{"id":"https://openalex.org/W4391232189","doi":"https://doi.org/10.1093/ibd/izae020.093","title":"COST-DRIVERS OF HEALTHCARE EXPENDITURES IN INFLAMMATORY BOWEL DISEASE","display_name":"COST-DRIVERS OF HEALTHCARE EXPENDITURES IN INFLAMMATORY BOWEL DISEASE","publication_year":2024,"publication_date":"2024-01-25","ids":{"openalex":"https://openalex.org/W4391232189","doi":"https://doi.org/10.1093/ibd/izae020.093"},"language":"en","primary_location":{"id":"doi:10.1093/ibd/izae020.093","doi":"https://doi.org/10.1093/ibd/izae020.093","is_oa":true,"landing_page_url":"https://doi.org/10.1093/ibd/izae020.093","pdf_url":"https://academic.oup.com/ibdjournal/article-pdf/30/Supplement_1/S44/56417236/izae020.093.pdf","source":{"id":"https://openalex.org/S45123234","display_name":"Inflammatory Bowel Diseases","issn_l":"1078-0998","issn":["1078-0998","1536-4844"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-2","ki-jl-1","medline","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Inflammatory Bowel Diseases","raw_type":"journal-article"},"volume":null,"type":"conference-abstract","indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"bronze","oa_url":"https://academic.oup.com/ibdjournal/article-pdf/30/Supplement_1/S44/56417236/izae020.093.pdf","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5085948854","display_name":"Jeffrey Aaron Berinstein","orcid":"https://orcid.org/0000-0001-7631-9665","observed_orcids":["https://orcid.org/0000-0001-7631-9665"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Jeffrey Berinstein","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5058310461","display_name":"Gil Melmed","orcid":"https://orcid.org/0000-0002-2591-5165","observed_orcids":["https://orcid.org/0000-0002-2591-5165"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Gil Melmed","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5103903034","display_name":"John I. Allen","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"John Allen","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5037116389","display_name":"Sameer K. Berry","orcid":"https://orcid.org/0000-0002-1124-6634","observed_orcids":["https://orcid.org/0000-0002-1124-6634"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Sameer Berry","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":{"value":4055,"currency":"USD","value_usd":4055},"apc_paid":null,"fwci":null,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":"30","issue":"Supplement_1","first_page":"S44","last_page":"S44"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10134","display_name":"Inflammatory Bowel Disease","score":0.9907000064849854,"subfield":{"id":"https://openalex.org/subfields/2715","display_name":"Gastroenterology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10134","display_name":"Inflammatory Bowel Disease","score":0.9907000064849854,"subfield":{"id":"https://openalex.org/subfields/2715","display_name":"Gastroenterology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12708","display_name":"Economic and Financial Impacts of Cancer","score":0.00279999990016222,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10804","display_name":"Health Systems, Economic Evaluations, Quality of Life","score":0.0017999999690800905,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/inflammatory-bowel-disease","display_name":"inflammatory bowel disease","score":0.9929999709129333},{"id":"https://openalex.org/keywords/health-care-costs","display_name":"health care costs","score":0.8579999804496765}],"concepts":[{"id":"https://openalex.org/C2778260677","wikidata":"https://www.wikidata.org/wiki/Q917447","display_name":"Inflammatory bowel disease","level":3,"score":0.9094992876052856},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.5864760875701904},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.565083384513855},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.46506693959236145},{"id":"https://openalex.org/C2777572184","wikidata":"https://www.wikidata.org/wiki/Q15749161","display_name":"Inflammatory Bowel Diseases","level":4,"score":0.41868531703948975},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.40917539596557617},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.2548840641975403},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.14112353324890137},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1093/ibd/izae020.093","doi":"https://doi.org/10.1093/ibd/izae020.093","is_oa":true,"landing_page_url":"https://doi.org/10.1093/ibd/izae020.093","pdf_url":"https://academic.oup.com/ibdjournal/article-pdf/30/Supplement_1/S44/56417236/izae020.093.pdf","source":{"id":"https://openalex.org/S45123234","display_name":"Inflammatory Bowel Diseases","issn_l":"1078-0998","issn":["1078-0998","1536-4844"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-2","ki-jl-1","medline","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Inflammatory Bowel Diseases","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.1093/ibd/izae020.093","doi":"https://doi.org/10.1093/ibd/izae020.093","is_oa":true,"landing_page_url":"https://doi.org/10.1093/ibd/izae020.093","pdf_url":"https://academic.oup.com/ibdjournal/article-pdf/30/Supplement_1/S44/56417236/izae020.093.pdf","source":{"id":"https://openalex.org/S45123234","display_name":"Inflammatory Bowel