Hay A R, Hay J W
Department of Pharmaceutical Economics and Policy, University of Southern California, Los Angeles 90033.
J Clin Gastroenterol. 1992 Jun;14(4):318-27. doi: 10.1097/00004836-199206000-00010.
In this study we describe medical cost estimates for the two major types of inflammatory bowel disease, Crohn's disease and ulcerative colitis, using a literature-based medical decision algorithm costing methodology. Surgery and inpatient costs were estimated to account for roughly half of inflammatory bowel disease medical costs. Outpatient medical care represented only 3.0-7.1% of average cost of medical care for inflammatory bowel disease; initial diagnostic workups were only 1.5-7.8% of medical costs. Long-term complications were estimated to average $439 for ulcerative colitis, nearly twice the average for Crohn's disease. Medications averaged about 10% of total costs. The average annual medical cost per patient with Crohn's disease was estimated at $6,561 (1990 U.S. dollars). The total annual medical costs for U.S. Crohn's disease patients in 1990 was estimated at $1.0-1.2 billion. The average annual medical cost per patient with ulcerative colitis was estimated at $1,488. The total annual medical costs for U.S. patients with ulcerative colitis in 1990 was estimated at $0.4-0.6 billion.
在本研究中，我们使用基于文献的医疗决策算法成本核算方法，描述了两种主要类型的炎症性肠病（克罗恩病和溃疡性结肠炎）的医疗成本估算。手术和住院成本估计约占炎症性肠病医疗成本的一半。门诊医疗仅占炎症性肠病平均医疗成本的3.0 - 7.1%；初始诊断检查仅占医疗成本的1.5 - 7.8%。据估计，溃疡性结肠炎的长期并发症平均为439美元，几乎是克罗恩病平均水平的两倍。药物费用平均约占总成本的10%。据估计，每位克罗恩病患者的年均医疗成本为6561美元（1990年美元）。1990年美国克罗恩病患者的年度医疗总成本估计为10亿至12亿美元。每位溃疡性结肠炎患者的年均医疗成本估计为1488美元。1990年美国溃疡性结肠炎患者的年度医疗总成本估计为4亿至6亿美元。
