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Association of opioid use disorder with healthcare utilization and cost in a public health system.

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Title: Association of opioid use disorder with healthcare utilization and cost in a public health system.
Authors: Miron, Oren, Barda, Noam, Balicer, Ran, Kor, Ariel, Lev‐Ran, Shaul
Source: Addiction. Nov2022, Vol. 117 Issue 11, p2880-2886. 7p. 1 Diagram, 3 Charts, 3 Graphs.
Subjects: Substance abuse, Confidence intervals, Age distribution, Medical care costs, Public health, Retrospective studies, Case-control method, Medical care use, Risk assessment, Descriptive statistics, Longitudinal method
Geographic Terms: Israel
Abstract: Aim: To quantify the healthcare costs associated with opioid use disorder among members in a public healthcare system and compare them with healthcare costs in the general population. Design: Retrospective cohort study. Setting: Inpatient and outpatient care settings of Israel's largest public healthcare provider (that covers 4.7 million members). Participants: Participants included 1173 members who had a diagnosis of opioid use disorder in the years between 2013 and 2018. Each patient was matched with 10 controls based on age and sex. Measurements: The main outcome was monthly healthcare costs. Findings The mean monthly healthcare cost of members with opioid use disorder was $1102 compared with $211 among controls (5.2‐fold difference; 95% CI, 4.6–6.0). After excluding members with heroin related diagnoses before the index date (to focus on prescription opioids), this healthcare cost ratio did not substantially change (4.6‐fold; 95% CI, 3.9–5.4). Members with opioid use disorder under the age of 65 years had a cost difference of 6.1‐fold (95% CI, 5.2–7.1), whereas those 65 years and older experienced cost difference of 3.4‐fold (95% CI, 2.6–4.5), compared with controls. The category with the highest cost for members with opioid use disorder was inpatient services, which was 8.7‐fold (95%CI, 7.2–10.4) greater than among controls. Conclusions: Healthcare costs among individuals with opioid use disorder in Israel's public health system are substantially higher than among controls, at least partially attributable to prescription opioid use disorder. Differences are greater among individuals under 65 years. [ABSTRACT FROM AUTHOR]
Copyright of Addiction is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Association of opioid use disorder with healthcare utilization and cost in a public health system.
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  Data: <searchLink fieldCode="AR" term="%22Miron%2C+Oren%22">Miron, Oren</searchLink><br /><searchLink fieldCode="AR" term="%22Barda%2C+Noam%22">Barda, Noam</searchLink><br /><searchLink fieldCode="AR" term="%22Balicer%2C+Ran%22">Balicer, Ran</searchLink><br /><searchLink fieldCode="AR" term="%22Kor%2C+Ariel%22">Kor, Ariel</searchLink><br /><searchLink fieldCode="AR" term="%22Lev‐Ran%2C+Shaul%22">Lev‐Ran, Shaul</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Addiction%22">Addiction</searchLink>. Nov2022, Vol. 117 Issue 11, p2880-2886. 7p. 1 Diagram, 3 Charts, 3 Graphs.
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  Data: <searchLink fieldCode="DE" term="%22Substance+abuse%22">Substance abuse</searchLink><br /><searchLink fieldCode="DE" term="%22Confidence+intervals%22">Confidence intervals</searchLink><br /><searchLink fieldCode="DE" term="%22Age+distribution%22">Age distribution</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+care+costs%22">Medical care costs</searchLink><br /><searchLink fieldCode="DE" term="%22Public+health%22">Public health</searchLink><br /><searchLink fieldCode="DE" term="%22Retrospective+studies%22">Retrospective studies</searchLink><br /><searchLink fieldCode="DE" term="%22Case-control+method%22">Case-control method</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+care+use%22">Medical care use</searchLink><br /><searchLink fieldCode="DE" term="%22Risk+assessment%22">Risk assessment</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Longitudinal+method%22">Longitudinal method</searchLink>
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  Data: Aim: To quantify the healthcare costs associated with opioid use disorder among members in a public healthcare system and compare them with healthcare costs in the general population. Design: Retrospective cohort study. Setting: Inpatient and outpatient care settings of Israel's largest public healthcare provider (that covers 4.7 million members). Participants: Participants included 1173 members who had a diagnosis of opioid use disorder in the years between 2013 and 2018. Each patient was matched with 10 controls based on age and sex. Measurements: The main outcome was monthly healthcare costs. Findings The mean monthly healthcare cost of members with opioid use disorder was $1102 compared with $211 among controls (5.2‐fold difference; 95% CI, 4.6–6.0). After excluding members with heroin related diagnoses before the index date (to focus on prescription opioids), this healthcare cost ratio did not substantially change (4.6‐fold; 95% CI, 3.9–5.4). Members with opioid use disorder under the age of 65 years had a cost difference of 6.1‐fold (95% CI, 5.2–7.1), whereas those 65 years and older experienced cost difference of 3.4‐fold (95% CI, 2.6–4.5), compared with controls. The category with the highest cost for members with opioid use disorder was inpatient services, which was 8.7‐fold (95%CI, 7.2–10.4) greater than among controls. Conclusions: Healthcare costs among individuals with opioid use disorder in Israel's public health system are substantially higher than among controls, at least partially attributable to prescription opioid use disorder. Differences are greater among individuals under 65 years. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Addiction is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1111/add.15963
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        Text: English
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        PageCount: 7
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      – SubjectFull: Substance abuse
        Type: general
      – SubjectFull: Confidence intervals
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      – SubjectFull: Age distribution
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      – SubjectFull: Medical care costs
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      – SubjectFull: Public health
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      – SubjectFull: Retrospective studies
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      – SubjectFull: Case-control method
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      – SubjectFull: Medical care use
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      – SubjectFull: Risk assessment
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      – SubjectFull: Descriptive statistics
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      – SubjectFull: Longitudinal method
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      – SubjectFull: Israel
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      – TitleFull: Association of opioid use disorder with healthcare utilization and cost in a public health system.
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              M: 11
              Text: Nov2022
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              Y: 2022
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