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Cost of gastro-oesophageal reflux disease to the employer: a perspective from the United States

Brook RA, Wahlqvist P, Kleinman NL, Wallander MA, Campbell SM, Smeeding JE
Aliment Pharmacol Ther. 2007 Sep 15;26(6):889-98.

BACKGROUND:

Employers pay more than just salary for their employees. Previous studies have largely focused on direct medical and prescription drug costs of gastro-oesophageal reflux disease (GERD), and few have reported on total absenteeism costs.

AIMS:

To examine the annual cost of illness of GERD in an employed US population by benefit category and by place of service for direct medical costs.

METHODS:

Retrospective data analysis from 2001 to 2004. International Classification of Diseases (ICD)-9 codes (530.1, 530.10, 530.11, 530.12, 530.19, 530.81, 787.1x, 787.2x or 251.5x) were used to identify employees with and without GERD (the control group). Measures included medical and prescription drug claims, plus indirect costs for sick leave, short- and long-term disability, and workers’ compensation. For a subset of the population, the direct medical claims were analysed by place of service.

RESULTS:

Data were available for 267,269 eligible employees of which 11,653 had gastro-oesophageal reflux disease. GERD was associated with a mean incremental cost of US $3,355 per employee of which direct medical costs accounted for 65%, prescription drug costs 17%, and indirect costs 19%. The place of service ‘out-patient hospital or clinic’ accounted for the largest part (47%) of the difference in medical costs.

CONCLUSIONS:

GERD is associated with substantial direct and indirect costs, which highlight the importance of managing the disease effectively.

Link to open access PDF: Brook RA, et al; Aliment Pharmacol Ther. 2007 Sep 15;26(6):889-98.

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  • What Is GERD (Gastroesophageal Reflux Disease)?
  • GERD Symptoms: Signs of Acid Reflux Disease
  • What Causes Gastroesophageal Reflux Disease (GERD)?
  • Hiatal Hernia and the TIF procedure
  • Diagnosis of GERD: How Gastroesophageal Reflux Disease is Diagnosed

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  • What is GERD
    • Overview
    • GERD Symptoms: Signs of Acid Reflux Disease
    • What Causes Gastroesophageal Reflux Disease (GERD)?
    • Hiatal Hernia and the TIF procedure
    • Diagnosis of GERD: How Gastroesophageal Reflux Disease is Diagnosed
  • GERD Treatment Options
    • Overview
    • Treating GERD with Diet and Lifestyle Changes
    • Medications for GERD Treatment
    • Antireflux Surgery: Types of Fundoplication
  • TIF Procedure: Transoral Incisionless Fundoplication Surgery
    • Overview
    • Comparison of the TIF Procedure and Nissen Fundoplication
    • Is the TIF Procedure Right for You?
    • What to Expect Before, During, and After TIF Procedure
    • Clinical Results for the TIF Procedure
    • TIF Procedure Side Effects, Risks, and Complications: Safety Information For Potential Patients
    • Affording the TIF Procedure: Costs and Insurance Coverage
    • Frequently Asked Questions: TIF Surgery and the EsophyX Device to Treat GERD
  • Patient Resources
    • Patient Stories
    • Frequently Asked Questions: TIF Surgery and the EsophyX Device to Treat GERD
    • GERD-HRQL: Health Related Quality of Life Questionnaire
    • Questions for your Doctor: What to Ask About GERD Diagnosis and Treatment
    • Additional Reflux and GERD Resources
    • Glossary of Terminology
  • Blog
  • News
    • Media Coverage
    • Press Releases
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