Associations of Coexisting Conditions with Healthcare Spending for Children with Cerebral Palsy

The Journal of Pediatrics
Jay G BerryMatt Hall

Abstract

To determine which coexisting conditions have the strongest associations with healthcare use and spending among children with cerebral palsy (CP). Retrospective analysis of 16 695 children ages 0-18 years with CP - identified with International Classification of Diseases, Ninth Revision, Clinical Modification codes - using Medicaid from January 1, 2013 to December 31, 2013 from 10 states in the Truven MarketScan Medicaid Database. Using generalized linear models, we assessed which coexisting conditions (including medical technology) identified with Agency for Healthcare Research and Quality's Chronic Condition Indicators had the strongest associations with total healthcare spending across the healthcare continuum. Median per-patient annual Medicaid spending for children with CP was $12 299 (IQR $4826-$35 582). Most spending went to specialty (33.1%) and hospital (26.7%) care. The children had a median 6 (IQR 4-10) coexisting conditions; epilepsy was the most common (38.1%). Children with epilepsy accounted for 59.6% ($364 million) of all CP spending. In multivariable analysis, the coexisting conditions most strongly associated with increased spending were tracheostomy (median additional cost per patient = $56 567 [95%CI $51 386...Continue Reading

Citations

Nov 11, 2020·Developmental Medicine and Child Neurology·Jay G BerryBenjamin J Shore
Aug 24, 2021·Developmental Medicine and Child Neurology·Aliya SzpindelMaryam Oskoui
Sep 1, 2021·Developmental Medicine and Child Neurology·Catherine DiskinEyal Cohen
May 16, 2021·Journal of Developmental and Behavioral Pediatrics : JDBP·Myriam Casseus, JenFu Cheng
Jan 15, 2022·Pediatrics·Sarah A SobotkaJay G Berry

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