The DOI matches its Crossref record; 26 of the 26 references it cites were found in a registry or an index.
Lifetime Costs of Medical Care After Heart Failure Diagnosis
Open accessAbstract
Background—: Heart failure (HF) care constitutes an increasing economic burden on the health care system, and has become a key focus in the health care debate. However, there are limited data on the lifetime health care costs for individuals with HF after initial diagnosis. Methods and Results—: Olmsted County residents with incident HF from 1987 to 2006 were identified. Direct medical costs incurred from the time of HF diagnosis until death or last follow-up were obtained using population-based administrative data through 2007. Costs were inflated to 2008 US dollars using the general Consumer Price Index. Inpatient, outpatient, and total costs were estimated using a 2-part model with adjustment for right censoring of data. Predictors of total costs were examined using a similar model. A total of 1054 incident HF patients were identified (mean age, 76.8 years; 46.1% men). After a mean follow-up of 4.6 years, 765 (72.6%) patients had died. The estimated total lifetime costs were $109 541 (95% confidence interval, $100 335 to 118 946) per person, with the majority accumulated during hospitalizations (mean, $83 980 per person). After adjustment for age, year of diagnosis, and comorbidity, diabetes mellitus and preserved ejection fraction (≥50%) were associated with 24.8% ( P =0.003) and 23.6% ( P =0.041) higher lifetime costs, respectively. Higher costs were observed at initial HF diagnosis and in the months immediately before death in those surviving >12 months after diagnosis. Conclusions—: HF imposes a significant economic burden, primarily related to hospitalizations. Variations in cost over a lifetime can help identify strategies for efficient management of patients, particularly at the end of life.
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Cites
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Cited by
Global burden of heart failure: a comprehensive and updated review of epidemiology
Savarese, G., Becher, P. M., Lund, L. H., Seferovic, P., Rosano, G. M. C., & Coats, A. J. S. (2023) · Cardiovascular Research · doi:10.1093/cvr/cvac013 · Cited by 3,315
Shah, S. J., Borlaug, B. A., Kitzman, D. W., McCulloch, A. D., Blaxall, B. C., Agarwal, R., Chirinos, J. A., Collins, S., Deo, R. C., Gladwin, M. T., et al. (2020) · Circulation · doi:10.1161/circulationaha.119.041886 · Cited by 436
Stehlik, J., Schmalfuss, C., Bozkurt, B., Nativi-Nicolau, J., Wohlfahrt, P., Wegerich, S., Rose, K., Ray, R., Schofield, R., Deswal, A., et al. (2020) · Circulation Heart Failure · doi:10.1161/circheartfailure.119.006513 · Cited by 333
Kernick, L. A., Hogg, K. J., Millerick, Y., Murtagh, F. E. M., Djahit, A., & Johnson, M. (2018) · Palliative Medicine · doi:10.1177/0269216318801162 · Cited by 68
Metadata
- Authors
- Dunlay, S. M., Shah, N. D., Shi, Q., Morlan, B., VanHouten, H., Hall Long, K., & Roger, V. L.
- Venue
- Circulation: Cardiovascular Quality and Outcomes
- Published
- 2011-01
- Volume
- 4
- Issue
- 1
- Pages
- 68-75
- ISSN
- 1941-7705 (ISSN-L)
- 1941-7713
- OpenAlex
- W2104554295
- Cited by
- 263
- References
- 26
- FWCI
- 7.97
- Type
- journal article
- Language
- en
- Open access
- bronze
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- Dunlay, S. M., Shah, N. D., Shi, Q., Morlan, B., VanHouten, H., Hall Long, K., & Roger, V. L. (2011). Lifetime Costs of Medical Care After Heart Failure Diagnosis. Circulation: Cardiovascular Quality and Outcomes. https://doi.org/10.1161/circoutcomes.110.957225
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