Cost burden and resource utilization in patients with chronic rhinosinusitis and nasal polyps

Neil Bhattacharyya, Sara Villeneuve, Vijay N. Joish, Caroline Amand, Leda Mannent, Nikhil Amin, Paul Rowe, Jaman Maroni, Laurent Eckert, Tony Yang, Asif Khan

Research output: Contribution to journalArticlepeer-review

69 Scopus citations

Abstract

Objectives/Hypothesis: Establish treatment patterns and economic burden in US patients with chronic rhinosinusitis with nasal polyposis (CRSwNP) versus without chronic rhinosinusitis (CRS). Determine comparative costs of subgroups with high clinical burden. Study Design: Observational, retrospective, case-control study. Methods: This study matched patients with CRSwNP to patients without CRS (1:1) using the Truven Health MarketScan US claims database. Categorical and continuous variables were compared using McNemar test and paired t test (normal distribution) or Wilcoxon signed rank tests (non-normal distribution). Within subgroups, χ2 and Wilcoxon or t tests were used (normal distribution). Results: There were 10,841 patients with CRSwNP and 10,841 patients without CRS included. Mean age in the CRSwNP cohort was 45.8 years; 56.2% were male. During follow-up, patients with CRSwNP had an increased diagnosis of asthma versus patients without CRS (20.8% vs. 8.1%, respectively; P <.001). Annual incremental costs were $11,507 higher for patients with CRSwNP versus those without CRS. Costs were higher in subgroups of patients with CRSwNP undergoing functional endoscopy sinus surgery (FESS), with a comorbid diagnosis of asthma, receiving oral corticosteroids, or macrolides versus the overall CRSwNP group. Patients with CRSwNP undergoing FESS had the highest costs of the four subgroups ($26,724, $22,456, $20,695, and $20,990, respectively). Conclusions: Annual incremental costs were higher among patients with CRSwNP versus without CRS. Patients with CRSwNP with high clinical burden had higher overall costs than CRSwNP patients without. Level of Evidence: NA. Laryngoscope, 129:1969–1975, 2019.

Original languageEnglish
Pages (from-to)1969-1975
Number of pages7
JournalLaryngoscope
Volume129
Issue number9
DOIs
StatePublished - Sep 2019

Keywords

  • Disease burden
  • chronic rhinosinusitis with nasal polyposis
  • cost of illness
  • economic burden
  • healthcare resource utilization

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