Crohn's disease (CD) negatively impacts patient quality of life and results in greater healthcare utilization.
For pediatric CD patients, the burden also extends to their caregivers.
Dr Stacy Kahn and colleagues estimated work loss and productivity costs among caregivers of pediatric CD patients.
Data were from Truven MarketScan databases.
Patients were <18 years old with ≥2 ICD-9 CD diagnostic codes.
The research team reported that controls were those without CD or ulcerative colitis, and were matched to patients by age, Charlson Comorbidity Index, index year, and insurance plan category.
Continuous enrollment was required ≥6 months before and ≥12 months after index, defined as the patient's first CD diagnosis date.
|Annual productivity costs were 27% higher for caregivers of Crohn's patients |
|Inflammatory Bowel Diseases|
Outcomes included hours of work loss and associated productivity costs of caregivers 1-year postindex.
The research team compared work loss and productivity costs between caregivers of patients and controls.
Each cohort included 200 study participants and their caregivers.
The researchers found that unadjusted annual hours of work loss after first diagnosis were 214 and 170 for caregivers of CD patients and controls, respectively.
The team noted that annual productivity costs were 27% higher for caregivers of CD patients than controls, estimated at $5243 and $4,121, respectively.
Adjusted cost analyses yielded similar findings. Over the course of a patient's childhood, accumulated productivity losses were $24,118 for CD patients, and $18,957 for control caregivers.
Dr Kahn's team concludes, "Caregivers of pediatric CD patients have significantly higher loss in productivity costs compared with controls."