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Obstet Gynecol. 2000 Mar;95(3):397-402.

Direct medical cost of pelvic inflammatory disease and its sequelae: decreasing, but still substantial.

Author information

1
United States Centers for Disease Control and Prevention, National Center for HIV, Sexually Transmitted Diseases, and Tuberculosis Prevention, Division of STD Prevention, Atlanta, Georgia 30333, USA. dhr7@cdc.gov

Abstract

OBJECTIVE:

To estimate direct medical costs and average lifetime cost per case of pelvic inflammatory disease (PID).

METHODS:

We estimated the direct medical expenditures for PID and its three major sequelae (chronic pelvic pain, ectopic pregnancy, and infertility) and determined the average lifetime cost of a case of PID and its sequelae. We analyzed 3 years of claims data of privately insured individuals to determine costs, and 3 years of national survey data to determine number of cases of PID, chronic pelvic pain, and ectopic pregnancy. We developed a probability model to determine the average lifetime cost of a case of PID.

RESULTS:

Direct medical expenditures for PID and its sequelae were estimated at $1.88 billion in 1998: $1.06 billion for PID, $166 million for chronic pelvic pain, $295 million for ectopic pregnancy, and $360 million for infertility associated with PID. The expected lifetime cost of a case of PID was $1167 in 1998 dollars. The majority of those costs ($843 per case) represent care for acute PID rather than diagnosis and treatment of sequelae. Approximately 73% of cases will not accrue costs beyond the treatment of acute PID.

CONCLUSION:

The direct medical cost of PID is still substantial. The majority of PID related costs are incurred in the treatment of acute PID. Because most PID-related costs arise in the first year from treatment of acute PID infection, strategies that prevent PID are likely to be cost-effective within a single year.

PMID:
10711551
[Indexed for MEDLINE]
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