Economic burden of patients with post-surgical chronic and transient hypoparathyroidism in the United States examined using insurance claims data
Abstract Background Hypoparathyroidism (HP) is a rare endocrine disease commonly caused by the removal or damage of parathyroid glands during surgery and resulting in transient (tHP) or chronic (cHP) disease. cHP is associated with multiple complications and comorbid conditions; however, the economi...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2024-04-01
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| Series: | Orphanet Journal of Rare Diseases |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13023-024-03155-4 |
| _version_ | 1797199232283705344 |
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| author | Kathleen L Deering Niccole J Larsen Patrick Loustau Blandine Weiss Soraya Allas Michael D Culler Qing Harshaw Deborah M. Mitchell |
| author_facet | Kathleen L Deering Niccole J Larsen Patrick Loustau Blandine Weiss Soraya Allas Michael D Culler Qing Harshaw Deborah M. Mitchell |
| author_sort | Kathleen L Deering |
| collection | DOAJ |
| description | Abstract Background Hypoparathyroidism (HP) is a rare endocrine disease commonly caused by the removal or damage of parathyroid glands during surgery and resulting in transient (tHP) or chronic (cHP) disease. cHP is associated with multiple complications and comorbid conditions; however, the economic burden has not been well characterized. The objective of this study was to evaluate the healthcare resource utilization (HCRU) and costs associated with post-surgical cHP, using tHP as a reference. Methods This analysis of a US claims database included patients with both an insurance claim for HP and thyroid/neck surgery between October 2014 and December 2019. cHP was defined as an HP claim ≥ 6 months following surgery and tHP was defined as only one HP claim < 6 months following surgery. The cHP index date was the first HP diagnosis claim following their qualifying surgery claim, whereas the tHP index date was the last HP diagnosis claim following the qualifying surgery claim. Patients were continuously enrolled at least 1 year pre- and post-index. Patients’ demographic and clinical characteristics, all-cause HCRU, and costs were descriptively analyzed. Total all-cause costs were calculated as the sum of payments for hospitalizations, emergency department, office/clinic visits, and pharmacy. Results A total of 1,406 cHP and 773 tHP patients met inclusion criteria. The average age (52.1 years cHP, 53.5 years tHP) and representation of females (83.2% cHP, 81.2% tHP) were similar for both groups. Neck dissection surgery was more prevalent in cHP patients (23.6%) than tHP patients (5.3%). During the 1–2 year follow-up period, cHP patients had a higher prevalence of inpatient admissions (17.4%), and emergency visits (26.0%) than the reference group -tHP patients (14.4% and 21.4% respectively). Among those with a hospitalization, the average number of hospitalizations was 1.5-fold higher for cHP patients. cHP patients also saw more specialists, including endocrinologists (28.7% cHP, 15.8% tHP), cardiologists (16.7% cHP, 9.7% tHP), and nephrologists (4.6% cHP, 3.3% tHP). Conclusion This study demonstrates the increased healthcare burden of cHP on the healthcare system in contrast to patients with tHP. Effective treatment options are needed to minimize the additional resources utilized by patients whose HP becomes chronic. |
| first_indexed | 2024-04-24T07:12:29Z |
| format | Article |
| id | doaj.art-fdb8f9f61292477c95bcb5721d03e0e3 |
| institution | Directory Open Access Journal |
| issn | 1750-1172 |
| language | English |
| last_indexed | 2024-04-24T07:12:29Z |
| publishDate | 2024-04-01 |
| publisher | BMC |
| record_format | Article |
| series | Orphanet Journal of Rare Diseases |
