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. 2011 Jan;52(1):47-54.
doi: 10.1097/MPG.0b013e3181e67058.

Direct medical costs of constipation from childhood to early adulthood: a population-based birth cohort study

Rok Seon Choung  1 , Nilay D Shah, Denesh Chitkara, Megan E Branda, Miranda A Van Tilburg, William E Whitehead, Slavica K Katusic, G Richard Locke 3rd, Nicholas J Talley
Affiliations

Direct medical costs of constipation from childhood to early adulthood: a population-based birth cohort study

Rok Seon Choung et al. J Pediatr Gastroenterol Nutr. 2011 Jan.

Abstract

Background: Although direct medical costs for constipation-related medical visits are thought to be high, to date there have been no studies examining whether longitudinal resource use is persistently elevated in children with constipation. Our aim was to estimate the incremental direct medical costs and types of health care use associated with constipation from childhood to early adulthood.

Methods: A nested case-control study was conducted to evaluate the incremental costs associated with constipation. The original sample consisted of 5718 children in a population-based birth cohort who were born during 1976 to 1982 in Rochester, MN. The cases included individuals who presented to medical facilities with constipation. The controls were matched and randomly selected among all noncases in the sample. Direct medical costs for cases and controls were collected from the time subjects were between 5 and 18 years of age or until the subject emigrated from the community.

Results: We identified 250 cases with a diagnosis of constipation in the birth cohort. Although the mean inpatient costs for cases were $9994 (95% Confidence interval [CI] 2538-37,201) compared with $2391 (95% CI 923-7452) for controls (P = 0.22) during the time period, the mean outpatient costs for cases were $13,927 (95% CI 11,325-16,525) compared with $3448 (95% CI 3771-4621) for controls (P < 0.001) during the same time period. The mean annual number of emergency department visits for cases was 0.66 (95% CI 0.62-0.70) compared with 0.34 (95% CI 0.32-0.35) for controls (P < 0.0001).

Conclusions: Individuals with constipation have higher medical care use. Outpatient costs and emergency department use were significantly greater for individuals with constipation from childhood to early adulthood.

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Figures

Figure 1
Figure 1
The mean observed annual total costs for constipation. Each bar represents the mean observed annual total medical costs for children with constipation versus controls according to age.
Figure 2
Figure 2
The mean observed annual outpatient costs for constipation. Each bar represents the mean observed annual outpatient costs of children with constipation versus controls according to age.
See this image and copyright information in PMC

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