Dataset Information

Incremental Health Care Expenditure of Chronic Cutaneous Ulcers in the United States.

ABSTRACT:

Importance

Despite the increasing incidence of chronic cutaneous ulcers (CCUs), limited information exists regarding their incremental economic burden.

Objective

To provide nationally representative estimates regarding the incremental health care cost of CCUs, controlling for comorbidities and sociodemographic characteristics.

Design, setting, and participants

This retrospective analysis used 9 years of longitudinal data from the Medical Expenditure Panel Survey (MEPS; January 1, 2007, through December 31, 2015). Patients with CCUs were identified using Agency for Healthcare Research and Quality-produced software that included several codes from the International Classification of Disease, 9th Revision Clinical Modification, for chronic ulcers of the skin. A cross-validated 2-part generalized linear model estimated the adjusted incremental expenditure for individuals with CCUs while controlling for comorbidities and sociodemographic covariates. Data were analyzed from July 1 through September 1, 2018.

Main outcomes and measures

Incremental cost of CCUs, total cost of care, and expenditures associated with inpatient care, outpatient care, prescription medications, emergency department visits, and home health care.

Results

A total of 288 698 patients (52.4% female; mean [SD] age, 38.2 [22.4] years) were included, of whom 1786 had CCUs and 286?912 did not. Patients with CCUs were more likely to be female (1078 [60.4%]), non-Hispanic (1388 [77.7%]), previously or currently married (1440 [80.6%]), and covered by Medicaid/Medicare (852 [47.7%]) and had a lower income (954 [53.4%]) when compared with patients without CCUs (P?Conclusions and relevanceResults of this study suggest that chronic cutaneous ulcers are associated with substantial incremental increases in annual health care expenditure. Expenses for patients with CCUs are increasing, particularly with regard to outpatient cost of care and prescription medication expenditure. As health care costs rise, investigators must identify strategies to prevent and treat CCUs.

SUBMITTER: Tripathi R

PROVIDER: S-EPMC6563532 | biostudies-literature | 2019 Jun

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Incremental Health Care Expenditure of Chronic Cutaneous Ulcers in the United States.

Tripathi Raghav R Knusel Konrad D KD Ezaldein Harib H HH Honaker Jeremy S JS Bordeaux Jeremy S JS Scott Jeffrey F JF

JAMA dermatology 20190601 6

<h4>Importance</h4>Despite the increasing incidence of chronic cutaneous ulcers (CCUs), limited information exists regarding their incremental economic burden.<h4>Objective</h4>To provide nationally representative estimates regarding the incremental health care cost of CCUs, controlling for comorbidities and sociodemographic characteristics.<h4>Design, setting, and participants</h4>This retrospective analysis used 9 years of longitudinal data from the Medical Expenditure Panel Survey (MEPS; Janu ...[more]

PMID: 30892572

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Dataset Information

Incremental Health Care Expenditure of Chronic Cutaneous Ulcers in the United States.

Importance

Objective

Design, setting, and participants

Main outcomes and measures

Results

Publications

Incremental Health Care Expenditure of Chronic Cutaneous Ulcers in the United States.

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