What happens after a single surgical intervention for hidradenitis suppurativa? A retrospective claims-based analysis


Journal: J Med Econ 2016 Mar;:1-24

Author(s): Jemec GB, Guérin A, Kaminsky M, Okun M, Sundaram M

OBJECTIVE: Hidradenitis suppurativa (HS) is often treated by surgery. The risk of recurrence after surgery is common and the consequences are substantial, but neither has been quantified using a claims database. We aimed to estimate the burden associated with non-curative surgery in HS patients.

METHODS: We performed a retrospective analysis of health insurance claims data from Q1 1999 to Q2 2011 in a US claims database. The analysis included 2668 adults with ≥1 diagnosis of HS and ≥1 claim for skin surgery within 6 months after diagnosis. Health care resource utilization and medical costs were compared using multivariate regressions.

RESULTS: Overall, 46% of HS patients had ≥1 indicator of non-curative surgery. The incidences of inpatient, emergency department, and outpatient visits were 88%, 40%, and 30% higher, respectively, for patients with non-curative surgery versus patients without surgery (all p < 0.001). Average medical costs were $11,858 and $6427 for patients with and without indicators of non-curative surgery, respectively. The difference of $4185 (p < 0.001) was mainly driven by inpatient costs (difference = $2685; p < 0.001).

LIMITATIONS: Indicators of non-curative HS surgery were defined based on an empirical algorithm.

CONCLUSIONS: Non-curative HS surgery occurred in almost half of all cases and represents a significant burden on patients and payers in terms of resource utilization and costs.

Dermatology Journal and/or Publisher

Journal Name: Journal of medical economics
Journal Abbreviation: J Med Econ
Journal Volume: , Issue:
Journal Date Published: 2016-03-01

National Center for Biotechnology Information

PMI ID: 26938967
Article: http://www.ncbi.nlm.nih.gov/pubmed/26938967
Created: 2016-03-03

Abstract Source: National Center for Biotechnology Information, U.S. National Library of Medicine Abstract Query for “Hidradenitis suppurativa”


HSAWARENESS.ORG | Fighting for Hidradenitis suppurativa (HS), a.k.a Acne Inversa Patient and Doctor Awareness ©2017 hidradenitissuppurativaawareness.org  All Rights Reserved. Your use of this website constitutes explicit agreement to our Terms of Use and Privacy Policies. This website does not provide medical advice, diagnosis or treatment.

Translate »

Log in with your credentials

Forgot your details?