A DESCRIPTIVE ANALYSIS OF THE HEALTH CARE UTILIZATION AND COSTS OF PATIENTS DIAGNOSED WITH LYMPHOMA IN THE US MEDICARE POPULATION

Author(s)

Ogbomo A1, Lin Y1, Wang Y1, Xie L1, Yuce H2, Baser O3
1STATinMED Research, Ann Arbor, MI, USA, 2New York City College of Technology-CUNY and STATinMED Research, New York, NY, USA, 3Columbia University and STATinMED Research, New York, NY, USA

OBJECTIVES:  Examine the health care utilization and costs incurred by patients diagnosed with lymphoma in the US Medicare population. METHODS:  Patients diagnosed with lymphoma (International Classification of Diseases, 9th Revision, Clinical Modification diagnosis codes 200.4x, 200.7x, 202.0x, and 202.8x) were identified using 100% national Medicare data from 01JAN2009-31DEC2013. The first diagnosis date was designated as the index date, and patients were required to have continuous medical and pharmacy benefits 12 months pre- and post-index date. Study outcomes included demographic and clinical characteristics as well as health care costs and utilization for patients diagnosed with lymphoma. RESULTS:  A total of 299,349 lymphoma patients were included in the study. The mean age was 77 years. A majority of the patients were female (53.49%) and white (91.24%). Most patients resided in the South (36.62%), Midwest (25.27%), or Northeast (20.40%) US region. The mean Charlson Comorbidity Index score was 4.86 (standard deviation = 3.40). The most commonly diagnosed comorbid conditions included hypertension (78.13%), and diabetes mellitus (34.52%). Health care utilization was assessed, including the proportion of patients with inpatient (26.71%), emergency room (ER; 26.95%), physician office (94.02%), outpatient hospital (81.22%), skilled nursing facility (SNF; 7.11%), hospice (1.66%), home health agency (HHA; 14.60%), and durable medical equipment (DME; 41.11%) visits. Patients with lymphoma incurred higher mean health care costs, including inpatient ($6,729), ER ($279), physician office visit ($4,835), outpatient hospital ($9,371), SNF ($1,519), hospice ($352), HHA ($851), DME ($559), Part D pharmacy ($2,683), and total costs ($27,177). CONCLUSIONS: During a 12-month period, Medicare patients diagnosed with lymphoma incurred substantial health care utilization and costs.

Conference/Value in Health Info

2017-05, ISPOR 2017, Boston, MA, USA

Value in Health, Vol. 20, No. 5 (May 2017)

Code

PCN236

Topic

Economic Evaluation

Topic Subcategory

Cost/Cost of Illness/Resource Use Studies

Disease

Oncology

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