The Medical Division, Maccabi Healthcare Services, Tel Aviv, Israel.
Health Econ Rev. 2013 Nov 7;3(1):23. doi: 10.1186/2191-1991-3-23.
The aim of this study was to identify costs in patients diagnosed with Celiac disease.
This retrospective case control study covered the period 2003-2006 and was conducted in a large Israeli Health Maintenance Organization insuring over two million members. Our cohort comprised 1,754 patients with Celiac disease with a control group of 15,040. Costs were aggregated according to main cost-branches and computed individually for each member. A linear step wise regression was performed with costs being the dependent variable and the independent variables; age, gender and the presence of celiac disease. Costs were compared with patients suffering from other chronic diseases.
The total costs of the patients with celiac disease were significantly higher than that of the control group for hospital admission, medications, laboratory and imaging. Hospital admission rate was 7.98% as opposed to 7.1% for the control group (p = 0.06). When compared with other chronic illnesses, the costs of patients with celiac disease were similar to those of patients with diabetes and hypertension.
Patients with Celiac disease utilize medical services more than the general population. This research suggests that the use of medical resources by patients with Celiac disease may be higher than previously thought.
本研究旨在确定乳糜泻患者的成本。
本回顾性病例对照研究覆盖了 2003 年至 2006 年期间，并在一家大型以色列健康维护组织中进行，该组织为超过 200 万成员提供保险。我们的队列包括 1754 名乳糜泻患者，对照组为 15040 名。根据主要成本分支汇总成本，并为每个成员单独计算。成本为因变量，独立变量为年龄、性别和乳糜泻的存在，采用线性逐步回归进行分析。将成本与患有其他慢性疾病的患者进行比较。
乳糜泻患者的总费用明显高于对照组，主要表现在住院、药物、实验室和影像学方面。住院率为 7.98%，而对照组为 7.1%（p=0.06）。与其他慢性疾病相比，乳糜泻患者的成本与糖尿病和高血压患者相似。
乳糜泻患者比一般人群更需要使用医疗服务。本研究表明，乳糜泻患者对医疗资源的利用可能高于先前的估计。
