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Health Care Utilization for Allergic Rhinitis

by Sue Pondrom • September 2, 2011

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Have there been incremental increases in health care utilization and expenditures for allergic rhinitis (AR) patients?

Background: AR, one of the most common and likely underdiagnosed conditions, has been studied for quality of life issues, but little has been studied regarding its economic and health care burdens.

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September 2011

Study design: Review of data from the 2007 Medical Expenditure Panel Survey.

Setting: Division of Otolaryngology, Brigham and Women’s Hospital, Boston; Department of Otology and Laryngology, Harvard Medical School, Boston.

Synopsis: Patients reporting a diagnosis of AR were extracted from the 2007 Medical Expenditure Panel Survey medical conditions file and linked to the consolidated expenditures file. AR patients were then compared to non-AR patients to determine differences in health care utilization (office visits, emergency facility visits, prescriptions filled) and in health care expenditures (total costs, office-based costs, prescription costs, self-expenditures).

The author found that patients with AR incurred approximately +3 additional office visits and a significant +9 additional prescription fills compared to those without AR. However, there was not a significant difference in emergency facility visits. A diagnosis of AR contributed substantially to increased costs in multiple areas, with an overall incremental increase in total health care expenditures of $1,492 per person per year.

Bottom line: AR is associated with substantial incremental increases in health care utilization and expenditures.

Citation: Bhattacharyya N. Incremental health care utilization and expenditures for allergic rhinitis in the United States. Laryngoscope. 2011;121(9):1830-1833.

—Reviewed by Sue Pondrom

Filed Under: Allergy, Literature Reviews, Rhinology Tagged With: allergic rhinitis, AR, health care utilizationIssue: September 2011

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