A comprehensive study of the direct and indirect costs of adult asthma
Journal of Allergy and Clinical ImmunologyPublished 1 June 2003Open access
Miriam G. Cisternas, Paul D. Blanc, Irene H. Yen, Patricia Katz, Gillian Earnest, Mark D. Eisner
Citations280
SJR quartileQ1
SJR score3.94
SNIP2.56
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
Asthma-related costs are substantial and are driven largely by pharmaceuticals and work loss.
Abstract
Asthma-related costs are substantial and are driven largely by pharmaceuticals and work loss.
Keywords
Medicine
Wiley series in probability and statisticsStatistical Methods for Rates and Proportions
18,048 Citations2003Joseph L. Fleiss, Bruce Levin +1 more
PubMedPrevention of perinatal group B streptococcal disease--revised guidelines from CDC, 2010.
3,205 Citations2010Stephanie J. Schrag, Rachel Gorwitz +2 more
Although universal screening for GBS colonization is anticipated to result in further reductions in the burden of GBS disease, the need to monitor for potential adverse consequences of intrapartum antibiotic use, such as emergence of bacterial antimicrobial resistance or increased incidence or severity of non-GBS neonatal pathogens, continues.
New England Journal of MedicineAn Economic Evaluation of Asthma in the United States
997 Citations1992Kevin B. Weiss, Peter J. Gergen +1 more
The distribution of health care resources used for asthma in the United States was studied in order to lay the groundwork for further policy decisions aimed at reducing the economic burden of this disorder.
American Journal of Respiratory and Critical Care MedicineA National Estimate of the Economic Costs of Asthma
568 Citations1997David H. Smith, DANIEL C. MALONE +4 more
Findings from this study indicate that future asthma research and intervention efforts directed at hospitalizations and high-cost patients could help to decrease health care resource use and provide cost savings.
Journal of Allergy and Clinical ImmunologyThe health economics of asthma and rhinitis. I. Assessing the economic impact
546 Citations2001Kevin B. Weiss, Sean D. Sullivan
This 2-part review examines the current health economic literature for asthma and rhinitis and explores how comparative studies have contributed to understanding how to best diagnose and treat asthma and allergic rhinitis.
European Respiratory JournalCosts of asthma according to the degree of severity
389 Citations1998Joan Serra-Batllés, Vicente Plaza +3 more
The cost of asthma was surprisingly high and varied substantially depending on the degree of severity of the disease, and direct costs due to medication and hospitalization were higher among females than males.
Journal of Allergy and Clinical ImmunologyTrends in the cost of illness for asthma in the United States, 1985-1994
371 Citations2000Kevin B. Weiss, Sean D. Sullivan +1 more
Although the US costs of asthma increased during the 1985-1994 time period, estimated costs per person with asthma demonstrated a modest decline, which may represent a combination of reductions in hospital lengths of stay and increasing prevalence of persons with low consumption of asthma-related health care resources.
European Respiratory JournalCosts of asthma are correlated with severity: a 1-yr prospective study
332 Citations2001Philippe Godard, Pascal Chanez +3 more
This is the first study in asthma to combine rigorous independent classification of grades of severity in statistically valid numbers of patients of grades receiving “real-world” treatment and followed-up prospectively for 1 yr, allowing severity to be accurately related to direct, indirect and intangible costs of asthma.
PubMedDirect and indirect costs of asthma in Canada, 1990.
215 Citations1996Murray Krahn, Chris Berka +2 more
Annual costs of treating asthma are comparable to the individual cost of infectious diseases, hematological diseases, congenital defects, perinatal illnesses, home care and ambulance services and may increase in the future.
Journal of Allergy and Clinical ImmunologyThe economic burden of asthma in US children: Estimates from the National Medical Expenditure Survey☆☆☆★
196 Citations1999Paula Lozano, Sean D. Sullivan +2 more
Asthma has considerable impact on the use and costs of medical care services among US children and a useful baseline against which more recent, postguideline data should be compared.
