Health care costs and resource utilization for different asthma severity stages in Colombia: a claims data analysis

Background: Asthma is one of the most common chronic respiratory conditions worldwide. Asthma-related economic burden has been reported in Latin America, but knowledge about its economic impact to the Colombian health care system and the influence of disease severity is lacking. This study estimated...

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Autores:
Flórez-Tanus, Álvaro
Parra, Devian
Zakzuk, Josefina
Caraballo, Luis
Alvis-Guzmán, Nelson
Alvis Zakzuk, Nelson J.
Tipo de recurso:
Article of journal
Fecha de publicación:
2018
Institución:
Corporación Universidad de la Costa
Repositorio:
REDICUC - Repositorio CUC
Idioma:
eng
OAI Identifier:
oai:repositorio.cuc.edu.co:11323/2284
Acceso en línea:
https://hdl.handle.net/11323/2284
https://repositorio.cuc.edu.co/
Palabra clave:
Cost of illness
Health care costs
Asthma
Health care utilization
Rights
openAccess
License
Atribución – No comercial – Compartir igual
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dc.title.spa.fl_str_mv Health care costs and resource utilization for different asthma severity stages in Colombia: a claims data analysis
title Health care costs and resource utilization for different asthma severity stages in Colombia: a claims data analysis
spellingShingle Health care costs and resource utilization for different asthma severity stages in Colombia: a claims data analysis
Cost of illness
Health care costs
Asthma
Health care utilization
title_short Health care costs and resource utilization for different asthma severity stages in Colombia: a claims data analysis
title_full Health care costs and resource utilization for different asthma severity stages in Colombia: a claims data analysis
title_fullStr Health care costs and resource utilization for different asthma severity stages in Colombia: a claims data analysis
title_full_unstemmed Health care costs and resource utilization for different asthma severity stages in Colombia: a claims data analysis
title_sort Health care costs and resource utilization for different asthma severity stages in Colombia: a claims data analysis
dc.creator.fl_str_mv Flórez-Tanus, Álvaro
Parra, Devian
Zakzuk, Josefina
Caraballo, Luis
Alvis-Guzmán, Nelson
Alvis Zakzuk, Nelson J.
dc.contributor.author.spa.fl_str_mv Flórez-Tanus, Álvaro
Parra, Devian
Zakzuk, Josefina
Caraballo, Luis
Alvis-Guzmán, Nelson
dc.contributor.author.none.fl_str_mv Alvis Zakzuk, Nelson J.
dc.subject.spa.fl_str_mv Cost of illness
Health care costs
Asthma
Health care utilization
topic Cost of illness
Health care costs
Asthma
Health care utilization
description Background: Asthma is one of the most common chronic respiratory conditions worldwide. Asthma-related economic burden has been reported in Latin America, but knowledge about its economic impact to the Colombian health care system and the influence of disease severity is lacking. This study estimated direct medical costs and health care resource utilization (HCRU) in patients with asthma according to severity in Colombia. Methods: This study identified all-age patients who had at least one medical event linked to an asthma diagnosis (CIE-10: J45-J46) between 2004 and 2014. Patients were selected if they had a continuous enrollment and uninterrupted insurance coverage between January 1–2015 and December 31–2015 and were categorized into 4 different severity levels using a modified algorithm based on Leidy criteria. Healthcare utilization and costs were estimated in a 1-year period after the identification period. A Generalized Linear Model (GLM) with gamma distribution and log link was used to analyze costs adjusting for patient demographics. Results: A total of 20,410 patients were included: 69.5% had mild intermittent, 18.0% mild persistent, 6.9% moderate persistent and 5.5% severe persistent asthma; with mean costs (SD) of $67 (134), $482 (1506), $1061 (1983), $2235 (3426) respectively (p < 0.001). The mean total direct cost was estimated at $331 (1278) per patient. Medication and hospitalization had the higher proportion in total costs (46% and 31% respectively). General physician visits was the most used service (57.2%) and short-acting β-2 agonists the most used medication (24%). Conclusions: Health services utilization and direct costs of asthma were highly related to disease severity. Nationwide health policies aimed at the effective control of asthma are necessary and would play an important role in reducing the associated economic impact.
publishDate 2018
dc.date.issued.none.fl_str_mv 2018
dc.date.accessioned.none.fl_str_mv 2019-02-07T13:37:34Z
dc.date.available.none.fl_str_mv 2019-02-07T13:37:34Z
dc.type.spa.fl_str_mv Artículo de revista
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dc.type.content.spa.fl_str_mv Text
dc.type.driver.spa.fl_str_mv info:eu-repo/semantics/article
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dc.identifier.issn.spa.fl_str_mv 1939-4551
dc.identifier.uri.spa.fl_str_mv https://hdl.handle.net/11323/2284
dc.identifier.instname.spa.fl_str_mv Corporación Universidad de la Costa
dc.identifier.reponame.spa.fl_str_mv REDICUC - Repositorio CUC
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identifier_str_mv 1939-4551
Corporación Universidad de la Costa
REDICUC - Repositorio CUC
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dc.language.iso.none.fl_str_mv eng
language eng
dc.rights.spa.fl_str_mv Atribución – No comercial – Compartir igual
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http://purl.org/coar/access_right/c_abf2
eu_rights_str_mv openAccess
dc.publisher.spa.fl_str_mv World Allergy Organization Journal
institution Corporación Universidad de la Costa
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spelling Flórez-Tanus, ÁlvaroParra, DevianZakzuk, JosefinaCaraballo, LuisAlvis-Guzmán, NelsonAlvis Zakzuk, Nelson J.virtual::269-12019-02-07T13:37:34Z2019-02-07T13:37:34Z20181939-4551https://hdl.handle.net/11323/2284Corporación Universidad de la CostaREDICUC - Repositorio CUChttps://repositorio.cuc.edu.co/Background: Asthma is one of the most common chronic respiratory conditions worldwide. Asthma-related economic burden has been reported in Latin America, but knowledge about its economic impact to the Colombian health care system and the influence of disease severity is lacking. This study estimated direct medical costs and health care resource utilization (HCRU) in patients with asthma according to severity in Colombia. Methods: This study identified all-age patients who had at least one medical event linked to an asthma diagnosis (CIE-10: J45-J46) between 2004 and 2014. Patients were selected if they had a continuous enrollment and uninterrupted insurance coverage between January 1–2015 and December 31–2015 and were categorized into 4 different severity levels using a modified algorithm based on Leidy criteria. Healthcare utilization and costs were estimated in a 1-year period after the identification period. A Generalized Linear Model (GLM) with gamma distribution and log link was used to analyze costs adjusting for patient demographics. Results: A total of 20,410 patients were included: 69.5% had mild intermittent, 18.0% mild persistent, 6.9% moderate persistent and 5.5% severe persistent asthma; with mean costs (SD) of $67 (134), $482 (1506), $1061 (1983), $2235 (3426) respectively (p < 0.001). The mean total direct cost was estimated at $331 (1278) per patient. Medication and hospitalization had the higher proportion in total costs (46% and 31% respectively). General physician visits was the most used service (57.2%) and short-acting β-2 agonists the most used medication (24%). Conclusions: Health services utilization and direct costs of asthma were highly related to disease severity. 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