Literature DB >> 22013140

Costs associated with outpatient, emergency room and inpatient care for migraine in the USA.

Ralph P Insinga1, Daisy S Ng-Mak, Mary E Hanson.   

Abstract

BACKGROUND: Data on the average US costs of an outpatient visit, emergency room (ER) visit or hospitalization for migraine are scant, with the most recent available values based on healthcare charges reported from 1994 data.
METHODS: We estimated healthcare costs associated with outpatient and ER visits and inpatient hospitalizations related to migraine retrospectively obtained from the 2007 Medstat MarketScan Commercial Claims & Encounters database. Tabulated costs reflected payments from insurers, patients and other sources. All costs were adjusted to 2010 US dollars.
RESULTS: The estimated mean cost (95% CI) for migraine-related care per outpatient visit (N = 680,946) was $139.88 ($139.35-140.41); per ER visit (N = 88,128) was $775.09 ($768.10-782.09); and per inpatient hospitalization (N = 5516) was $7317.07 ($7134.96-7499.17). The most frequently coded procedures at outpatient and ER visits were subcutaneous or intra-muscular injection, and for hospitalizations was computed tomography. Estimated annual US healthcare costs in 2010 for migraine associated with: outpatient visits were $3.2 billion, ER visits were $700 million, and inpatient hospitalizations were $375 million.
CONCLUSIONS: Direct healthcare costs associated with patient visits and hospitalizations for migraine headaches have increased since previously published estimates. Further research is needed to understand the current overall healthcare cost burden per patient and within the US population.

Entities:  

Mesh:

Year:  2011        PMID: 22013140     DOI: 10.1177/0333102411425960

Source DB:  PubMed          Journal:  Cephalalgia        ISSN: 0333-1024            Impact factor:   6.292


  15 in total

1.  The Relationship Between Migraine or Severe Headache and Chronic Health Conditions: A Cross-Sectional Study from the National Health Interview Survey 2013-2015.

Authors:  Mia T Minen; Judith Weissman; Gretchen E Tietjen
Journal:  Pain Med       Date:  2019-11-01       Impact factor: 3.750

Review 2.  Inpatient management of migraine.

Authors:  Michael J Marmura; Stephanie Wrobel Goldberg
Journal:  Curr Neurol Neurosci Rep       Date:  2015-04       Impact factor: 5.081

3.  The presenting and prescribing patterns of migraine in an Australian emergency department: A descriptive exploratory study.

Authors:  Emily Shao; James Hughes; Rob Eley
Journal:  World J Emerg Med       Date:  2017

4.  Elective Hospitalizations for Intractable Headache: Outcomes and Response Predictors.

Authors:  Jessica Kiarashi; Yasmin Jion; Brandon Giglio; Jelena Pavlovic; Cynthia E Armand; Brian M Grosberg; Richard B Lipton; Sarah Vollbracht; Matthew S Robbins
Journal:  Neurol Clin Pract       Date:  2021-06

5.  Headache infusion centers: A survey on treatments provided, infusion center operations, and barriers to developing new infusion centers.

Authors:  Lauren Doyle Strauss; Marianna Shnayderman Yugrakh; Kayla E Kaplan; Mia T Minen
Journal:  Headache       Date:  2021-08-11       Impact factor: 5.311

6.  Predictors of Prolonged Hospital Stay in Status Migrainosus.

Authors:  S Y Modi; D Dharaiya; A M Katramados; P Mitsias
Journal:  Neurohospitalist       Date:  2016-04-05

7.  The feasibility of establishing a free clinic for uninsured patients with neurologic disorders.

Authors:  Joseph J Taylor; Thomas Larrew; Armina Omole; Mallory Roberts; Adam Kornegay; Kelly Kornegay; Lidia Yamada; Gonzalo J Revuelta; Mimi Sohn; Thomas Hughes; Jonathan C Edwards
Journal:  Neurol Clin Pract       Date:  2015-08

Review 8.  IM ketorolac vs diclofenac potassium powder for oral solution for the acute treatment of severe migraine: a randomized controlled trial.

Authors:  Emily Rubenstein Engel; Joshua Cheng
Journal:  Neurol Sci       Date:  2019-12-12       Impact factor: 3.307

9.  Migraine disability, healthcare utilization, and expenditures following treatment in a tertiary headache center.

Authors:  Frederick G Freitag; Heidi Lyss; George R Nissan
Journal:  Proc (Bayl Univ Med Cent)       Date:  2013-10

10.  Introduction of a smartphone based behavioral intervention for migraine in the emergency department.

Authors:  Mia T Minen; Benjamin W Friedman; Samrachana Adhikari; Sarah Corner; Scott W Powers; Elizabeth K Seng; Corita Grudzen; Richard B Lipton
Journal:  Gen Hosp Psychiatry       Date:  2021-01-08       Impact factor: 3.238

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