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Hyperlipidemia and Medical Expenditures by Cardiovascular Disease Status in US Adults

Bibliographic Data

ID9101060
AuthorsDonglan Zhang (0000-0001-5225-4721, Centers for Disease Control and Prevention), Guijing Wang (0000-0002-5511-3788, Centers for Disease Control and Prevention), Jing Fang (0000-0002-1589-4188, Centers for Disease Control and Prevention), Carla Mercado (0000-0002-0490-9532, Centers for Disease Control and Prevention)
Year2017
Volume55
Issue1
Pages4-11
Publication date2017-01-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueMedical Care (JOURNAL)
Journal identifiersISSN: 0025-7079 • E-ISSN: 1537-1948
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/mlr.0000000000000663
PMID27787352
OpenAlexW2544787917
LanguageEN
Citations received1
References cited25

BACKGROUND: Hyperlipidemia is a major risk factor for cardiovascular disease (CVD), affecting 73.5 million American adults. Information about health care expenditures associated with hyperlipidemia by CVD status is needed to evaluate the economic benefit of primary and secondary prevention programs for CVD. METHODS: The study sample includes 48,050 men and nonpregnant women ≥18 from 2010 to 2012 Medical Expenditure Panel Survey. A 2-part econometric model was used to estimate annual hyperlipidemia-associated medical expenditures by CVD status. The estimation results from the 2-part model were used to calculate per-capita and national medical expenditures associated with hyperlipidemia. We adjusted the medical expenditures into 2012 dollars. RESULTS: Among those with CVD, per person hyperlipidemia-associated expenditures were $1105 [95% confidence interval (CI), $877-$1661] per year, leading to an annual national expenditure of $15.47 billion (95% CI, $5.23-$27.75 billion). Among people without CVD, per person hyperlipidemia-associated expenditures were $856 (95% CI, $596-$1211) per year, resulting in an annual national expenditure of $23.11 billion (95% CI, $16.09-$32.71 billion). Hyperlipidemia-associated expenditures were attributable mostly to the costs of prescription medication (59%-90%). Among people without CVD, medication expenditures associated with hyperlipidemia were $13.72 billion (95% CI, $10.55-$15.74 billion), higher in men than in women. CONCLUSIONS: Hyperlipidemia significantly increased medical expenditures and the increase was higher in people with CVD than without. The information on estimated expenditures could be used to evaluate and develop effective programs for CVD prevention

Confidence interval · Diabetes mellitus · Disease · Economic growth · Environmental health · Health care · Health insurance · Hyperlipidemia · Medical Expenditure Panel Survey · Medical prescription · National Health and Nutrition Examination Survey · Per capita · Population · Demography · Diabetes, Cardiovascular Risks, and Lipoproteins · Emergency Medicine · Endocrinology · Internal Medicine · Lipoproteins and Cardiovascular Health · Medication Adherence and Compliance · Medicine · Gerontology

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    Eric A Finkelstein, Justin G Trogdon et al.•Health Affairs•2009

  • Prediction of Coronary Heart Disease Using Risk Factor Categories

    Peter W F Wilson, Ralph B D’agostino et al.•Circulation•1998

Unique citing works1
Citations per year0,11
Citation span2017 - 2017 (1)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 1

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