Cost of treating an episode of variceal bleeding in a VA setting

Abstract

There is a substantial financial burden associated with this illness, primarily attributable to inpatient costs. In addition to severity of bleeding, Child's class, endoscopic findings, and the timing of pharmacological therapy seem to influence the overall cost of managing esophageal varices.

Estimates of Costs of Hospital Stay for Variceal and Nonvariceal Upper Gastrointestinal Bleeding in the United States

“…Some publications have used large databases [3,4,8,10], which could be representative of a national average, while others base their calculations only on patient cohorts from single centers or small groups of local institutions [6,9], which may not be as generalizable. Some articles refer to means [3,4,6,8–10], others to median costs [10], and yet others to both [11]. Because the costs attributable to the management of UGIB are not normally distributed (a few hospitalizations utilize a very large quantity of medical resources), a choice has to be made as to which summary measure of central trend is used.…”

Cost of treatment of oesophageal variceal bleeding in patients with cirrhosis in France: results of a French survey

“…In 1985, direct costs of medical care for oesophageal varices were estimated to be $78.2 million in the US [6,7] and variceal bleeding was found to be the most expensive of all digestive diseases in the US in terms of average daily cost of hospitalization [8]. High cost of variceal bleeding was confirmed in various US cost assessments [9][10][11].…”

Cost‐effectiveness of hepatic venous pressure gradient measurements for prophylaxis of variceal re‐bleeding

“…Table 1 shows the cost and probability estimates for our baseline analysis 1–4 ,. 7–12 , 18–31 For our analysis, we took the perspective of a third‐party payer (Medicare).…”