| spelling | doaj.art-fdb8f9f61292477c95bcb5721d03e0e32024-04-21T11:30:23ZengBMCOrphanet Journal of Rare Diseases1750-11722024-04-011911910.1186/s13023-024-03155-4Economic burden of patients with post-surgical chronic and transient hypoparathyroidism in the United States examined using insurance claims dataKathleen L Deering0Niccole J Larsen1Patrick Loustau2Blandine Weiss3Soraya Allas4Michael D Culler5Qing Harshaw6Deborah M. Mitchell7EPI-Q, IncAmolyt PharmaAmolyt PharmaAmolyt PharmaAmolyt PharmaAmolyt PharmaEPI-Q, IncMassachusetts General HospitalAbstract Background Hypoparathyroidism (HP) is a rare endocrine disease commonly caused by the removal or damage of parathyroid glands during surgery and resulting in transient (tHP) or chronic (cHP) disease. cHP is associated with multiple complications and comorbid conditions; however, the economic burden has not been well characterized. The objective of this study was to evaluate the healthcare resource utilization (HCRU) and costs associated with post-surgical cHP, using tHP as a reference. Methods This analysis of a US claims database included patients with both an insurance claim for HP and thyroid/neck surgery between October 2014 and December 2019. cHP was defined as an HP claim ≥ 6 months following surgery and tHP was defined as only one HP claim < 6 months following surgery. The cHP index date was the first HP diagnosis claim following their qualifying surgery claim, whereas the tHP index date was the last HP diagnosis claim following the qualifying surgery claim. Patients were continuously enrolled at least 1 year pre- and post-index. Patients’ demographic and clinical characteristics, all-cause HCRU, and costs were descriptively analyzed. Total all-cause costs were calculated as the sum of payments for hospitalizations, emergency department, office/clinic visits, and pharmacy. Results A total of 1,406 cHP and 773 tHP patients met inclusion criteria. The average age (52.1 years cHP, 53.5 years tHP) and representation of females (83.2% cHP, 81.2% tHP) were similar for both groups. Neck dissection surgery was more prevalent in cHP patients (23.6%) than tHP patients (5.3%). During the 1–2 year follow-up period, cHP patients had a higher prevalence of inpatient admissions (17.4%), and emergency visits (26.0%) than the reference group -tHP patients (14.4% and 21.4% respectively). Among those with a hospitalization, the average number of hospitalizations was 1.5-fold higher for cHP patients. cHP patients also saw more specialists, including endocrinologists (28.7% cHP, 15.8% tHP), cardiologists (16.7% cHP, 9.7% tHP), and nephrologists (4.6% cHP, 3.3% tHP). Conclusion This study demonstrates the increased healthcare burden of cHP on the healthcare system in contrast to patients with tHP. Effective treatment options are needed to minimize the additional resources utilized by patients whose HP becomes chronic.https://doi.org/10.1186/s13023-024-03155-4Chronic hypoparathyroidismEconomic burdenHealthcare burdenCostsClaims analysis |
| spellingShingle | Kathleen L Deering Niccole J Larsen Patrick Loustau Blandine Weiss Soraya Allas Michael D Culler Qing Harshaw Deborah M. Mitchell Economic burden of patients with post-surgical chronic and transient hypoparathyroidism in the United States examined using insurance claims data Orphanet Journal of Rare Diseases Chronic hypoparathyroidism Economic burden Healthcare burden Costs Claims analysis |
| title | Economic burden of patients with post-surgical chronic and transient hypoparathyroidism in the United States examined using insurance claims data |
| title_full | Economic burden of patients with post-surgical chronic and transient hypoparathyroidism in the United States examined using insurance claims data |
| title_fullStr | Economic burden of patients with post-surgical chronic and transient hypoparathyroidism in the United States examined using insurance claims data |
| title_full_unstemmed | Economic burden of patients with post-surgical chronic and transient hypoparathyroidism in the United States examined using insurance claims data |
| title_short | Economic burden of patients with post-surgical chronic and transient hypoparathyroidism in the United States examined using insurance claims data |
| title_sort | economic burden of patients with post surgical chronic and transient hypoparathyroidism in the united states examined using insurance claims data |
| topic | Chronic hypoparathyroidism Economic burden Healthcare burden Costs Claims analysis |
| url | https://doi.org/10.1186/s13023-024-03155-4 |
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