Details:

Alternative Title:
Foodborne Pathog Dis
Personal Author:
Whitham, Hilary K. ; Gilliland, Aubrey E. ; Collier, Sarah A. ; Walter, Elaine Scallan ; Hoffmann, Sandra
Whitham, Hilary K. ; Gilliland, Aubrey E. ; Collier, Sarah A. ; Walter, Elaine Scallan ; Hoffmann, Sandra Less -
Description:
Foodborne illness is common in the United States with most, but not all, foodborne pathogens causing symptoms of acute gastroenteritis (AGI). Outpatient care is the most frequent type of medical care sought; however, more accurate estimates of outpatient costs are needed to inform food safety policy decision. Using the U.S. MarketScan Commercial Claims and Encounters database, we quantified the per-visit cost of outpatient visits with any AGI-related diagnosis (including pathogen-specific and nonspecific or symptom-based diagnoses) and for those with a pathogen-specific diagnosis for 1 of 29 pathogens commonly transmitted through food (including pathogens that cause AGI and some that do not). Our estimates included the per-case cost of office visits and associated laboratory tests and procedures as well as the conservative estimates of prescription cost. Most AGI outpatient visits were coded using nonspecific codes (e.g., infectious gastroenteritis), rather than pathogen-specific codes (e.g., |). From 2012 to 2015, we identified more than 3.4 million initial outpatient visits with any AGI diagnosis and 45,077 with a foodborne pathogen-specific diagnosis. As is typical of treatment cost data, severe cases of illness drove mean costs above median. The mean cost of an outpatient visit with any AGI was $696 compared with the median of $162. The mean costs of visits with pathogen-specific diagnoses ranged from $254 (median $131; interquartile range [IQR]: $98-184) for | spp. Group A (| = 22,059) to $1761 (median $161; IQR: $104-$1101) for | (| = 30). Visits with two of the most common causes of foodborne illness, nontyphoidal | and norovirus, listed as a diagnosis, had mean costs of $841 and $509, respectively. Overall, the median per-case costs of outpatient visits increased with age, with some variation by pathogen. More empirically based estimates of outpatient costs for AGI and specific pathogens can enhance estimates of the economic cost of foodborne illness used to guide food policy and focus prevention efforts.
Subjects:
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Cost Of Illness Foodborne Diseases Gastroenteritis Health Care Costs Humans Outpatients Salmonella United States
Keywords:
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Cost Enteric Foodborne Health Care MarketScan Outpatient
Source:
Foodborne Pathog Dis. 19(8):558-568
Pubmed ID:
35960532
Pubmed Central ID:
PMC10941978
Document Type:
Journal Article
Funding:
CC999999/ImCDC/Intramural CDC HHSUnited States/
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:30b785d6de19cf6cf139759a7e62d60ef757199c66b9644bc53c591db7ea9493
Download URL:
https://stacks.cdc.gov/view/cdc/151729/cdc_151729_DS1.pdf
File Type:

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