ThoraxRisk factors and costs associated with an asthma attack
192 Citations2000Gaylor Hoskins
Patients at any treatment step of the BTS asthma guidelines are at risk of an asthma attack, the risk increasing as the treatment step increases, and Appropriate targeting of preventive measures could reduce overall health care costs and the growing pressures on hospital services associated with asthma management.
Respiratory ResearchRisk factors for hospitalization among adults with asthma: the influence of sociodemographic factors and asthma severity
171 Citations2000Mark D. Eisner, Patricia Katz +3 more
In adult asthmatics with access to health care, non-white race, low income, and greater asthma severity were associated with a higher risk of hospitalization.
American Journal of Respiratory and Critical Care MedicineThe Cost of Asthma in the Emergency Department and Hospital
143 Citations1999Richard H. Stanford, Trent McLaughlin +1 more
For adult asthma patients requiring hospitalization, the total cost is high and resources consumed are unavoidable, so a continuum of care aimed at appropriate asthma management, especially in the elderly, could result in substantial cost savings over those aimed at reducing inpatient utilization of care.
PubMedAsthma prevalence, cost, and adherence with expert guidelines on the utilization of health care services and costs in a state Medicaid population.
141 Citations2001Lance T. Piecoro, M Potoski +2 more
Asthma prevalence and utilization of health care services in a Medicaid population and gauge the degree of adherence with expert guidelines for asthma medication management from the National Asthma Education and Prevention Program were similar to previous estimates reported nationally and in health maintenance organizations.
CHEST JournalAsthma, Employment Status, and Disability Among Adults Treated by Pulmonary and Allergy Specialists
131 Citations1996Paul D. Blanc, Miriam G. Cisternas +2 more
Severity of disease is a powerful predictor, but not the sole predictor of disability in this group of adults with asthma receiving specialist care, and working conditions are associated with added disability risk even after taking illness severity into account.
PEDIATRICSHealth Care Utilization and Cost Among Children With Asthma Who Were Enrolled in a Health Maintenance Organization
124 Citations1997Paula Lozano, Paul Fishman +2 more
Children with asthma use significantly more health services (and incur significantly more costs) than other children using services, attributable largely to asthma care.
CHEST JournalCosts of Occupational COPD and Asthma
111 Citations2002James Leigh, Patrick S. Romano +2 more
The estimated $6.6 billion cost of occupational COPD and asthma in 1996 is likely to rise with the increasing prevalence of these diseases and warrants preventive intervention.
The Medical Journal of AustraliaThe cost of asthma in New South Wales
106 Citations1991Craig M. Mellis, Jennifer Peat +2 more
The economic cost of asthma to the New South Wales community is studied to determine the cost to the community of asthma.
Pediatric PulmonologyProspective study of the patient‐level cost of asthma care in children*
90 Citations2001Wendy J. Ungar, Peter C. Coyte
Journal of Allergy and Clinical ImmunologyDirect and indirect costs of asthma to an employer
85 Citations2002Howard G. Birnbaum, William E. Berger +5 more
PubMedClinical markers of asthma severity and risk: importance of subjective as well as objective factors.
80 Citations1992S Janson-Bjerklie, Sandra Ferketich +2 more
It is found that the subjective factors of perceived severity and perceived danger and the objective factors of medications, hospitalizations, history of intubation, and pulmonary function were important markers of asthma severity and risk.
Journal of AsthmaHealth Care Utilization and Cost in Children with Asthma and Selected Comorbidities
75 Citations2001Jacqueline Grupp‐Phelan, Paula Lozano +1 more
Visits for otitis media, sinusitis, and particularly allergic rhinitis appear to be overrepresented in children with asthma and contribute to their high utilization rate.
