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Inpatient cost analysis for treatment of myasthenia gravis
Author(s) -
Omorodion Jacklyn O.,
Pines Jesse M.,
Kaminski Henry J.
Publication year - 2017
Publication title -
muscle and nerve
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.025
H-Index - 145
eISSN - 1097-4598
pISSN - 0148-639X
DOI - 10.1002/mus.25624
Subject(s) - medicaid , myasthenia gravis , medicine , healthcare cost and utilization project , emergency medicine , health care , inpatient care , demography , multiple sclerosis , psychiatry , sociology , economics , economic growth
We explore trends in U.S. inpatient costs of care over a 10‐year period. Methods We compare myasthenia gravis (MG) with multiple sclerosis (MS) and overall U.S. hospital admissions using the Agency for Healthcare Research and Quality Nationwide Inpatient Sample database for 2003–2013. Results Total costs of MG inpatient care rose 13‐fold from 2003 to 2013. This was accounted for by a greater than sixfold increase in discharges and a greater than twofold increase in cost per discharge. The < 17 and >85 years age groups experienced the greatest increases in discharges. Medicare and Medicaid use increased. Regional variations in cost were apparent. There were greater rises in the Midwestern and Southern United States, which is dissimilar to MS and all hospital admissions. Discussion There was a dramatic and disproportionate rise in the number of MG discharges, most likely because of changes in practice patterns. Muscle Nerve 56 : 1114–1118, 2017