Health care resource utilization and costs before and after epilepsy surgery.
Cost effectiveness
Economic evaluation of health policy
Epilepsy monitoring
Epilepsy surgery
Outcomes research
Journal
Seizure
ISSN: 1532-2688
Titre abrégé: Seizure
Pays: England
ID NLM: 9306979
Informations de publication
Date de publication:
Jan 2023
Jan 2023
Historique:
received:
29
07
2022
revised:
11
11
2022
accepted:
23
11
2022
pubmed:
5
12
2022
medline:
18
1
2023
entrez:
4
12
2022
Statut:
ppublish
Résumé
To describe the demographics of epilepsy surgery utilization and its impact on health care resource use. Retrospective descriptive study using the MarketScan commercial claims database. We studied children and adults who underwent epilepsy surgery in the USA in the period 2006-2019. Our main outcome was health care resource utilization. Among the 87,368 patients with refractory epilepsy, 2,011 (2.3%) patients underwent resective epilepsy surgery, 188 (0.2%) patients underwent partial or total hemispherectomy, and 183 (0.2%) patients underwent corpus callosotomy. The proportion of patients undergoing epilepsy surgery has barely increased in the period 2006 to 2019. The year of resective epilepsy surgery was associated with high healthcare costs per person-year [median (p In privately insured patients in the USA, resective epilepsy surgery and hemispherectomy substantially decrease healthcare utilization in subsequent years. Epilepsy surgery may help contain costs in the field of epilepsy.
Identifiants
pubmed: 36463710
pii: S1059-1311(22)00271-0
doi: 10.1016/j.seizure.2022.11.012
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
22-31Informations de copyright
Copyright © 2022 British Epilepsy Association. Published by Elsevier Ltd. All rights reserved.
Déclaration de conflit d'intérêts
Declaration of Competing Interest None of the authors has any conflict of interest to disclose.