Atia Antwan, Murthy Ravindra, Bailey Beth A, Manning Todd, Garrett Linda L, Youssef Dima, Peiris Alan N
Department of Internal Medicine, East Tennessee State University, PO Box 70622, Johnson City, TN 37614, USA.
Mil Med. 2011 Jun;176(6):711-4. doi: 10.7205/milmed-d-10-00371.
Vitamin D deficiency is a global pandemic associated with increased health care costs and could play a role in the pathogenesis and management of inflammatory bowel disease. This study examined vitamin D status in veterans with ulcerative colitis (UC) and Crohn's disease (CD) and assessed its relationship to health care costs and service utilization. Veteran patients (n = 125) with UC or CD and with an available 25-hydroxyvitamin D level were studied. CD patients were more likely to be vitamin D insufficient than the UC group. Despite the higher vitamin D levels among UC patients, they were significantly more likely to utilize laboratory and pharmacy services compared with CD patients, whereas patients with CD had significantly higher radiology and pharmacy costs. Thus, it is likely that disease-specific characteristics rather than vitamin D status determine the costs of health care services in veterans with established inflammatory bowel disease.
维生素D缺乏是一种与医疗保健成本增加相关的全球性流行病，并且可能在炎症性肠病的发病机制和管理中起作用。本研究调查了患有溃疡性结肠炎（UC）和克罗恩病（CD）的退伍军人的维生素D状况，并评估了其与医疗保健成本和服务利用的关系。对患有UC或CD且有可用的25-羟基维生素D水平的退伍军人患者（n = 125）进行了研究。与UC组相比，CD患者更有可能维生素D不足。尽管UC患者的维生素D水平较高，但与CD患者相比，他们使用实验室和药房服务的可能性显著更高，而CD患者的放射学和药房成本显著更高。因此，很可能是疾病特异性特征而非维生素D状况决定了患有炎症性肠病的退伍军人的医疗保健服务成本。
