Cost of Patients with Primary Open-angle Glaucoma A Retrospective Study of Commercial Insurance Claims Data

作者: Paul P. Lee , Leonard A. Levin , John G. Walt , Tina Chiang , Laura M. Katz

DOI: 10.1016/J.OPHTHA.2006.10.031

关键词:

摘要: Purpose Primary open-angle glaucoma (POAG) poses a large burden on eye care resources in the United States. We evaluated total health and POAG-specific charges (both pharmacy nonpharmacy) incurred by patients with POAG using longitudinal U.S. commercial insurance claims database to determine relative magnitude of overall for those glaucoma. Design Retrospective cohort design. Participants Sixty-four thousand three hundred eighty were identified. Methods Patients selected (International Classification Diseases, 9th Revision code 365.11 at least 2 encounters) from managed database. Total calculated. Component (pharmacy also charge per treated person was Main Outcome Measure Health charges. Results The mean first year after initial entry into $13 404 (standard deviation [SD], $33 987), median $5403. $1570 (SD, $3428), $840. Pharmacy 25% subsequent years decreased 7% year, whereas increased 39% year. aged 65 older had significantly higher both ($16 759 vs. $11 651; P = 0.0049), an age-related increase 44% 5% Overall, represented 12% 8% years. Conclusions There is substantial cost associated population insurance, most these are not related.

参考文章(24)
Richard G. Fiscella, Costs of glaucoma medications American Journal of Health-system Pharmacy. ,vol. 55, pp. 272- 275 ,(1998) , 10.1093/AJHP/55.3.272
Keister Lw, Managed care's 'revolving door'. How it affects your practice. Managed care (Langhorne, Pa.). ,vol. 5, pp. 30- 35 ,(1996)
H. Glick, R. C. McDonald, A. Brainsky, J. C. Javitt, The cost of glaucoma in the United States in 1988 Chibret International Journal of Ophthalmology. ,vol. 10, pp. 6- 12 ,(1994)
J M Pont, D K Dang, M A Portmoy, Episode treatment groups: an illness classification and episode building system--Part II. Medical interface. ,vol. 9, pp. 118- 122 ,(1996)
Grady M Hughes, James S Distelhorst, Open-angle glaucoma. American Family Physician. ,vol. 67, pp. 1937- 1944 ,(2003)
Daniel A. Ollendorf, Elena Massarotti, Charles Birbara, Somali Misra Burgess, Frequency, predictors, and economic impact of upward dose adjustment of infliximab in managed care patients with rheumatoid arthritis. Journal of Managed Care Pharmacy. ,vol. 11, pp. 383- 393 ,(2005) , 10.18553/JMCP.2005.11.5.383
Harry A. Quigley, Susan Vitale, Models of open-angle glaucoma prevalence and incidence in the United States. Investigative Ophthalmology & Visual Science. ,vol. 38, pp. 83- 91 ,(1997)
Thomas D Gilbert, Daniel Smith, Daniel A Ollendorf, Patterns of use, dosing, and economic impact of biologic agent use in patients with rheumatoid arthritis: a retrospective cohort study. BMC Musculoskeletal Disorders. ,vol. 5, pp. 36- 36 ,(2004) , 10.1186/1471-2474-5-36
WILLIAM C. STEWART, ALISON C. HUDGINS, CAROLINE A. PRUITT, CHERYL SINE, Daily cost of newer glaucoma agents. Journal of Ocular Pharmacology and Therapeutics. ,vol. 15, pp. 379- 388 ,(1999) , 10.1089/JOP.1999.15.379