Effect of allergic rhinitis on the use and cost of health services by children with asthma.

Yonsei Medical Journal
Hye-Young KangChul Joon Kim

Abstract

Allergic rhinitis (AR) is common among children with asthma and exacerbates asthma symptoms. To assess the incremental utilization and cost of asthma-related health services due to concomitant AR among asthmatic children. Asthma-related claims were extracted from the Korean National Health Insurance (NHI) claims database, which covers 97% of the population. Per-capita utilization and costs of asthma-related services were determined from the societal perspective. Of 319,714 children (1-14 years old) with chronic asthma in 2003, 195,026 had concomitant AR (prevalence 610 per 1,000 asthmatic children). Children with AR had 1.14 times more outpatient visits, 1.30 times more emergency department (ED) visits, and 1.49 times more hospitalizations than children without AR. More children with AR used general hospitals (7.17%) than children without AR (3.23%). The ratios of unit pharmaceutical costs per outpatient visit, ED visit, and admission between children with and without AR were 1.27, 1.20, and 1.14. Total annual expenditure combining direct health care, transportation, and caregivers' costs, were $273 and $217 for children with and without AR, respectively. Health service utilization and costs for asthma were greater for asthmati...Continue Reading

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Citations

Nov 5, 2011·Asia Pacific Allergy·Antony HardjojoBee Wah Lee
Aug 3, 2011·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Ellen S KosterAnke-Hilse Maitland-van der Zee
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Mar 7, 2015·The European Respiratory Journal·Mariëlle W PijnenburgKarin C Lødrup Carlsen
Sep 11, 2020·The Lancet. Respiratory Medicine·Mariëlle W Pijnenburg, Louise Fleming

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