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Health Care Costs, Utilization and Patterns of Care following Lyme Disease

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  • Emily R Adrion
  • John Aucott
  • Klaus W Lemke
  • Jonathan P Weiner

Abstract

Background: Lyme disease is the most frequently reported vector borne infection in the United States. The Centers for Disease Control have estimated that approximately 10% to 20% of individuals may experience Post-Treatment Lyme Disease Syndrome – a set of symptoms including fatigue, musculoskeletal pain, and neurocognitive complaints that persist after initial antibiotic treatment of Lyme disease. Little is known about the impact of Lyme disease or post-treatment Lyme disease symptoms (PTLDS) on health care costs and utilization in the United States. Objectives: 1) to examine the impact of Lyme disease on health care costs and utilization, 2) to understand the relationship between Lyme disease and the probability of developing PTLDS, 3) to understand how PTLDS may impact health care costs and utilization. Methods: This study utilizes retrospective data on medical claims and member enrollment for persons aged 0-64 years who were enrolled in commercial health insurance plans in the United States between 2006-2010. 52,795 individuals treated for Lyme disease were compared to 263,975 matched controls with no evidence of Lyme disease exposure. Results: Lyme disease is associated with $2,968 higher total health care costs (95% CI: 2,807-3,128, p

Suggested Citation

  • Emily R Adrion & John Aucott & Klaus W Lemke & Jonathan P Weiner, 2015. "Health Care Costs, Utilization and Patterns of Care following Lyme Disease," PLOS ONE, Public Library of Science, vol. 10(2), pages 1-14, February.
  • Handle: RePEc:plo:pone00:0116767
    DOI: 10.1371/journal.pone.0116767
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    References listed on IDEAS

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    1. Johnson, Lorraine & Aylward, Alexandra & Stricker, Raphael B., 2011. "Healthcare access and burden of care for patients with Lyme disease: A large United States survey," Health Policy, Elsevier, vol. 102(1), pages 64-71, September.
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    Cited by:

    1. Stephen Mac & Sara R da Silva & Beate Sander, 2019. "The economic burden of Lyme disease and the cost-effectiveness of Lyme disease interventions: A scoping review," PLOS ONE, Public Library of Science, vol. 14(1), pages 1-17, January.
    2. James R Palmieri & Anushri Kushwaha-Wagner & Abe-Melek Bekele & Jasyn Chang, Alison Nguyen, & Nathanael N Hoskins & Raakhi Menon & Mohamed Mohamed & Susan L Meacham, 2019. "Missed Diagnosis and the Development of Acute and Late Lyme Disease in Dark Skinned Populations of Appalachia," Biomedical Journal of Scientific & Technical Research, Biomedical Research Network+, LLC, vol. 21(2), pages 15782-15787, September.
    3. Jean Le Fur & Moussa Sall & Jean-Marie Dembele, 2023. "A Digital Twin Simulator Approach as a Support to Develop an Integrated Observatory of the Epidemic Risk in a Rural Community in Senegal," Post-Print hal-04356962, HAL.
    4. Anneleen Berende & Lisette Nieuwenhuis & Hadewych J M ter Hofstede & Fidel J Vos & Michiel L Vogelaar & Mirjam Tromp & Henriët van Middendorp & A Rogier T Donders & Andrea W M Evers & Bart Jan Kullber, 2018. "Cost-effectiveness of longer-term versus shorter-term provision of antibiotics in patients with persistent symptoms attributed to Lyme disease," PLOS ONE, Public Library of Science, vol. 13(4), pages 1-11, April.
    5. Slunge, Daniel & Sterner, Thomas & Adamowicz, Wiktor, 2019. "Valuation when baselines are changing: Tick-borne disease risk and recreational choice," Resource and Energy Economics, Elsevier, vol. 58(C).
    6. Stella C Watson & Yan Liu & Robert B Lund & Jenna R Gettings & Shila K Nordone & Christopher S McMahan & Michael J Yabsley, 2017. "A Bayesian spatio-temporal model for forecasting the prevalence of antibodies to Borrelia burgdorferi, causative agent of Lyme disease, in domestic dogs within the contiguous United States," PLOS ONE, Public Library of Science, vol. 12(5), pages 1-22, May.

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