Vitamin D Status in Veterans With Inflammatory Bowel Disease: Relationship to Health Care Costs and Services
Vitamin D Status in Veterans With Inflammatory Bowel Disease: Relationship to Health Care Costs and Services
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DOI：
10.7205/milmed-d-10-00371
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发表时间：
2011-06-01
影响因子：
1.2
通讯作者：
Peiris, Alan N.
中科院分区：
文献类型：
--
作者：
Atia, Antwan;Murthy, Ravindra;Peiris, Alan N.
维生素D缺乏症是一种全球性流行病，与医疗保健费用增加有关，并可能在炎症性肠病的发病机制和管理中发挥作用。本研究检查了患有溃疡性结肠炎（UC）和克罗恩病（CD）的退伍军人的维生素D状况，并评估了其与医疗保健费用和服务利用的关系。研究了UC或CD且25-羟基维生素D水平可用的退伍军人患者（n = 125）。CD患者比UC组更可能维生素D不足。尽管UC患者的维生素D水平较高，但与CD患者相比，他们更有可能利用实验室和药房服务，而CD患者的放射学和药房费用显着较高。因此，很可能是疾病特异性特征而不是维生素D状态决定了患有炎症性肠病的退伍军人的医疗保健服务费用。
Vitamin D deficiency is a global pandemic associated with increased health care costs and could play a role in the pathogenesis and management of inflammatory bowel disease. This study examined vitamin D status in veterans with ulcerative colitis (UC) and Crohn's disease (CD) and assessed its relationship to health care costs and service utilization. Veteran patients (n = 125) with UC or CD and with an available 25-hydroxyvitamin D level were studied. CD patients were more likely to be vitamin D insufficient than the UC group. Despite the higher vitamin D levels among UC patients, they were significantly more likely to utilize laboratory and pharmacy services compared with CD patients, whereas patients with CD had significantly higher radiology and pharmacy costs. Thus, it is likely that disease-specific characteristics rather than vitamin D status determine the costs of health care services in veterans with established inflammatory bowel disease.