Utilization of healthcare resources by U.S. children and adults with inflammatory bowel disease

摘要: Background: The inflammatory bowel diseases (IBDs) Crohn's disease (CD) and ulcerative colitis (UC) affect over 1 million people in the United States, yet little is known about healthcare utilization by affected individuals. The objectives were to describe associated with IBD an insured U.S. population determine how sociodemographic factors impact this population. Methods: Using administrative database comprised of 87 health plans, we ascertained cases CD UC using definition. We identified inpatient, office-based, emergency (ED), endoscopy services occurring between 2003–2004 patients matched controls. For each case, excess was determined subtracting mean number control visits from case visits. Multivariate logistic linear regressions used identify utilization. Results: We 9056 10,364 patients. annual hospitalizations, ED visits, office per 100 for 21.7, 20.1, 493, respectively. These values 13.3, 10.3, 364, In general, higher compared UC, younger older Utilization also varied gender, geographical region, insurance type (Medicaid versus commercial). Conclusions: In U.S., consume substantial resources. Resource varies patient age type, a lesser extent, type. findings may be inform policy. (Inflamm Bowel Dis 2011;)