Healthcare expenditures for sinusitis in 1996: Contributions of asthma, rhinitis, and other airway disorders
Healthcare expenditures for sinusitis in 1996: Contributions of asthma, rhinitis, and other airway disorders
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DOI：
10.1016/s0091-6749(99)70464-1
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发表时间：
1999-03-01
影响因子：
14.2
通讯作者：
Pung, YH
中科院分区：
文献类型：
--
作者：
Ray, NF;Baraniuk, JN;Pung, YH
背景：在同行评议的文献中，最近没有对鼻窦炎的经济负担进行评估。目的：我们试图估算1996年用于治疗鼻窦炎的直接医疗费用总额。方法：本研究确定(1)以鼻窦炎为主要诊断的内科和外科会诊的直接费用，以及(2)当相关的呼吸道疾病为主要诊断和鼻窦炎并存时的归因费用。一个专家小组使用Delphi共识建立技术来确定后者的比例。结果：1996年可归因于鼻窦炎的总体医疗支出估计为58亿美元，其中18亿美元(30.6%)用于12岁或12岁以下的儿童。急性或慢性鼻窦炎的初步诊断占所有费用的58.7%(35亿美元)。哮喘、慢性中耳炎和咽鼓管疾病各约12%的费用归因于并存鼻窦炎的诊断和治疗。近90%的支出(51亿美元)与门诊或急诊科服务有关。结论：美国鼻窦炎的经济负担很大，但这种评估的局限性表明，58亿美元可能低估了真正的直接铸型。
Background: There have been no recent assessments of the economic burden of sinusitis in the peer-reviewed literature. Objective: We sought to estimate the 1996 total direct health care expenditures for the treatment of sinusitis.Methods: This study determined (I) direct expenditures of medical and surgical encounters in which sinusitis was the primary diagnosis and (2) attributable expenditures when related airway diseases were the primary diagnosis and sinusitis was a comorbid condition. An expert panel used the Delphi consensus-building technique to determine the proportions for the latterResults: Overall health care expenditures attributable to sinusitis in 1996 wore estimated at $5.8 billion, of which $1.8 billion (30.6%) was for children 12 gears or younger. A primary diagnosis of acute or chronic sinusitis accounted for 58.7% of all expenditures ($3.5 billion). About 12% each of the costs for asthma and chronic otitis media and eustachian tube disorders were attributed to diagnosis and treatment of comorbid sinusitis. Nearly 90% of all expenditures ($5.1 billion) were associated with ambulatory or emergency department services,Conclusion: The economic burden of sinusitis in the United States is significant However the limitations of this type of evaluation suggest the $5.8 billion amount may be an underestimate of the true direct casts.