Association of diagnostic delay with medical cost for patients with Crohn's disease: A Japanese claims-based cohort study.

ABSTRACT:

Background and aim

Longer diagnostic delay (DD) in Crohn's disease (CD) is associated with complications and related surgeries. However, the impact of DD on medical cost after CD diagnosis remains uncertain.

Methods

This was a claims-based cohort study. Our analysis used data from 2005 to 2018 from the Japanese Claims Database. We enrolled a total of 528 newly diagnosed CD patients (76.9% male) aged 31.5 ± 13.6 years. High medical cost was defined as the highest quartile of the average monthly medical cost. DD was defined as the interval between the first visit to a gastroenterologist and diagnosis with CD. In the multivariable logistic regression analysis, patients were stratified by the use of anti-tumor necrosis factor alpha (anti-TNFα) agents to exclude their influence o

SUBMITTER: Takeyama E 

PROVIDER: S-EPMC8114978 | biostudies-literature | 2021 May

REPOSITORIES: biostudies-literature