[Cost of early management of chronic inflammatory intestinal disease].
OBJECTIVE
The aim of this study was to assess the cost of the first management of inflammatory bowel disease (IBD) from the onset of first symptoms until 6 weeks after the diagnosis. This cost was calculated in French francs (FF) for all IBD and namely for Crohn's disease (CD), ulcerative colitis (UC), and ulcerative proctitis (UP).


METHODS
Data concerning 258 patients were collected by the mean of a standardized questionnaire from 3 different sources: the patient, his general practitioner, and his gastroenterologist.


RESULTS
Two hundred and fifty eight patients were included: 144 CD (55.8%), 76 UC (29.5%), 30 UP (11.6%), and 8 chronic unclassifiable colitis (CUC) (3.1%). The mean direct costs of the diagnosis (m +/- SD) were 23,116 +/- 40,820 FF for CD, 10,628 +/- 17,316 FF for UC and 3,451 +/- 2,743 FF for UP. Although unplanned hospitalizations occurred in only 38% of the patients (98/258), they represented the 3/4 of the mean costs: 78.2% for CD and 64% for UC. Indirect costs generated by days off work were 4,719 +/- 6,610 FF for CD, 2,996 +/- 6,897 FF for UC and 1,230 +/- 3,622 FF for UP.


CONCLUSIONS
The first management of a patient with CD was twice more expensive than the one with UC and 6.5 times than the one with UP.
CRESGE-Centre de Recherches Economiques Sociologiques et de Gestion, Lille, France.
N
N
Rolland
B
B
Grandbastien
V
V
Merle
C
C
Gower-Rousseau
T
T
Yzet
R
R
Marti
E
E
Lerebours
J L
JL
Dupas
P
P
Czernichow
J L
JL
Salomez
T
T
Lebrun
A
A
Cortot
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D003093:Colitis, Ulcerative / Q000191:economics / Q000628:therapy; D017281:Cost of Illness; D003424:Crohn Disease / Q000191:economics / Q000628:therapy; D005260:Female; D017048:Health Care Costs; D006760:Hospitalization / Q000191:economics; D006801:Humans; D015212:Inflammatory Bowel Diseases / Q000175:diagnosis / Q000191:economics* / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D011349:Proctitis / Q000191:economics / Q000628:therapy
Coût de la première prise en charge des maladies inflammatoires chroniques de l'intestin.