Trends in healthcare expenditure in United States adults with chronic kidney disease: 2002-2011

BMC Health Services Research
Mukoso N OziehLeonard E Egede

Abstract

This study examines trends in healthcare expenditure in adults with chronic kidney disease (CKD) and other kidney diseases (OKD) in the U.S. from 2002 to 2011. One hundred and eighty-seven thousand, three hundred and fourty-one adults aged ≥18 from the Medical Expenditure Panel Survey (MEPS) Household Component were analyzed. CKD and OKD were based on ICD-9 or CCC codes. A novel two-part model was used to estimate the likelihood of any healthcare use and total expenditures. Covariates included individual demographics and comorbidities. Approximately 711 adults surveyed from 2002 to 2011 had CKD and 3693 had OKD. CKD was more likely among Non-Hispanic Blacks (NHB), Midwest and Western residents while OKD was more likely among Non-Hispanic Whites (NHW), Hispanics, married and Northeast residents. Both CKD and OKD were more likely in ≥45 years, males, widowed/divorced/single, ≤high school educated, publicly insured, Southern residents, poor and low income individuals. All comorbidities were more likely among people with CKD and OKD. Unadjusted analysis for mean expenditures for CKD and OKD vs. no kidney disease was $39,873 and $13,247 vs. $5411 for the pooled sample. After adjusting for covariates as well as time, individuals with...Continue Reading

References

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Citations

Apr 25, 2018·FASEB Journal : Official Publication of the Federation of American Societies for Experimental Biology·Benjamin P LarkinSonia Saad
Apr 12, 2020·Clinical and Experimental Nephrology·Hiroshi OkudaTadashi Ishii
Apr 12, 2020·Journal of Perinatology : Official Journal of the California Perinatal Association·Matthew W HarerKimberly J Reidy
Feb 2, 2020·BMC Nephrology·Euan N PatersonGareth J McKay
Feb 20, 2020·BMC Health Services Research·Martin CloutierMarjolaine Gauthier-Loiselle
May 29, 2020·Journal of Managed Care & Specialty Pharmacy·Jagadeswara Rao EarlaRajender R Aparasu
Feb 6, 2020·Journal of Managed Care & Specialty Pharmacy·Thomas WardAlan Oglesby
Dec 12, 2021·Nephrology·Avinash Kumar SinghManju Sharma

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Software Mentioned

MEPS
STATA
HC
Clinical Classification Software

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