Featured Research

from universities, journals, and other organizations

Poorly controlled asthma costly, study finds

Date:
August 4, 2011
Source:
National Jewish Health
Summary:
Poorly controlled asthma more than doubles health-care costs associated with the disease and threatens educational achievement through a dramatic increase in school absence, according to researchers. It highlights the toll that poorly controlled asthma takes on children. It also points to an opportunity.

Poorly controlled asthma more than doubles healthcare costs associated with the disease and threatens educational achievement through a dramatic increase in school absence, according to researchers at National Jewish Health. The research team reported in the August 2011 issue of The Archives of Allergy, Asthma & Immunology that children with "very poorly controlled" asthma missed an average of 18 days of school each year, compared to 2 or less for other asthma patients.

"This study looks for the first time at how effective and ineffective management of severe asthma impacts cost ," said Stanley Szefler, MD, lead author and Professor of Pediatrics at National Jewish Health. "It highlights the toll that poorly controlled asthma takes on children. It also points to an opportunity -- with proper attention and education, many, if not most, of those children could gain control over their asthma, thus reducing healthcare costs, improving their lives and their chances for success."

The researchers studied 628 children ages 6 to 12 with severe or difficult-to-treat asthma. They evaluated direct medical costs -- medications, unscheduled office and emergency visits, and hospital admissions -- and indirect costs as measured by school/work days lost. Costs were evaluated at baseline, 12 months and 24 months. Patients were divided into three groups -- very poorly controlled, not well controlled and well controlled asthma, according to NIH guidelines.

Very poorly controlled asthma patients incurred at baseline an average of $7,846 in costs associated with asthma, compared to $3,526 for not well controlled asthma patients and $3,766 for well controlled asthma. Two years out, costs for very poorly controlled asthma patients increased to $8,880 while costs for those with well controlled asthma dropped to $1,861. (All costs are in 2002 dollars. Costs in 2011 dollars would be approximately 25 percent greater.)

Direct costs of care were roughly 50 percent higher for poorly controlled asthma at $4,983, compared to $3,236 for not well controlled asthma, and $3,588 for well controlled asthma.

Indirect costs were much greater for poorly controlled asthma as measured by the impact on work and school. Children with poorly controlled asthma missed an average of 18 school days per year, compared to 2 missed days for poorly controlled asthma, and 0 for the well controlled asthma.

The researchers estimated that one parent would have to stay home for each missed school day, at an average cost of $172 dollars per day. Indirect costs for very poorly controlled asthma, $3,078, were more than eight times as great as the costs for not well controlled asthma, $369. With no missed school days among well controlled asthma patients, their indirect costs were $0.

The large variance for missed school days suggested another cost not included in the researchers' calculations -- low educational achievement. They cited a study of 3,812 students in Missouri indicating a much higher chance of failure for those absent an average of 12 school days. The very poorly controlled asthma patients in the current study missed an average of 18 days.

But the researchers also cited another study that suggested about 85 percent of asthma patients can bring asthma under control with careful education and supervision. Their data do indicate that improvement in asthma control does reduce asthma-related costs.

"There are effective strategies to improve asthma control among children," said Dr. Szefler. "By addressing medication adherence, inhaler technique, proper medications, and other asthma management strategies, we could improve asthma and reduce costs significantly."


Story Source:

The above story is based on materials provided by National Jewish Health. Note: Materials may be edited for content and length.


Cite This Page:

National Jewish Health. "Poorly controlled asthma costly, study finds." ScienceDaily. ScienceDaily, 4 August 2011. <www.sciencedaily.com/releases/2011/08/110804133608.htm>.
National Jewish Health. (2011, August 4). Poorly controlled asthma costly, study finds. ScienceDaily. Retrieved July 26, 2014 from www.sciencedaily.com/releases/2011/08/110804133608.htm
National Jewish Health. "Poorly controlled asthma costly, study finds." ScienceDaily. www.sciencedaily.com/releases/2011/08/110804133608.htm (accessed July 26, 2014).

Share This




More Health & Medicine News

Saturday, July 26, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Beatings and Addiction: Pakistan Drug 'clinic' Tortures Patients

Beatings and Addiction: Pakistan Drug 'clinic' Tortures Patients

AFP (July 24, 2014) A so-called drugs rehab 'clinic' is closed down in Pakistan after police find scores of ‘patients’ chained up alleging serial abuse. Duration 03:05 Video provided by AFP
Powered by NewsLook.com
Too Few Teens Receiving HPV Vaccination, CDC Says

Too Few Teens Receiving HPV Vaccination, CDC Says

Newsy (July 24, 2014) The Centers for Disease Control and Prevention is blaming doctors for the low number of children being vaccinated for HPV. Video provided by Newsy
Powered by NewsLook.com
New Painkiller Designed To Discourage Abuse: Will It Work?

New Painkiller Designed To Discourage Abuse: Will It Work?

Newsy (July 24, 2014) The FDA approved Targiniq ER on Wednesday, a painkiller designed to keep users from abusing it. Like any new medication, however, it has doubters. Video provided by Newsy
Powered by NewsLook.com
Doctor At Forefront Of Fighting Ebola Outbreak Gets Ebola

Doctor At Forefront Of Fighting Ebola Outbreak Gets Ebola

Newsy (July 24, 2014) Sheik Umar Khan has treated many of the people infected in the Ebola outbreak, and now he's become one of them. Video provided by Newsy
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins