Trends in Hospitalizations for Celiac Disease in the United States

Borrelli, E.

doi:10.12691/ijcd-5-4-5

Cited by 3 publications

(1 citation statement)

References 25 publications

(28 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…To further illustrate the impact on healthcare spending, if the current CD cascade was used instead of the panel in 1,000 clinical laboratories across the United States it would result in a cost savings of nearly $40 million. Considering the rising CD diagnosis rates and hospital discharges for celiac disease [1,12], reducing healthcare spending through the use of cascades is paramount. Future research should address the utility and cost benefit of cascades compared to other panels used to screen for relatively common diseases.…”

Section: Discussionmentioning

confidence: 99%

Comparing the Cost Effectiveness of a Celiac Disease Panel to a Testing Cascade

Bazyler¹,

Breuel²

2018

IJCD

View full text Add to dashboard Cite

Recent reductions in healthcare funding in the United States has pressured clinical laboratories to provide the same quality of diagnostic testing with fewer resources. Testing cascades have been developed to assist in the diagnosis of various illnesses, which use fewer tests and subsequently reduce costs. However, the cost effectiveness of a celiac disease (CD) testing cascade compared to a panel is currently unknown. Therefore, the purpose of this study was to determine if a CD testing cascade was equivalent to a panel in identifying patients deemed likely for CD, and to compare their cost effectiveness in a sample of symptomatic patients from Northeast Tennessee. A retrospective analysis using a CD testing cascade was performed on 933 outpatient samples referred to our laboratory from 2012 to 2017 with a request for a celiac disease serology panel. The seroprevalence of CD for the panel and the cascade were the same in this population (1.82%, 95% binomial confidence interval: 1.06% to 2.90%). The total cost of the CD cascade was 268% less than the cost of the panel resulting in a savings of $44,705, which translates to a savings of $47.92/patient. Based on these findings, we recommend utilization of the cascade to identify patients with likely CD. In the future, creative use of novel testing strategies can have significant contributions to healthcare reform and afford patients more cost-effective clinical diagnostic testing.

show abstract

Section: Discussionmentioning

confidence: 99%