Coeliac disease diagnosis reduced average total medical costs by $1764 in the year following diagnosis compared to the pre-diagnosis year (95% CI $688 to $2993).
Cohort (n=306)
No
Does diagnosis of coeliac disease impact direct medical costs compared to pre-diagnosis and matched controls?
Coeliac disease imposes a significant economic burden, especially in males, but diagnosis and treatment reduce medical costs of care.
Effect estimate: Mean difference -$1764 (95% CI $688 to $2993)
Absolute Event Rate: 3259% vs 5023%
BACKGROUND: Despite increasing prevalence, the economic implications of coeliac disease are just emerging. AIMS: To assess the impact of coeliac disease diagnosis on healthcare costs and the incremental costs associated with coeliac disease. METHODS: Administrative data for a population-based cohort of coeliac disease cases and matched controls from Olmsted County, Minnesota were used to compare (i) direct medical costs 1 year pre- and post-coeliac disease diagnosis for 133 index cases and (ii) 4-year cumulative direct medical costs incurred by 153 index cases vs. 153 controls. Analyses exclude diagnostic-related and out-patient pharmaceutical costs. RESULTS: Average total costs were reduced by 1764 in the year following diagnosis (pre-diagnosis cost of 5023 vs. 3259; 95% CI of difference: 688 to 2993). Over a 4-year period, coeliac disease cases experienced higher out-patient costs (mean difference of 1457; P = 0. 016) and higher total costs than controls (mean difference of 3964; P = 0. 053). Excess average total costs were concentrated among males with coeliac disease (14, 191 vs. 4019 for male controls; 95% CI of difference: 2334 to 20, 309). CONCLUSIONS: Coeliac disease-associated costs indicate a significant economic burden of disease, particularly for diseased males. Diagnosis and treatment of coeliac disease reduce medical costs of care suggesting an economic advantage to earlier detection and treatment.
Long et al. (Mon,) conducted a cohort in Coeliac disease (n=306). Coeliac disease diagnosis vs. Pre-diagnosis period and matched controls was evaluated on Direct medical costs 1 year pre- and post-diagnosis (Mean difference -$1764, 95% CI $688 to $2993). Coeliac disease diagnosis reduced average total medical costs by $1764 in the year following diagnosis compared to the pre-diagnosis year (95% CI $688 to $2993).