Diseases","issn_l":"1078-0998","issn":["1078-0998","1536-4844"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-2","ki-jl-1","medline","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Inflammatory Bowel Diseases","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.9537000060081482,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4391232189.pdf","grobid_xml":"https://content.openalex.org/works/W4391232189.grobid-xml"},"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W4391231903","https://openalex.org/W1983686131","https://openalex.org/W2161886732","https://openalex.org/W2811216155","https://openalex.org/W2944172344","https://openalex.org/W2082916124","https://openalex.org/W2134299051","https://openalex.org/W2741656354","https://openalex.org/W4391826282","https://openalex.org/W3168452833"],"abstract_inverted_index":{"Abstract":[0],"INTRODUCTION":[1],"Inflammatory":[2],"bowel":[3],"diseases":[4],"(IBD)":[5],"are":[6],"gastrointestinal":[7],"(GI)":[8],"conditions":[9,146],"associated":[10,97,154],"with":[11,95,98,185,220],"significant":[12,307],"costs.":[13,29,167,207,364],"Effective":[14],"management":[15],"of":[16,48,52,79,101,128,169,198,222,232,327,329,338,369],"IBD":[17,102,129,145,186,303,330,397],"should":[18,346],"focus":[19,337],"on":[20,38,116,137,310],"improving":[21],"patient":[22],"symptoms":[23],"and":[24,35,123,132,140,147,171,253,297,318,332,391],"outcomes":[25],"while":[26],"containing":[27],"healthcare":[28,313],"To":[30],"develop":[31],"high-value":[32,39],"treatment":[33],"strategies":[34,351],"influence":[36],"policy":[37],"care,":[40],"we":[41],"must":[42],"first":[43],"have":[44],"a":[45,60,72,99,176,279,282,306,377],"better":[46],"understanding":[47],"the":[49,84,104,158,239,311,325,336,366,396],"primary":[50,105,159,283],"drivers":[51],"cost":[53,170],"in":[54,103,157,212],"this":[55,213],"population.":[56],"METHODS":[57],"We":[58,86],"conducted":[59],"real-world":[61],"descriptive":[62],"cohort":[63],"study":[64],"using":[65],"data":[66],"from":[67,109,216],"IBM":[68],"Watson,":[69],"which":[70,199],"is":[71,376],"nationwide":[73],"insurance":[74],"claims":[75],"database":[76],"covering":[77],"millions":[78],"commercially":[80],"insured":[81],"individuals":[82],"across":[83],"US.":[85],"identified":[87,188],"adult":[88],"patients":[89,184],"aged":[90],"18":[91],"to":[92,112,144,165,205,218,281,322,334,362],"65":[93],"years":[94],"encounters":[96],"diagnosis":[100,156],"or":[106,160],"secondary":[107,161],"position":[108,162],"January":[110,113],"2019":[111],"2020":[114],"based":[115,136],"ICD-10-CM":[117],"codes":[118,142,151],"for":[119,379],"Crohn's":[120],"disease":[121],"(555.x)":[122],"ulcerative":[124],"colitis":[125],"(556.x).":[126],"Analysis":[127],"prevalence,":[130],"costs,":[131],"service":[133,249,317],"utilization":[134,172,262,320,345],"was":[135],"ICD,":[138],"CPT,":[139],"NDC":[141],"related":[143,204],"services.":[148],"All":[149],"other":[150,392],"without":[152],"an":[153,359],"GI":[155,270,274,292,295,371],"were":[163,173,187,196,202],"attributed":[164],"all-cause":[166],"Measures":[168],"calculated":[174],"as":[175],"per":[177,179],"member":[178,261],"year":[180],"(PMPY).":[181],"RESULTS":[182],"105,496":[183],"(Table":[189,258],"1).":[190],"The":[191,229],"mean":[192],"PMPY":[193,209],"total":[194,210],"costs":[195,211,225,234,244,250,255,328],"$40,842":[197],"$31,051":[200],"(76%)":[201],"directly":[203],"GI-related":[206,233],"Mean":[208],"population":[214],"ranged":[215],"$1,178":[217],"$144,945,":[219],"15%":[221],"members":[223],"experiencing":[224],">":[226],"$76,346":[227],"PMPY.":[228],"main":[230],"drives":[231],"can":[235],"be":[236,335,348],"divided":[237],"into":[238,395],"following":[240],"three":[241],"categories:":[242],"Inpatient":[243],"($8,206":[245],"[26%]),":[246],"outpatient":[247],"medical":[248,284],"($11,306":[251],"[36%]),":[252],"drug":[254],"($11,539":[256],"[37%])":[257],"2).":[259],"Per":[260],"includes:":[263],"0.22":[264],"inpatient":[265],"admissions,":[266],"0.10":[267],"surgeries,":[268],"1.02":[269],"visits,":[271],"2.87":[272],"non-gastroenterologist":[273,370],"visit":[275,280],"(which":[276],"could":[277],"include":[278],"doctor,":[285],"rheumatologist,":[286],"dietician,":[287],"etc),":[288],"4.57":[289],"GI-testing,":[290],"0.48":[291],"imaging,":[293],"0.61":[294],"endoscopy,":[296],"1.07":[298],"biologic":[299],"medication":[300,319,355],"prescriptions.":[301],"CONCLUSIONS":[302],"care":[304,331,381,386,398],"carries":[305],"financial":[308],"burden":[309],"US":[312],"system.":[314],"Unplanned":[315],"emergency":[316],"continue":[321],"make":[323],"up":[324],"majority":[326],"need":[333],"value-based":[339],"interventions.":[340],"While":[341],"appropriate":[342],"high-cost":[343],"pharmaceutical":[344],"not":[347],"reduced,":[349],"innovative":[350],"leveraging":[352],"more":[353],"cost-effective":[354],"delivery":[356],"may":[357],"provide":[358],"important":[360],"opportunity":[361],"curb":[363],"Furthermore,":[365],"high":[367],"rate":[368],"visits":[372],"suggests":[373],"that":[374],"there":[375],"potential":[378],"optimizing":[380],"pathways,":[382],"by":[383],"incorporating":[384],"multidisciplinary":[385],"including,":[387],"PCPs,":[388],"mid-level":[389],"providers,":[390],"ancillary":[393],"services":[394],"model.":[399]},"counts_by_year":[],"updated_date":"2026-11-06T12:05:46.655746","created_date":"2024-01-26T00:00:00"}
