A. T.; Crowell, M. D.; Talley, N. J.
- Relation
- Alimentary Pharmacology and Therapeutics Vol. 38, Issue 2, p. 170-177
- Publisher Link
- http://dx.doi.org/10.1111/apt.12355
- Publisher
- Wiley-Blackwell Publishing
- Resource Type
- journal article
- Date
- 2013
- Description
- Background: Although highly prevalent, little is known about the economic impact of functional dyspepsia (FD). Aims: To quantify FD patients' health care utilisation patterns and to estimate direct and indirect costs of FD to patients. Methods: ICD-9 codes identified adult patients with dyspepsia. A validated questionnaire was mailed to patients who met Rome III criteria for FD. Results: Three hundred and fifty-five patients met all inclusion criteria. The response rate was 63%. The respondents' mean age was 50 (14) years; 75% were women; 52% of respondents rated their FD as moderate. Patients reported 3 visits (mean) to their PCP over 12 months; 75% reported having blood work, 92% an EGD, 59% an ultrasound and 40% a CT scan. The direct cost of testing using Medicare reimbursement rates per patient was $582. To treat FD symptoms, 89% tried dietary changes, 89% over-the-counter medications, 87% prescription medications and 25% alternative therapies. Mean patient expenditure over the last year was $246 for OTC medications (range $0-12,000), $290 for co-payments (range $0-9,000) and $110 for alternative treatments (range $0-3,741). Total mean direct cost yearly to patients was $699. In the 7 days prior to completing the questionnaire, respondents reported a mean of 1.4 h absence from work. Extrapolating the results to the US population, we conservatively calculate the costs of FD were $18.4 billion in 2009. Conclusions: Functional dyspepsia patients incur significant direct and indirect costs and work productivity is impaired by dyspeptic symptoms.
- Subject
- functional dyspepsia; patients; cost
- Identifier
- http://hdl.handle.net/1959.13/1340984
- Identifier
- uon:28626
- Identifier
- ISSN:0269-2813
- Language
- eng
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