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Payment Analysis of Two Diagnosis and Management Approaches of Acute Otitis Media.

Authors :
Casey, Janet R.
Pichichero, Michael E.
Source :
Clinical Pediatrics. Aug2014, Vol. 53 Issue 9, p865-873. 9p.
Publication Year :
2014

Abstract

We determined the cost of care for 2 diagnosis and management approaches for acute otitis media (AOM) among children 6 to 30 months old. A case–control design was used. Cases included 208 children diagnosed with AOM based on a bulging tympanic membrane (TM) and treated with amoxicillin/clavulanate. Controls (5:1 ratio) included 1020 children with AOM diagnosed not requiring bulging of the TM and treated with amoxicillin. Fewer cases (49%) than controls (69%) were diagnosed with AOM (P < .001), fewer were diagnosed with recurrent AOM or AOM treatment failure (0.34 vs 1.6/child; P < .0001), and fewer had insertion of tympanostomy tubes (6.3% vs 14.8%) due to recurrent AOM (P < .0001). The combined direct payments and indirect costs for management of AOM were $539/case versus $1,023/control. Using Rochester NY payments generalized to the US birth cohort, this case diagnosis and treatment strategy could save $1.008 billion per year. [ABSTRACT FROM PUBLISHER]

Details

Language :
English
ISSN :
00099228
Volume :
53
Issue :
9
Database :
Academic Search Index
Journal :
Clinical Pediatrics
Publication Type :
Academic Journal
Accession number :
96921108
Full Text :
https://doi.org/10.1177/0009922814533592