OBJECTIVE: Chronic idiopathic constipation and irritable bowel syndrome (IBS) are common gastrointestinal conditions with potentially significant burden on managed care systems. Our objective was to examine all-cause resource utilization and charges associated with constipation alone (C-only) and with IBS with comorbid constipation (IBS+C). METHODS: Administrative claims from a US health plan between January 1, 2003 and December 31, 2005 were analyzed. Patients with C-only (n = 48 585) and IBS+C (n = 10 952) were identified using International Classification of Diseases, 9th Revision, Clinical Modification diagnosis codes. Outcomes were compared with demographically matched controls and with a benchmark group of patients with migraine (N = 48 759). An index date was defined as the date 3 months prior to first observed diagnosis of the condition of interest. Outcomes were evaluated over a 12-month period before and after the index date. RESULTS: The pre-to-post increase in total charges for subjects with C-only was substantially higher than that for the comparison group ($8837 vs $1717; P < 0.001) or the migraine group ($8837 vs $ 4804; P < 0.001). Subjects with IBS+C also had a greater pre-to-post increase in total charges than did comparison group members ($6192 vs $1319; P < 0.001) and subjects with migraine ($6192 vs $4804; P = 0.0120). CONCLUSIONS: Both C-only and IBS+C impose substantial economic burden on third-party payers.
OBJECTIVE:Chronic idiopathic constipation and irritable bowel syndrome (IBS) are common gastrointestinal conditions with potentially significant burden on managed care systems. Our objective was to examine all-cause resource utilization and charges associated with constipation alone (C-only) and with IBS with comorbid constipation (IBS+C). METHODS: Administrative claims from a US health plan between January 1, 2003 and December 31, 2005 were analyzed. Patients with C-only (n = 48 585) and IBS+C (n = 10 952) were identified using International Classification of Diseases, 9th Revision, Clinical Modification diagnosis codes. Outcomes were compared with demographically matched controls and with a benchmark group of patients with migraine (N = 48 759). An index date was defined as the date 3 months prior to first observed diagnosis of the condition of interest. Outcomes were evaluated over a 12-month period before and after the index date. RESULTS: The pre-to-post increase in total charges for subjects with C-only was substantially higher than that for the comparison group ($8837 vs $1717; P < 0.001) or the migraine group ($8837 vs $ 4804; P < 0.001). Subjects with IBS+C also had a greater pre-to-post increase in total charges than did comparison group members ($6192 vs $1319; P < 0.001) and subjects with migraine ($6192 vs $4804; P = 0.0120). CONCLUSIONS: Both C-only and IBS+C impose substantial economic burden on third-party payers.
Authors: Ravi Karkar; Jessica Schroeder; Daniel A Epstein; Laura R Pina; Jeffrey Scofield; James Fogarty; Julie A Kientz; Sean A Munson; Roger Vilardaga; Jasmine Zia Journal: Proc SIGCHI Conf Hum Factor Comput Syst Date: 2017-05-02
Authors: Chia-Fang Chung; Kristin Dew; Allison Cole; Jasmine Zia; James Fogarty; Julie A Kientz; Sean A Munson Journal: CSCW Conf Comput Support Coop Work Date: 2016-02-27
Authors: Geoffrey C Wall; Ginelle A Bryant; Michelle M Bottenberg; Erik D Maki; Andrew R Miesner Journal: World J Gastroenterol Date: 2014-07-21 Impact factor: 5.742
Authors: Ravi Karkar; Jasmine Zia; Roger Vilardaga; Sonali R Mishra; James Fogarty; Sean A Munson; Julie A Kientz Journal: J Am Med Inform Assoc Date: 2015-12-07 Impact factor: 4.497
Authors: Emily B Hollister; Kevin C Cain; Robert J Shulman; Monica E Jarrett; Robert L Burr; Cynthia Ko; Jasmine Zia; Claire J Han; Margaret M Heitkemper Journal: J Clin Gastroenterol Date: 2020-02 Impact factor: 3.174
Authors: Jordana K Schmier; Paige E Miller; Jessica A Levine; Vanessa Perez; Kevin C Maki; Tia M Rains; Latha Devareddy; Lisa M Sanders; Dominik D Alexander Journal: BMC Public Health Date: 2014-04-17 Impact factor: 3.295