Special Reports and ReviewsThe burden of selected digestive diseases in the United States☆,☆☆
Section snippets
Materials and methods
The goal of this study was to find information on the prevalence and cost of selected digestive and liver diseases. A select, rather than inclusive, set of GI and liver diseases was chosen owing to financial and time constraints. The diseases included in the report were selected based on the input of experts in gastroenterology and epidemiology, on the perceived high prevalence of the condition, on the availability of data, and the perceived research needs. As a result, we excluded some
Results
The prevalence, direct costs, and indirect costs for the 17 GI diseases selected for this report are summarized in Table 3.The total direct and indirect costs in 1998 dollars of those diseases ranged from $9.8 billion (GERD) to $0.37 billion (Barrett's esophagus). Based on 1998 data, the most prevalent of these diseases is: non–food-borne gastroenteritis and other GI infections (135 million cases), food-borne illness (76 million), gallbladder disease (20.5 million), GERD (18.6 million), and IBS
Discussion
The present report estimates that a group of 17 GI and liver disorders was responsible for $36.0 billion in direct costs and, based on a very conservative determination, $2.8 billion in indirect costs in 1998. Adjusting for inflation, this represents approximately $43 billion in the year 2000. GERD was the most costly disease in 2000 with total costs of $10 billion, followed by gallbladder disease ($6.5 billion), and colorectal cancer ($5.3 billion). The most prevalent disorders were
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Address requests for reprints to: Robert S. Sandler, M.D., M.P.H., CB# 7080, 719 Burnett-Womack Building, University of North Carolina, Chapel Hill, North Carolina 27599-7080. e-mail [email protected]; fax (919) 966-2478.
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Supported by an unrestricted grant from TAP Pharmaceutical Products, Inc. to the American Gastroenterological Association.