The Incidence and Economic Costs of Major Health Impairments

Charles, Edgar D.; Wayne, John; Hartunian, Nelson S.; Smart, Charles N.; Thompson, Mark S.

doi:10.2307/1058568

Cited by 29 publications

(2 citation statements)

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“…Because claudicators already have evidence of advanced atheroselerosis, a higher mortality rate was assumed [20]. Lacking any better standard, we equated their mortality rate to that of patients with angina pectoris [21].…”

Section: Life Expectancymentioning

confidence: 99%

“…Although some published results suggest this to be so, others deny it [24][25][26]. We, therefore, performed parallel calculations using mortality of patients with angina pectoris [21] for the general male population. With such an assumption, cost per year of life saved by screening of the general population would increase almost 3 times to SEK 148,300.…”

Section: Life Expectancy Following Aneurysmectomymentioning

confidence: 99%

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Ultrasonographic screening for abdominal aortic aneurysm: Analysis of surgical decisions for cost‐effectiveness

et al. 1989

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A mathematic model is created to determine the economic cost per year of anticipated prolongation of life that would result from a program of abdominal ultrasonographic (US) screening for abdominal aortic aneurysm. The protocol involves US screening at age 60, 67, and 74 years with additional annual follow-up US and examination if an aneurysm of less than 40 mm is detected. Larger aneurysms are assumed to be sent for early elective resection. The benefits and risks for a subset of men with symptoms of intermittent claudication (IC) as an additional risk factor of atherosclerosis is calculated for comparison. Many of the factors on which these calculated costs and benefits are based are approximations and inferences. These include operative mortality for elective and emergent cases, charges for each such condition, cost of US, and anticipated survival following successful aneurysmectomy both with and without concomitant IC. Sensitivity analysis is performed to show how variations in the major parameters alter the outcome of the calculated cost per year of anticipated extension of life.

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Section: Life Expectancymentioning

confidence: 99%

Section: Life Expectancy Following Aneurysmectomymentioning

confidence: 99%

Ultrasonographic screening for abdominal aortic aneurysm: Analysis of surgical decisions for cost‐effectiveness

et al. 1989

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The Epidemiology of Disease Expenses

Bloom¹

1985

JAMA

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We determined medical costs and family out-of-pocket expenses over time for 569 children with malignant neoplasms. All medical charges (inpatient and outpatient), family out-of-pocket expenses, and wages lost were collected and annualized. The mean cost of cancer care and treatment per patient-year was $29,708, with variation by diagnosis, prognosis, and year since diagnosis. The mean annual hospital inpatient cost was $15,455; mean ambulatory care cost, $3,806; and family out-of-pocket disease-related expenses, $9,787. Family out-of-pocket expenses added about 50% to the total cost of disease-related care and consumed 38% of gross annual family income; wages lost accounted for nearly half. About 95% of all medical costs was paid by private, public, or charitable payers. Out-of-pocket medical expenses for which the family was responsible were about $1,000 each year. However, all nonmedical, disease-related expenses were borne by the family.

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The Economic Impact of Traumatic Injuries

MacKenzie

Shapiro

Siegel

1988

JAMA

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Considerable attention has focused in recent years on developing estimates of the economic costs associated with illness and injury. Consistent throughout all of this work has been the finding that traumatic injuries rank among the most costly of conditions. This article provides detailed information on one-year charges related to the receipt of health care and rehabilitation services for a panel of 487 trauma patients aged 16 to 45 years who were injured severely enough to be initially hospitalized at one of two trauma centers. Per case one-year treatment charges ranged from an average of $8100 for those sustaining minor (Abbreviated Injury Scale severity score of 1 or 2) injuries to $105,350 for those with severe (Abbreviated Injury Scale severity score of 5) head or spinal cord injuries. When results were generalized to the population of all individuals aged 16 to 45 years who were hospitalized in Maryland hospitals in 1983 for treatment of an injury, total charges were estimated at $109 million, with 43% of the total incurred by individuals with a principal injury to one or more of the extremities.

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The Incidence and Economic Costs of Major Health Impairments

Cited by 29 publications

References 0 publications

Ultrasonographic screening for abdominal aortic aneurysm: Analysis of surgical decisions for cost‐effectiveness

Ultrasonographic screening for abdominal aortic aneurysm: Analysis of surgical decisions for cost‐effectiveness

The Epidemiology of Disease Expenses

The Economic Impact of Traumatic Injuries

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