OBJECTIVE: To examine differences in health care charges following a pediatric epilepsy diagnosis based on changes in health-related quality of life (HRQOL). METHODS: Billing records were obtained for 171 youth [M (SD) age = 8.9 (4.1) years] newly diagnosed with epilepsy. Differences in health care charges among HRQOL groups (stable low, declining, improving, or stable high as determined by PedsQL(™) scores at diagnosis and 12 months after diagnosis) were examined. RESULTS: Patients with persistently low or declining HRQOL incurred higher total health care charges in the year following diagnosis (g = .49, g = .81) than patients with stable high HRQOL after controlling for epilepsy etiology, seizure occurrence, and insurance type. These relationships remained consistent after excluding health care charges for behavioral medicine or neuropsychology services (g = .49, g = .80). CONCLUSIONS: Monitoring HRQOL over time may identify youth with epilepsy at particular risk for higher health care charges.
OBJECTIVE: To examine differences in health care charges following a pediatric epilepsy diagnosis based on changes in health-related quality of life (HRQOL). METHODS: Billing records were obtained for 171 youth [M (SD) age = 8.9 (4.1) years] newly diagnosed with epilepsy. Differences in health care charges among HRQOL groups (stable low, declining, improving, or stable high as determined by PedsQL(™) scores at diagnosis and 12 months after diagnosis) were examined. RESULTS:Patients with persistently low or declining HRQOL incurred higher total health care charges in the year following diagnosis (g = .49, g = .81) than patients with stable high HRQOL after controlling for epilepsy etiology, seizure occurrence, and insurance type. These relationships remained consistent after excluding health care charges for behavioral medicine or neuropsychology services (g = .49, g = .80). CONCLUSIONS: Monitoring HRQOL over time may identify youth with epilepsy at particular risk for higher health care charges.
Authors: Muhannad R M Salih; Mohd Baidi Bahari; Asrul Akmal Shafie; Mohamed Azmi Ahmad Hassali; Omer Qutaiba B Al-lela; Arwa Y Abd; Vigneswari M Ganesan Journal: Seizure Date: 2012-08-29 Impact factor: 3.184
Authors: Kim J Oostrom; Anneke Smeets-Schouten; Cas L J J Kruitwagen; A C Boudewyn Peters; Aagje Jennekens-Schinkel Journal: Pediatrics Date: 2003-12 Impact factor: 7.124
Authors: Avani C Modi; Andrea S King; Sally R Monahan; Julie E Koumoutsos; Diego A Morita; Tracy A Glauser Journal: Epilepsia Date: 2009-06-01 Impact factor: 5.864
Authors: Rosa Michaelis; Venus Tang; Sarah J Nevitt; Janelle L Wagner; Avani C Modi; William Curt LaFrance; Laura H Goldstein; Milena Gandy; Rebecca Bresnahan; Kette Valente; Kirsten A Donald; Markus Reuber Journal: Cochrane Database Syst Rev Date: 2020-09-07
Authors: Rosa Michaelis; Venus Tang; Janelle L Wagner; Avani C Modi; William Curt LaFrance; Laura H Goldstein; Tobias Lundgren; Markus Reuber Journal: Cochrane Database Syst Rev Date: 2017-10-27
Authors: Milena Gandy; Avani C Modi; Janelle L Wagner; W Curt LaFrance; Markus Reuber; Venus Tang; Kette D Valente; Laura H Goldstein; Kirsten A Donald; Genevieve Rayner; Rosa Michaelis Journal: Epilepsia Open Date: 2021-02-08