English, Article edition: Comorbidities and Costs of Adult Patients Diagnosed with Attention-Deficit Hyperactivity Disorder Kristina Secnik; Andrine Swensen; Maureen J. Lage

User activity

Share to:
 
Bookmark: http://trove.nla.gov.au/version/118905
Physical Description
  • article
Language
  • English

Edition details

Title
  • Comorbidities and Costs of Adult Patients Diagnosed with Attention-Deficit Hyperactivity Disorder
Author
  • Kristina Secnik
  • Andrine Swensen
  • Maureen J. Lage
Physical Description
  • article
Notes
  • Introduction: The purpose of this retrospective study was to examine the prevalence of comorbidities, resource use, direct medical costs, and the costs associated with missed work for adults diagnosed with attention-deficit hyperactivity disorder (ADHD). Study design: From a large claims database that captures inpatient, outpatient and prescription drug services, individuals diagnosed with ADHD between the years 1999 and 2001 were retrospectively identified. The ADHD cohort (n =​ 2252) were matched with a non-ADHD cohort (n =​ 2252) on a 1___1 ratio, based upon age, gender, metropolitan statistical area and type of insurance coverage. The ADHD cohort was compared with the non-ADHD cohort for differences in comorbidities and direct medical costs (inpatient, outpatient and prescription drug costs) using year 2001 prices. Using data from six Fortune 200 employers, time missed from work and costs associated with absenteeism, short-term disability and worker's compensation was examined for a subsample (n =​ 354) of the employees diagnosed with ADHD. Chi-square and t-statistics were used to compare the ADHD population with the control group with regards to comorbidites and service use. Analysis of covariance and multivariate regressions were used to examine differences in days missed from work, direct medical costs and costs associated with missed work. Results: Adults diagnosed with ADHD were significantly more likely to have a comorbid diagnosis of asthma (p =​ 0.0014), anxiety (p < 0.0001), bipolar disorder (p < 0.0001), depression (p < 0.0001), drug or alcohol abuse (p < 0.0001), antisocial disorder (p =​ 0.0081) or oppositional disorder (p =​ 0.0022) compared with the control group. Controlling for the impact of comorbidities, adults diagnosed with ADHD had significantly higher outpatient costs ($US3009 vs $US1492; p < 0.0001), inpatient costs ($US1259 vs $US514; p < 0.0001), prescription drug costs ($US1673 vs $US1008; p < 0.0001), and total medical costs ($US5651 vs $US2771; p < 0.0001) compared with the non-ADHD cohort. Employees diagnosed with ADHD missed significantly more days due to `unofficial' absences (4.33 days vs 1.13 days; p < 0.0001). Conclusions: The results demonstrate that adults diagnosed with ADHD have a higher prevalence of comorbidities, higher medical costs and more absences than matched individuals without ADHD. These findings suggest that there may be an opportunity for the effective treatment of ADHD to lead to cost-offsets.
  • Attention-deficit-hyperactivity-disorder, Cost-analysis
  • RePEc:wkh:phecon:v:23:y:2005:i:1:p:93-102
Language
  • English
Contributed by
OAIster

Get this edition

  • Set up My libraries

    How do I set up "My libraries"?

    In order to set up a list of libraries that you have access to, you must first login or sign up. Then set up a personal list of libraries from your profile page by clicking on your user name at the top right of any screen.

  • All (1)
  • Unknown (1)
None of your libraries hold this item.
None of your libraries hold this item.
None of your libraries hold this item.
None of your libraries hold this item.
None of your libraries hold this item.
None of your libraries hold this item.
None of your libraries hold this item.
None of your libraries hold this item.

User activity


e.g. test cricket, Perth (WA), "Parkes, Henry"

Separate different tags with a comma. To include a comma in your tag, surround the tag with double quotes.

Be the first to add a tag for this edition

Be the first to add this to a list

Comments and reviews

What are comments? Add a comment

No user comments or reviews for this version

Add a comment