Assessing Health Care Utilization and Compliance in Kawasaki Disease

To characterize health care utilization and costs associated with care after diagnosis of Kawasaki disease including adherence to guidelines for echocardiograms. We analyzed children hospitalized for Kawasaki disease using 2015-2017 national Truven MarketScan commercial claims data. The mean 90-day...

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Bibliographic Details
Published in:The Journal of pediatrics 2021-07, Vol.234, p.181-186.e1
Main Authors: Johnson, Scarlett Carmen, Chew, Marshall, Williams, Daniel Clay, Simpson, Annie N., Brinton, Daniel L., Andrews, Annie Lintzenich
Format: Article
Language:English
Subjects:
cost
echocardiogram
MarketScan
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Summary:To characterize health care utilization and costs associated with care after diagnosis of Kawasaki disease including adherence to guidelines for echocardiograms. We analyzed children hospitalized for Kawasaki disease using 2015-2017 national Truven MarketScan commercial claims data. The mean 90-day prehospitalization utilization and costs were quantified and compared with the 90 days posthospitalization via Wilcoxon 2-sample test. Adherence to echocardiogram guidelines was examined using multivariable logistic regression to identify factors associated with adherence. The mean total payments 90 days prior to hospitalization ($2090; n = 360) were significantly lower than those after discharge ($3778), though out of pocket costs were higher ($400 vs $270) (P 
ISSN:0022-3476
1097-6833
DOI:10.1016/j.jpeds.2021.03.022