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Cited 36 time in webofscience Cited 40 time in scopus
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Longitudinal direct medical costs associated with constipation in women

Authors
Choung, Rok SeonBranda, M. E.Chitkara, D.Shah, N. D.Katusic, S. K.Locke, G. R., IIITalley, N. J.
Issue Date
Jan-2011
Publisher
WILEY-BLACKWELL PUBLISHING
Keywords
chronic constipation; direct costs; case-control study
Citation
ALIMENTARY PHARMACOLOGY THERAPEUTICS, v.33, no.2, pp 251 - 260
Pages
10
Indexed
SCI
SCIE
SCOPUS
Journal Title
ALIMENTARY PHARMACOLOGY THERAPEUTICS
Volume
33
Number
2
Start Page
251
End Page
260
URI
https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/35264
DOI
10.1111/j.1365-2036.2010.04513.x
ISSN
0269-2813
1365-2036
Abstract
Background: Although direct medical costs for constipation-related medical visits are thought to be high, to date, there have been no studies examining longitudinal resource utilisation in adults with constipation. Aim: To estimate the incremental direct medical costs associated with constipation in women. Methods: This is a nested case-control study. The study population consisted of all mothers of 5718 children in the population-based birth cohort born during 1976-1982 in a community. The cases presented to the medical facilities with constipation. The controls were randomly selected and matched to cases in a 2:1 ratio. Direct medical costs for constipated women and controls were collected for the years 1987-2002. Results: We identified 168 women with a diagnosis of constipation. The total direct medical costs over the 15-year period for constipated subjects were more than double those of controls [$63 591 (95% CI: 49 786-81 396) vs. $24 529 (95% CI: 20 667-29 260)]. The overall out-patient costs for constipated women were $38 897 (95% CI: 31 381-48 253) compared to $15 110 (95% CI: 12 904-17 781) for controls. The median of annual out-patient visits for constipated women was 0.16 compared to 0.11 for controls. Conclusion: Women with constipation have significantly higher medical care utilisation and expenditures compared with women without constipation.
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