Trends in prevalence, mortality, health care utilization and health care costs of Swiss IBD patients: a claims data based study of the years 2010, 2012 and 2014.

Détails

Ressource 1Télécharger: 29197335_BIB_3E333D8696EA.pdf (631.14 [Ko])
Etat: Public
Version: Final published version
Licence: CC BY 4.0
ID Serval
serval:BIB_3E333D8696EA
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Trends in prevalence, mortality, health care utilization and health care costs of Swiss IBD patients: a claims data based study of the years 2010, 2012 and 2014.
Périodique
BMC gastroenterology
Auteur(s)
Bähler C., Vavricka S.R., Schoepfer A.M., Brüngger B., Reich O.
ISSN
1471-230X (Electronic)
ISSN-L
1471-230X
Statut éditorial
Publié
Date de publication
02/12/2017
Peer-reviewed
Oui
Volume
17
Numéro
1
Pages
138
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: epublish
Résumé
Real-life data on inflammatory bowel disease (IBD) prevalence and costs are scarce. The aims of this study were to provide an overview of the prevalence, mortality, health care utilization and costs of IBD patients in Switzerland in the years 2010, 2012, and 2014.
Based on claims data of the Helsana-Group, prevalence of IBD was assessed for 2010, 2012 and 2014. Mortality rates, costs (inpatient, outpatient, medication costs) and utilization (visits, hospitalizations) were compared between patients with and without IBD, and between IBD patients treated with and without biologics. Results were extrapolated to the Swiss general population using national census data. Multivariate linear regression was used to identify socio-demographic and regional factors influencing total costs.
The overall extrapolated prevalence rates of IBD were 0.32% in 2010, 0.38% in 2012, and 0.41% in 2014. Mortality rate didn't differ between the IBD and non-IBD population. Costs increased annually by 6% in IBD versus 2.4% in non-IBD subjects, which was solely due to increased outpatient costs. Almost one-fourth of IBD patients were hospitalized at least once a year. Costs were higher in IBD patients treated with biologics (OR = 3.98, CI: 3.72-4.27, p < 0.001) when compared to IBD patients without biologic therapies. Over 70% of the total costs in IBD patients treated with biologics were due to drug costs, compared with 28% in patients without use of biologic therapies, whereas inpatient costs didn't differ.
The prevalence of IBD seems to be increasing in Switzerland. Outpatient costs increased substantially, while no decrease in inpatient costs was found. Treatment of IBD is more and more based on biologic therapies.
Mots-clé
Adolescent, Adult, Aged, Child, Child, Preschool, Drug Costs, Female, Health Care Costs, Hospitalization/economics, Humans, Infant, Inflammatory Bowel Diseases/economics, Inflammatory Bowel Diseases/epidemiology, Inflammatory Bowel Diseases/mortality, Inflammatory Bowel Diseases/therapy, Male, Middle Aged, Patient Acceptance of Health Care, Prevalence, Retrospective Studies, Switzerland/epidemiology, Young Adult, Health care costs, Inflammatory bowel disease, Mortality
Pubmed
Web of science
Open Access
Oui
Création de la notice
07/12/2017 20:49
Dernière modification de la notice
20/08/2019 13:34
Données d'usage