The prevalence of lower limb loss in children and associated costs of prosthetic devices: A national study of commercial insurance claims
| العنوان: | The prevalence of lower limb loss in children and associated costs of prosthetic devices: A national study of commercial insurance claims |
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| المؤلفون: | Laura A. Prosser, Emily L. McGinley, Liliana E. Pezzin, Timothy R. Dillingham, Mitra McLarney |
| المصدر: | Prosthetics & Orthotics International. 45:115-122 |
| بيانات النشر: | Ovid Technologies (Wolters Kluwer Health), 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | medicine.medical_specialty, Lower extremity surgery, business.industry, Incidence (epidemiology), Rehabilitation, MEDLINE, Retrospective cohort study, Health Care Costs, Health Professions (miscellaneous), United States, Lower limb, body regions, Insurance claims, Insurance, Lower Extremity, Prevalence, National study, Physical therapy, Humans, Medicine, Observational study, Longitudinal Studies, Child, business, Retrospective Studies |
| الوصف: | Although the incidence of major pediatric lower limb loss secondary to either congenital deficiencies or acquired amputations is relatively low, the prevalence of lower limb loss among children in the United States (US) remains unknown.To estimate the prevalence of major lower limb loss, and the associated prosthetic services use and costs among commercially-insured children in the US.Observational, retrospective, longitudinal cohort study.The IBM MarketScan®Commercial Database was used to identify children (18 years) with major lower limb loss in the US between 2009 and 2015. Descriptive statistics were used to characterize pediatric cases according to sociodemographic and limb loss characteristics. Multivariate models assessed factors associated with annual prosthetic visits, prosthetic-related costs, and overall medical costs.Of the 36.5 million children in the MarketScan database, 14,038 had a major lower limb loss, yielding a prevalence estimate of 38.5 cases per 100,000 commercially insured children in the US during the 7-year study period. Congenital deficiencies accounted for 84% of cases, followed by 13.5% from trauma. Only 10.1% had at least one prosthesis-related visit during any 12-month period following their cohort entry. Among those, the mean annual prosthetic-related costs ranged from $50 to $29,112 with a median annual cost of $2778 (interquartile range = $4567). Annual coinsurance and copays for prosthetic services accounted for nearly half of the overall annual out-of-pocket outlays with medical care for these children.Pediatric lower limb loss results in lifelong prosthetic needs. This study informs insurers and policy-makers regarding the prevalence of these patients and the medical costs for their care. |
| تدمد: | 1746-1553 0309-3646 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::2cb3f89008484be536644c95acd705cbTest https://doi.org/10.1177/0309364620968645Test |
| حقوق: | CLOSED |
| رقم الانضمام: | edsair.doi.dedup.....2cb3f89008484be536644c95acd705cb |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 17461553 03093646 |
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