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- Title
Cost of treating recurrent respiratory papillomavirus in commercially insured and medicaid patients.
- Authors
Tam, Samantha; Wu, Chi‐Fang; Peng, Ho‐Lan; Dahlstrom, Kristina R.; Sturgis, Erich M.; Lairson, David R.; Wu, Chi-Fang; Peng, Ho-Lan
- Abstract
<bold>Objectives: </bold>The study objective was to estimate the first 2 years' direct costs of treating new cases of juvenile-onset and adult-onset recurrent respiratory papillomatosis (RRP) and determine the predictors of treatment costs.<bold>Methods: </bold>Cases were patients diagnosed with RRP in commercial insurance claims in 2011-2014 and Texas Medicaid in 2008-2012 for treatment of RRP. Controls were patients without a diagnosis of HPV-related cancer or RRP, matched with cases by age, sex, geographic area, date of diagnosis of RRP, and propensity score. Total health care costs in the first 2 years after diagnosis were obtained from cases and matched controls. A generalized linear model was created to identify predictors of monthly costs.<bold>Results: </bold>In commercially insured patients, a total of 122 cases of juvenile-onset (<18 years old) and 1824 cases of adult-onset (≥18 years old) RRP were identified. The mean first 2 years' cost difference between cases and controls was $58,733 for juvenile-onset disease and $11,185 for adult-onset disease after model adjustments. In the Texas Medicaid population, 73 cases of juvenile-onset and 96 cases of adult-onset RRP were identified. The mean first 2 years' cost difference between cases and controls was $76,115 for juvenile-onset disease and $4,633 for adult-onset disease after model adjustments.<bold>Conclusion: </bold>The first 2 years' medical costs difference of juvenile-onset and adult-onset RRP among commercially insured and Medicaid population were approximately $60,000 to $70,000 and $5,000 to $11,000, respectively, and should be considered in HPV vaccination promotion investment decisions.<bold>Level Of Evidence: </bold>N/A Laryngoscope, 130:1186-1194, 2020.
- Subjects
UNITED States; MEDICAL care costs; BUSINESS insurance; INSURANCE claims; HUMAN papillomavirus vaccines; GENITAL warts; PAPILLOMAVIRUSES; RESPIRATORY infection treatment; COMPARATIVE studies; HEALTH insurance; RESEARCH methodology; MEDICAID; MEDICAL cooperation; PAPILLOMAVIRUS diseases; RESEARCH; RESPIRATORY infections; EVALUATION research
- Publication
Laryngoscope, 2020, Vol 130, Issue 5, p1186
- ISSN
0023-852X
- Publication type
journal article
- DOI
10.1002/lary.28139