Digestive, liver and pancreatic diseases result in more than 100 million outpatient visits and 13 million hospitalizations annually at a cost of $141.8 billion.
A new report commissioned by the National Institutes of Health finds that costs, doctor visits, prescription costs and hospitalizations related to digestive diseases have risen significantly in recent years. The Burden of Digestive Diseases in the United States report is summarized in Gastroenterology, the official journal of the American Gastroenterological Association (AGA) Institute.
"This report gives us the best recent update on the toll digestive diseases exact on patients and society – and there are both positive and negative trends," said James E. Everhart, MD, MPH of the Division of Digestive Diseases and Nutrition, National Institute of Diabetes and Digestive and Kidney Diseases, and lead author of the study. "While deaths from digestive diseases have gradually declined over the last 25 years, they still result in more than 230 thousand deaths per year. Some diseases stand out in significance. For example, outpatient visits and hospitalizations for gastroesophageal reflux disease increased several fold in the last 15 years with a corresponding increase in the incidence of its complication of esophageal cancer."
Notable findings include:
- Doctor visits increased more than 50 percent since 2000 (100M in 2004; 45M in 2000).
- Hospitalizations exceeded 13 million in 2004 (up >4M since 2002).
- Indirect costs 1 more than doubled since 1998 ($20B in 1998; $44 B in 2004).
- Direct costs 2 topped $97 billion in 2004, up from $85 billion in 1998.
- Deaths related to digestive diseases gradually declined between 1979 and 2004 (236 M), which is largely attributable to a decrease in colorectal cancer mortality due to increased screening rates.
- Nearly 136 million prescriptions have been written for digestive diseases, costing more than $12 billion.
According to the report, the 10 most costly digestive diseases in both direct and indirect costs are: