MEDICAL COSTS IN COMMUNITY SUBJECTS WITH IRRITABLE-BOWEL-SYNDROME
MEDICAL COSTS IN COMMUNITY SUBJECTS WITH IRRITABLE-BOWEL-SYNDROME
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DOI：
10.1016/0016-5085(95)90738-6
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发表时间：
1995-12-01
期刊：
影响因子：
29.4
通讯作者：
EVANS, RW
中科院分区：
文献类型：
--
作者：
TALLEY, NJ;GABRIEL, SE;EVANS, RW
背景与目标：肠易激综合征 (IBS) 的治疗费用尚不清楚。估计了患有 IBS 的社区受试者的直接医疗费用。方法：对明尼苏达州奥姆斯特德县年龄从 20 岁到 95 岁的居民进行年龄和性别分层随机抽样，并邮寄有效的自我报告问卷。受试者被分类为患有 IBS、有一些症状但 IBS 的标准不充分以及对照。获得了完成调查前一年提供的医疗服务的所有费用（以 1992 年美元计算）（门诊药物除外）。结果：在研究年内，共有 88% 的 IBS 受试者、86% 的具有某些 IBS 症状的受试者和 83% 的对照者产生了直接医疗费用。调整年龄、性别、教育程度、婚姻状况和就业后，IBS 受试者发生费用的几率是无症状受试者的 1.6 倍 (P < 0.01)。 IBS 受试者的总体中位费用为 742 美元，对照组为 429 美元，有某些症状的受试者为 614 美元。在那些非零电荷的受试者中，与年龄、高等教育和症状组呈显着正相关（所有 P < 0.01），但与性别无关。结论：IBS 的经济影响是显着的。需要更好地了解这些成本的决定因素，以便实施成本节约策略。
Background & Aims: Costs of management of irritable bowel syndrome (IBS) are unknown. The direct medical charges in community subjects with IBS were estimated. Methods: An age- and sex-stratified random sample of residents of Olmsted County, Minnesota, ranging in age from 20 to 95 years, was mailed a valid self-report questionnaire. Subjects were categorized as having IBS, having some symptoms but inadequate criteria for IBS, and controls. All charges (in 1992 U.S. dollars) for health services rendered in the year before completing the survey were obtained (except outpatient medications). Results: A total of 88% of subjects with IBS, 86% of subjects with some symptoms of IBS, and 83% of controls incurred direct medical charges during the study year. The odds of incurring charges were 1.6 times greater in subjects with IBS relative to those without symptoms (P < 0.01) adjusting for age, sex, education, marital status, and employment. Overall median charges incurred by subjects with IBS were $742 compared with $429 for controls and $614 for subjects with some symptoms. Among those subjects with nonzero charges, there were significant positive associations with age, higher education, and symptom groups (all P < 0.01) but not sex. Conclusions: The economic impact of IBS is significant. A better understanding of the determinants of these costs is needed so that cost-saving strategies can be implemented.