Healthcare Utilization for Constipation in Children with and without Complex Chronic Conditions.


eMediNexus    04 April 2018

The goal of a recent study published in the Journal of Pediatric Gastroenterology and Nutrition was to examine the prevalence of diagnosis and treatment for constipation among children receiving Medicaid and to compare healthcare utilization and spending for constipation among children based on number of complex chronic conditions (CCCs). This was a retrospective cohort study which included 4.9 million children, 1-17 years of age, enrolled in Medicaid from 2009 to 2011 in 10 states in the Truven Marketscan Database. Outpatient and inpatient utilization and spending for constipation were assessed. The findings showed that overall, 5.4% children had constipation. A majority of pediatric constipation treatments were carried out in the outpatient setting. Meanwhile, inpatient care accounted for a significant percentage of spending. Furthermore, children with CCCs had a higher prevalence of constipation and accounted for a disproportionate amount of constipation healthcare utilization and spending.

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