Long-term reduction of health care costs and utilization after epilepsy surgery.

ABSTRACT:

Objective

To assess long-term direct medical costs, health care utilization, and mortality following resective surgery in persons with uncontrolled epilepsy.

Methods

Retrospective longitudinal cohort study of Medicaid beneficiaries with epilepsy from 2000 to 2008. The study population included 7,835 persons with uncontrolled focal epilepsy ages 18-64 years, with an average follow-up time of 5 years. Of these, 135 received surgery during the study period. To account for selection bias, we used risk-set optimal pairwise matching on a time-varying propensity score, and inverse probability of treatment weighting. Repeated measures generalized linear models were used to model utilization and cost outcomes. Cox proportional hazard was used to model survival.

Results

The mea

SUBMITTER: Schiltz NK 

PROVIDER: S-EPMC4744096 | biostudies-literature | 2016 Feb

REPOSITORIES: biostudies-literature