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  1. Healthcare expenditures for sinusitis in 1996 : Contributions of asthma, rhinitis, and other airway disorders.

    Article - En anglais

    Background 

    There have been no recent assessments of the economic burden of sinusitis in the peer-reviewed literature.

    Objective 

    We sought to estimate the 1996 total direct health care expenditures for the treatment of sinusitis.

    Methods 

    This study determined (1) direct expenditures of medical and surgical encounters in which sinusitis was the primary diagnosis and (2) attributable expenditures when related airway diseases were the primary diagnosis and sinusitis was a comorbid condition.

    An expert panel used the Delphi consensus-building technique to determine the proportions for the latter.

    Results 

    Overall health care expenditures attributable to sinusitis in 1996 were estimated at $5.8 billion, of which $1.8 billion (30.6%) was for children 12 years or younger.

    A primary diagnosis of acute or chronic sinusitis accounted for 58.7% of all expenditures ($3.5 billion).

    About 12% each of the costs for asthma and chronic otitis media and eustachian tube disorders were attributed to diagnosis and treatment of comorbid sinusitis.

    Nearly 90% of all expenditures ($5.1 billion) were associated with ambulatory or emergency department services.

    Conclusion 

    The economic burden of sinusitis in the United States is significant.

    However, the limitations of this type of evaluation suggest the $5.8 billion amount may be an underestimate of the true direct costs.

    Mots-clés Pascal : Asthme, Allergie, Rhinite, Sinusite, Otite moyenne, Coût, Economie santé, Etats Unis, Amérique du Nord, Amérique, Appareil respiratoire pathologie, Bronchopneumopathie obstructive, Immunopathologie, ORL pathologie, Nez pathologie, Sinus face pathologie, Oreille moyenne pathologie

    Mots-clés Pascal anglais : Asthma, Allergy, Rhinitis, Sinusitis, Otitis media, Costs, Health economy, United States, North America, America, Respiratory disease, Obstructive pulmonary disease, Immunopathology, ENT disease, Nose disease, Paranasal sinus disease, Middle ear disease

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

    Cote : 99-0186623

    Code Inist : 002B30A01C. Création : 16/11/1999.