Yoon Dokyoung, Frick Kevin D, Carr Deborah A, Austin Joan K
Department of Family Medicine, Korea University College of Medicine, Seoul, Korea.
Epilepsia. 2009 Oct;50(10):2186-91. doi: 10.1111/j.1528-1167.2009.02159.x. Epub 2009 Jun 8.
To assess differences in medical care expenditures and informal care received for adults and children by individuals' self-reported epilepsy status and to estimate the total economic impact of epilepsy in the United States.
Pooled medical expenditure panel survey data from 1996-2004 were used. Children's regression analyses were adjusted for race, sex, general self-reported health status, family size, and age. Adults' analyses were also adjusted for income and education. The national annual economic impact was estimated by multiplying the average individual differences by previously published national prevalence data.
The results of regressions appropriately weighted to account for study design indicate excess medical expenditures for those with epilepsy of $4,523 [95% confidence interval: $3,184-$5,862]. Excess expenditures were similar for adults and children. Adults with epilepsy received 1.2 extra days of informal care [95% confidence interval: 0.2-2.3]. The national impact included $9.6 billion of medical expenditures and informal care.
Epilepsy has significant impact on individual medical expenditure and generates a national impact in the billions of dollar.
通过个人自我报告的癫痫状况评估成人和儿童在医疗保健支出和接受的非正式护理方面的差异，并估计癫痫在美国造成的总体经济影响。
使用了1996 - 2004年合并的医疗支出面板调查数据。儿童回归分析针对种族、性别、自我报告的总体健康状况、家庭规模和年龄进行了调整。成人分析还针对收入和教育进行了调整。通过将平均个体差异乘以先前公布的全国患病率数据来估计全国年度经济影响。
对研究设计进行适当加权的回归结果表明，癫痫患者的医疗支出超出4523美元[95%置信区间：3184 - 5862美元]。成人和儿童的支出超出情况相似。患有癫痫的成人接受的非正式护理多1.2天[95%置信区间：0.2 - 2.3]。全国影响包括96亿美元的医疗支出和非正式护理。
癫痫对个人医疗支出有重大影响，并在全国范围内产生数十亿美元的影响。
