Markiewicz-Łoskot Grażyna, Chlebowczyk Wojciech, Holecki Tomasz
Department of Nursing and Social Medical Problems, School of Health Sciences in Katowice, Medical University of Silesia in Katowice, Medyków 12 Str., 40-751 Katowice, Poland.
Department of Health Economics and Health Management, School of Public Health in Bytom, Medical University of Silesia in Katowice, Piekarska 18 Str., 41-902 Bytom, Poland.
Children (Basel). 2023 Jun 26;10(7):1112. doi: 10.3390/children10071112.
The last two decades have seen an increase in the incidence of inflammatory bowel disease (IBD) in many regions of the world, which has had a significant impact on both the social and economic burden of governments and healthcare systems. The aim of this study was to determine the level of hospitalization and outpatient treatment costs for children and adolescents with Crohn's disease and ulcerative colitis, depending on age, location, and activity of the disease. Methods were a retrospective analysis of the medical documentation of 240 children with IBD, hospitalized in the Gastroenterology Ward, Department of Pediatrics Medical University of Silesia (Katowice, Poland), along the three years follow up. The costs of treatment consisted of calculations of the supply of oral and intravenous drugs, calculations of the costs of laboratory tests, imaging, and consultations, as well as person-day costs. The most important results, determined with high costs of IBD treatment, are associated with younger age, high disease activity, localization in the small intestine in Crohn's disease (CD), and inflammatory changes in the entire colon in Ulcerative Colitis (UC). During the observation, it was noticed that the shortening of the hospitalization time did not significantly affect the total costs, which remained at a stable level.
在过去二十年里，全球许多地区炎症性肠病（IBD）的发病率有所上升，这对政府和医疗系统的社会及经济负担产生了重大影响。本研究的目的是根据年龄、疾病部位和活动程度，确定克罗恩病和溃疡性结肠炎患儿及青少年的住院和门诊治疗费用水平。研究方法是对西里西亚医科大学儿科胃肠病科（波兰卡托维兹）收治的240例IBD患儿的医疗记录进行回顾性分析，并进行了三年的随访。治疗费用包括口服和静脉药物供应费用、实验室检查、影像学检查和会诊费用以及人均每日费用的计算。IBD治疗费用高昂所确定的最重要结果与年龄较小、疾病活动度高、克罗恩病（CD）病变位于小肠以及溃疡性结肠炎（UC）全结肠炎症改变有关。在观察期间，注意到住院时间的缩短并未显著影响总费用，总费用保持在稳定水平。
