Total health insurance costs in children with a migraine diagnosis compared to a control group

Abstract Background Health care costs of migraine constitute a major issue in health economics. Several publications analyzed health care costs for adult migraine patients, based on questionnaires or secondary (health insurance) data. Although migraine often starts already in primary school age, dat...

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Autores principales:	Viola Obermeier, Monika Murawski, Florian Heinen, Mirjam N. Landgraf, Andreas Straube, Rüdiger von Kries, Ruth Ruscheweyh
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Health care costs Migraine Headache Children Claims data Medicine R
Acceso en línea:	https://doaj.org/article/44d0e0335781484fb66b361355123b96
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spelling	oai:doaj.org-article:44d0e0335781484fb66b361355123b962021-11-21T12:39:30ZTotal health insurance costs in children with a migraine diagnosis compared to a control group10.1186/s10194-021-01349-w1129-23691129-2377https://doaj.org/article/44d0e0335781484fb66b361355123b962021-11-01T00:00:00Zhttps://doi.org/10.1186/s10194-021-01349-whttps://doaj.org/toc/1129-2369https://doaj.org/toc/1129-2377Abstract Background Health care costs of migraine constitute a major issue in health economics. Several publications analyzed health care costs for adult migraine patients, based on questionnaires or secondary (health insurance) data. Although migraine often starts already in primary school age, data on migraine related costs in children is scarce. In this paper we aimed to assess the migraine-related health care costs in 6 to 11 year old children in Germany. Methods Using claims data of a large German health insurer (BARMER), overall annual health care costs of 6 to 11 year old children with a diagnosis of migraine in 2017 (n = 2597) were compared to a control group of 6 to 11 year old children without a headache diagnosis between 2013 and 2017 (n = 306,926). The association of migraine and costs was modeled by generalized linear regression (Gamma regression) with adjustment for sex, age and comorbidities. Results Children with migraine caused considerably higher annual per capita health care costs than children without a headache diagnosis (migraine group: € 1018, control group: € 618). Excess costs directly related to migraine amounted to € 115. The remaining excess costs were related to comorbidities, which were more frequent in the migraine group. Mental and behavioural disorders constituted the most expensive comorbidity, accounting for € 105 of the € 400 annual excess costs in the migraine group. Conclusion 6 to 11 year old children with a migraine diagnosis cause significant direct and comorbidity related excess costs in the German health care system.Viola ObermeierMonika MurawskiFlorian HeinenMirjam N. LandgrafAndreas StraubeRüdiger von KriesRuth RuscheweyhBMCarticleHealth care costsMigraineHeadacheChildrenClaims dataMedicineRENThe Journal of Headache and Pain, Vol 22, Iss 1, Pp 1-9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Health care costs Migraine Headache Children Claims data Medicine R
spellingShingle	Health care costs Migraine Headache Children Claims data Medicine R Viola Obermeier Monika Murawski Florian Heinen Mirjam N. Landgraf Andreas Straube Rüdiger von Kries Ruth Ruscheweyh Total health insurance costs in children with a migraine diagnosis compared to a control group
description	Abstract Background Health care costs of migraine constitute a major issue in health economics. Several publications analyzed health care costs for adult migraine patients, based on questionnaires or secondary (health insurance) data. Although migraine often starts already in primary school age, data on migraine related costs in children is scarce. In this paper we aimed to assess the migraine-related health care costs in 6 to 11 year old children in Germany. Methods Using claims data of a large German health insurer (BARMER), overall annual health care costs of 6 to 11 year old children with a diagnosis of migraine in 2017 (n = 2597) were compared to a control group of 6 to 11 year old children without a headache diagnosis between 2013 and 2017 (n = 306,926). The association of migraine and costs was modeled by generalized linear regression (Gamma regression) with adjustment for sex, age and comorbidities. Results Children with migraine caused considerably higher annual per capita health care costs than children without a headache diagnosis (migraine group: € 1018, control group: € 618). Excess costs directly related to migraine amounted to € 115. The remaining excess costs were related to comorbidities, which were more frequent in the migraine group. Mental and behavioural disorders constituted the most expensive comorbidity, accounting for € 105 of the € 400 annual excess costs in the migraine group. Conclusion 6 to 11 year old children with a migraine diagnosis cause significant direct and comorbidity related excess costs in the German health care system.
format	article
author	Viola Obermeier Monika Murawski Florian Heinen Mirjam N. Landgraf Andreas Straube Rüdiger von Kries Ruth Ruscheweyh
author_facet	Viola Obermeier Monika Murawski Florian Heinen Mirjam N. Landgraf Andreas Straube Rüdiger von Kries Ruth Ruscheweyh
author_sort	Viola Obermeier
title	Total health insurance costs in children with a migraine diagnosis compared to a control group
title_short	Total health insurance costs in children with a migraine diagnosis compared to a control group
title_full	Total health insurance costs in children with a migraine diagnosis compared to a control group
title_fullStr	Total health insurance costs in children with a migraine diagnosis compared to a control group
title_full_unstemmed	Total health insurance costs in children with a migraine diagnosis compared to a control group
title_sort	total health insurance costs in children with a migraine diagnosis compared to a control group
publisher	BMC
publishDate	2021
url	https://doaj.org/article/44d0e0335781484fb66b361355123b96
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Total health insurance costs in children with a migraine diagnosis compared to a control group

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