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  1. Health care utilization in multiple sclerosis : A population-based study in Olmsted County, MN.

    Article - En anglais

    Article abstract-Objective 

    The authors sought to determine acute ambulatory-and hospital-billed charges for the Olmsted County, Minnesota Multiple Sclerosis (MS) Disability Prevalence Cohort and compare them to those incurred by the general population.


    Billed charges for 155 people with clinically definite or laboratory-supported MS were compared with those of age-and gender-matched non-MS controls.

    Billing data, including all inpatient and outpatient acute and rehabilitative medical care charges over a 5-year period surrounding a December 1,1991 prevalence date, were analyzed.

    Data were correlated with level of disability using the Minimal Record of Disability for MS.


    Median total annual billed charges for most individuals with MS, including those with less severe ($1,277) and relapsing-remitting illness ($1,348), did not differ from those for controls ($1,327, p=0.075).

    Only those with severe MS (22.6%) had median annual medical charges higher than controls ($5,440, p<0.001).

    Male patients with MS had higher median annual total charges ($2,353) than male controls ($762, p=0.003).

    Total charges for female patients with MS ($1,440) were not different from those for female controls ($1469).

    Median annual outpatient charges were 15% more for the MS group ($1,418) than for controls ($1,231).

    Patients with MS had a mean of 0.2 hospital admissions annually compared with 0.1 annual admissions per control patient. (...)

    Mots-clés Pascal : Sclérose en plaque, Age, Sexe, Etats Unis, Amérique du Nord, Amérique, Coût global, Soin, Aigu, Hospitalisation, Economie santé, Epidémiologie, Homme, Système nerveux pathologie, Système nerveux central pathologie, Maladie inflammatoire

    Mots-clés Pascal anglais : Multiple sclerosis, Age, Sex, United States, North America, America, Life cycle cost, Care, Acute, Hospitalization, Health economy, Epidemiology, Human, Nervous system diseases, Central nervous system disease, Inflammatory disease

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0311506

    Code Inist : 002B17F. Création : 27/11/1998.