Last year at the American College of Gastroenterology (ACG) Scientific Meeting in Las Vegas, Dr. Gary Lichtenstein from the University of Penneylvania School of Medicine presented research titled, "Cost of Inpatient Care for IBD in the United States." The study showed that the annual bill of hospitalization of pts with IBD is nearly 4 billion dollars. Yes, $4 Billion. Given the magnitude of this burden on the health care system, it's good to know that there are also opportunities to improve care for patients with IBD by combining continuing education into quality improvement (QI) projects.
Program Number: P1178
Day / Time: Monday, Oct 17, 10:30 AM – 4:00 PM
Cost of Inpatient Care for IBD in the United States
Gary Lichtenstein, MD
University of Penneylvania School of Medicine, Merion Station, PA
Introduction: Inflammatory bowel disease (IBD) is associated with an increased risk of hospitalization. The actual cost of care for patients with IBD has increased over the years. Few studies have been done to determine the actual hospitalization cost of IBD patients. This study estimates the actual cost and charge for hospitalizing patient with IBD (UC and CD) in the United States.
Methods: Using the National Inpatient Sample, all admissions 2004- 2013 with a primary diagnosis of IBD (UC and CD) were evaluated. Data was collected for total cost of care – including aggregate cost of care and the national bill- The aggregate charges for community hospital stays where this was the principal diagnosis, in U.S. dollars. Pt LOS (mean) expressed in days was assessed for pts with IBD from 2004-2013.
Results: There were 97,865 hospitalizations of pts with IBD (UC and CD) in 2013 representing 0.3% of all hospital D/Cs The total cost $1,059,589,566 The national bill - $3,851,273,026 for the cost of hospitalization of pts with IBD. These figures are aggregate costs or charges for community hospital stays with IBD as the principal diagnosis, U.S. dollars (2013). In 2004 there were a total of 89,090 hospitalizations of ps with IBD (UC and CD) representing 0.2% of all hospital discharges. This increased from 2004- $ 2,111,357,158 i.e. the charges. This represented the national bill. In 2004 taggregate cost $815,488,982 for community hospital stays where this was the principal diagnosis, in U.S. dollars (2004). Mean costs for hospitalizations in the US are $10,833 with mean charges of $39,373 or a mean of $7,428.86 per day hospitalized in 2013. Mean hospitalizaiton cost and charges increased over 10 yrs from (cost / charges in USD) 2004- $9,153/$23,690 2005- $9,391/$25,355 2006 - $9,176 / $25,981 2007- $9,683 / $28, 299 2008- $10,159 / $32,631 2009- $9,964 / $32,872 , 2010- $10,618 / $34,277, 2011- $10,258 / $35,679 , 2012- $10,547 / $37,049. The mean LOS (days) has decreased 2004- 6.1 2005- 6.0 ; 2006- 5.8 ; 2007- 5.7 ; 2008 – 5.8; 2009- 5.6 ; 2010 5.6- ; 2011- 5.3; 2012- 5.3; 2013- 5.6
Discussion: This study demonstrates that the annual bill of hospitalization of pts with IBD is nearly 4 billion dollars - a figure that has increased over the past decade. This data provides data on actual LOS and cost of hospitalization & charges for hospitalization in pts with IBD. This data will be helpful for future determination of total cost of care for IBD pts
Supported by Industry Grant: No
Citation: Gary Lichtenstein, MD. COST OF INPATIENT CARE FOR IBD IN THE UNITED STATES. Program No. P1178. ACG 2016 Annual Scientific Meeting Abstracts. Las Vegas, NV: American College of Gastroenterology.
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