Medical CareAssessment of Asthma Severity in Adults With Asthma Treated by Family Practitioners, Allergists, and Pulmonologists
72 Citations1998Mark D. Eisner, Patricia P. Katz +4 more
The severity-of-asthma score was a valid measure in generalist-treated subjects and demonstrated internal consistency and concurrent validity, correlating strongly with asthma-specific quality of life, SF-36 General Health and Physical Functioning scales, and subject-perceived asthma severity.
Journal of Health EconomicsDeterminants of managed care penetration
67 Citations1998David Dranove, Carol Simon +1 more
Analysis suggests that demographics, labor market characteristics and supply side variables including the level of concentration in hospital markets, hospital occupancy rates and the practice organization patterns of physicians are all important determinants of managed care penetration.
Australian and New Zealand Journal of MedicineThe economic cost of asthma in Singapore
67 Citations1999Fook Tim Chew, D. Y. T. Goh +1 more
The economic cost of asthma is also considerable in populations outside the Western hemisphere, and justifies the need for a concerted effort to reduce asthma morbidity worldwide.
European Respiratory JournalA national study of medical care expenditures for respiratory conditions
36 Citations2002Edward H. Yelin, Laura Trupin +4 more
The total medical care expenditure of persons with respiratory conditions was estimated to be $45.3 billion, of which $12.1 billion represents an increment in expenditures associated with the conditions themselves.
Asthma's Impact on Society
35 Citations1999
Social Impact of Asthma Introduction: The Social Impact ofAsthma Kevin B. Sullivan Cost and Outcome Implications for Prevention Anne Elixhauser, Nancy Kline Leidy, and Michael T. Halpern Development of Pharmacoeconomic Policy Model for Asthma
Journal of AsthmaHealth-Care Costs of Inner-City Patients with Asthma
32 Citations1999Kevin T. Stroupe, D Gaskins +1 more
Outpatient visits for asthma comprised the largest volume of usage and the largest cost and strategies emphasizing preventive care resulting in 20% greater outpatient costs would pay for themselves if they reduced inpatient admissions by 10%.
DMW - Deutsche Medizinische WochenschriftEpidemiologie und Kosten von Asthma bronchiale und chronischer Bronchitis in Deutschland
31 Citations2001Dietmar Weissflog, H Matthys +1 more
The data suggest that therapeutic progress and cessation of smoking can provide distinctive savings of direct costs and even more of indirect costs of AB and CB.
PubMedAsthma: an analysis of high-cost patients.
22 Citations2000DC Malone, Kenneth A. Lawson +1 more
Person with asthma are more likely to have greater medical expenditures if they use four or more medications and have deteriorated health status, which may be useful in targeting asthma prevention and management programs.
European Journal of Public HealthCosts of asthma treatment in Estonia
19 Citations2001Raul Allan Kiivet
The frequency of out-patient visits, hospital admissions, number of prescriptions, total costs and costs of pharmaceuticals increased in parallel with age, and the users of oral corticosteroids had twice as high per capita annual asthma treatment costs as compared to non-users.
Canadian Respiratory JournalHealth Care Costs Associated with Acute Asthma: A Prospetive Economic Analysis
19 Citations1999Naser Behbehani, Anton Grunfeld +1 more
The present study provides a more accurate estimation of the operational cost of managing asthma in a teaching hospital setting than previous studies and can be used in future cost effectiveness and cost-benefit studies in acute asthma.
PubMedDeterminants of health care costs and patterns of care of asthmatic patients in Switzerland.
17 Citations2000Thomas D. Szucs, Anderhub Hp +1 more
Factors determining higher resource utilisation and costs are: treatment by non-specialists, long-term continuous treatment, the absence of supplementary health care insurance, treatment in rural areas, and treatment in the French-speaking cantons.
PubMed[Economic study on asthma in Mexico].
8 Citations2000M Cavazos Galván, J Contreras Castillo +2 more
The results indicate that the greatest cost lies in the purchase of medication for ambulatory patients, and the physicians at Clinica Nova are using the preventive anti-inflammatory schemes recommended at present, which has helped to reduce the most important direct cost, hospitalization.