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July 19, 2024Inflammatory Bowel Diseases

High Healthcare Costs in Childhood Inflammatory Bowel Disease: Development of a Prediction Model Using Linked Clinical and Health Administrative Data

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Authors

MKM Ellen KuenzigTWThomas D. WaltersDMDavid Mack

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Overview

Cohort study reveals predictors of top-quartile healthcare costs in pediatric inflammatory bowel disease, highlighting opportunities for early financial and clinical risk mitigation.

Key Points

  • Pediatric inflammatory bowel disease care costs averaged CA$15,168 in the first post-diagnosis year, driven primarily by initial therapy and surgical procedures.
  • Logistic regression with stepwise elimination and nested cross validation predicted high healthcare costs with an internal C-statistic of 0.71 across 487 children.
  • Highlights the feasibility of early risk stratification to curb pediatric inflammatory bowel disease expenses, though clinical strategies must safeguard care quality.

Cite This Study

Kuenzig et al. (2024) studied this question.

synapsesocial.com/papers/68e5fb74b6db64358758f528https://doi.org/10.1093/ibd/izae148
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Development and validation of an algorithm using health administrative data to define patient attachment to primary care providers2021 · 26 citations
  2. 2Variation in the Care of Children with Inflammatory Bowel Disease Within and Across Canadian Provinces: A Multi-Province Population-Based Cohort Study2024 · 3 citations
  3. 3Trends in paediatric inflammatory bowel disease‐attributable direct costs: a population‐based analysis2021 · 8 citations
  4. 4Rural and urban disparities in the care of Canadian patients with inflammatory bowel disease: a population-based study2018 · 94 citations