TY - JOUR
T1 - Effect of Aging on Healthcare Costs of Inflammatory Bowel Disease
T2 - A Glimpse into the Future
AU - van der Have, Mike
AU - Mangen, Marie-Josee J.
AU - van der Valk, Mirthe E.
AU - Smeets, Hugo M.
AU - van Bodegraven, Ad
AU - Dijkstra, Gerard
AU - Fidder, Herma H.
AU - de Jong, Dirk J.
AU - Pierik, Marieke
AU - Ponsioen, Cyriel Y.
AU - van der Meulen-de Jong, Andrea E.
AU - van der Woude, C. Janneke
AU - van de Meeberg, Paul C.
AU - Romberg-Camps, Marielle J. L.
AU - Clemens, Cees H. M.
AU - Jansen, Jeroen M.
AU - Mahmmod, Nofel
AU - Bolwerk, Clemens J. M.
AU - Vermeijden, J. Reinoud
AU - Siersema, Peter D.
AU - Leenders, Max
AU - Oldenburg, Bas
AU - COIN Study Grp
AU - Dutch Initiative on Crohn and Colitis
PY - 2014/4
Y1 - 2014/4
N2 - Background:Population aging is expected to result in a substantial additional burden on healthcare resources in the near future. We aimed to assess the current and future impact of aging on direct healthcare costs (DHC) attributed to inflammatory bowel disease (IBD).Methods:Patients with IBD from a Dutch multicenter cohort filled out 3-monthly questionnaires for 2 years. Elderly (60 yr) and younger patients (18-60 yr) IBD were analyzed for differences in 3-monthly DHC, productivity losses, and out-of-pocket costs. Prevalence rates were obtained from a health insurance database. Estimates of annual DHC and prevalence rates were applied to the total Dutch adult population in 2011 and then projected to 2040, using predicted changes in population demography, prices, and volume.Results:IBD-attributable DHC were lower in elderly than in younger patients with IBD with respect to 3-monthly DHC (Euro359 versus Euro978, P <0.01), productivity losses (Euro108 versus Euro456, P <0.01), and out-of-pocket costs (Euro40 versus Euro57, P <0.01). Between 2011 and 2040, the percentage of elderly IBD patients in the Netherlands has been projected to rise from 24% to 35%. Between 2011 and 2040, DHC of the total IBD population in the Netherlands are projected to increase from Euro161 to Euro661 million. Population aging accounted for 1% of this increase, next to rising prices (29%), and volume growth (70%).Conclusions:Population aging has a negligible effect on IBD-attributable DHC of the IBD population in the near future, because the average costs incurred by elderly patients with IBD are considerably lower than those incurred by younger patients with IBD.
AB - Background:Population aging is expected to result in a substantial additional burden on healthcare resources in the near future. We aimed to assess the current and future impact of aging on direct healthcare costs (DHC) attributed to inflammatory bowel disease (IBD).Methods:Patients with IBD from a Dutch multicenter cohort filled out 3-monthly questionnaires for 2 years. Elderly (60 yr) and younger patients (18-60 yr) IBD were analyzed for differences in 3-monthly DHC, productivity losses, and out-of-pocket costs. Prevalence rates were obtained from a health insurance database. Estimates of annual DHC and prevalence rates were applied to the total Dutch adult population in 2011 and then projected to 2040, using predicted changes in population demography, prices, and volume.Results:IBD-attributable DHC were lower in elderly than in younger patients with IBD with respect to 3-monthly DHC (Euro359 versus Euro978, P <0.01), productivity losses (Euro108 versus Euro456, P <0.01), and out-of-pocket costs (Euro40 versus Euro57, P <0.01). Between 2011 and 2040, the percentage of elderly IBD patients in the Netherlands has been projected to rise from 24% to 35%. Between 2011 and 2040, DHC of the total IBD population in the Netherlands are projected to increase from Euro161 to Euro661 million. Population aging accounted for 1% of this increase, next to rising prices (29%), and volume growth (70%).Conclusions:Population aging has a negligible effect on IBD-attributable DHC of the IBD population in the near future, because the average costs incurred by elderly patients with IBD are considerably lower than those incurred by younger patients with IBD.
KW - elderly persons
KW - inflammatory bowel disease
KW - healthcare costs
KW - aging
KW - CROHNS-DISEASE
KW - ULCERATIVE-COLITIS
KW - ELDERLY-PATIENTS
KW - RHEUMATOID-ARTHRITIS
KW - MEDICAL COST
KW - POPULATION
KW - PREVALENCE
KW - VALIDATION
KW - DUTCH
KW - RISK
U2 - 10.1097/01.MIB.0000442677.55051.03
DO - 10.1097/01.MIB.0000442677.55051.03
M3 - Article
VL - 20
SP - 637
EP - 645
JO - Inflammatory Bowel Diseases
JF - Inflammatory Bowel Diseases
SN - 1078-0998
IS - 4
ER -