The cost of inpatient endometriosis treatment: an analysis based on the Healthcare Cost and Utilization Project Nationwide Inpatient Sample.

Sicong Zhao, Zhao SZ, S Z Zhao, Wong JM, J M Wong, John Wong, Davis MB, M B Davis, MM Davis, Gersh GE, G E Gersh, K E Johnson, Johnson KE
The American journal of managed care · 1998 · vol. 4(8) , pp. 1127–34 · PMID:10182888 · W14677026
article OA: closed CC0 ⤵ 40 in-corpus citations
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This retrospective analysis of the Healthcare Cost and Utilization Project-Nationwide Inpatient Sample found that endometriosis-related hospitalizations cost an estimated $504-$579 million annually in the US during 1991-1992, with most occurring in women aged 35-49.

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Abstract

OBJECTIVE: To determine the prevalence and cost of endometriosis-related hospitalizations based on the Nationwide Inpatient Sample (NIS) from the Healthcare Cost and Utilization Project (HCUP-3). STUDY DESIGN: Retrospective analysis based on nationwide clinical practice data. PATIENTS AND METHODS: Data were obtained for 1991 and 1992 from the HCUP-NIS database, which was a 20% sample of all US hospital discharges. ICD-9 codes (236.0, 617.0 to 617.9) were used to identify females, aged 15 to 54, with endometriosis as a diagnosis. The distribution of endometriosis admissions by admission type, length of stay (LOS), mean total charge, specific types of endometriosis, principal procedures, and other diagnosed diseases was described. RESULTS: In 1991 and 1992, 37,273 (22.6/1000) and 38,834 (23.7/1000) hospital admissions, respectively, were for endometriosis (as any diagnosis). The average LOS and total hospital charges for endometriosis as the primary diagnosis were 3.8 days and $6,597 for 1991, and 3.5 days and $7,450 for 1992. Most endometriosis admissions occurred in females aged 35 to 49. About 87% of the endometriosis hospitalizations were routine admissions. The most common diagnosis was endometriosis of the uterus (51%); the most common procedure was a total abdominal hysterectomy (55%-60%). Older and African-American patients had the longest LOS and the highest total charges. The estimated total hospitalization costs, as represented by hospital charges, for women with endometriosis as the primary diagnosis in the United States were $504 million for 1991 and $579 million for 1992. CONCLUSION: Endometriosis-related hospitalization is a major burden on healthcare systems.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Hospital Costs Hospitalization Utilization Review Adolescent Adult Endometriosis Endometriosis Endometriosis Ethnicity Female Health Services Research Hospital Costs Hospitalization Hospitalization Humans Length of Stay Length of Stay Middle Aged United States

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