التفاصيل البيبلوغرافية
| العنوان: |
Initial and Follow-up Costs by Treatment Outcome for Children With Respiratory Infections. |
| المؤلفون: |
Howard, David H.1 dhhowar@emory.edu, McGowan Jr., John E.2 |
| المصدر: |
Pediatrics. May2004, Vol. 113 Issue 5, p1352-1356. 5p. 5 Charts. |
| مصطلحات موضوعية: |
*HEALTH outcome assessment, *ANTIBIOTICS, *OTITIS media, *PEDIATRICS, *DRUG efficacy |
| مستخلص: |
Objective. To estimate the initial and follow-up costs of treatment of respiratory infections among pediatric patients and the relationship between costs and outcomes. Methods. A total of 3677 episodes of care from 2328 patients who were ≤17 years of age and had respiratory or ear infections that were treated with an antibiotic initially. The sample was drawn from the Medical Ex-penditure Panel Surveys for the years 1996 through 1999. Treatment failure was defined as the receipt of a second antibiotic, different from the first, in a 4-week window. We compared follow-up costs by outcome (treatment fail-ure vs success) using a 2-part model of medical costs. We also performed a paired analysis by selecting 2 episodes, one in which the outcome was failure and the other in which the outcome was success, for patients with at least 1 of each type and computing the difference in costs. Results. Follow-up costs for provider visits for epi-sodes for which the patient experienced treatment failure were $216 versus $53 for episodes for which the patient did not experience treatment failure. Follow-up drug costs, including the cost of the second antibiotic, were $75 for children who experienced treatment failure ver-sus $23, respectively. Cost estimates from the paired anal-ysis were similar, confirming that results are not biased by unobserved time-invariant patient characteristics. Conclusion. Children who have respiratory infections and experience treatment failure incur substantially higher costs. Pediatrics 2004;113:1352--1356; antibiotic use, cost analysis, otitis media. [ABSTRACT FROM AUTHOR] |
| قاعدة البيانات: |
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