NCDD Meeting 11-19-07 Outline • Table of Contents • Chapter Examples – GI infections – Colorectal cancer • Cost of Digestive Diseases • National Endoscopy Data
NCDD Meeting 11-19-07Outline
• Table of Contents
• Chapter Examples– GI infections– Colorectal cancer
• Cost of Digestive Diseases
• National Endoscopy Data
Contents
Chapter 1: Introduction
Chapter 2: Intestinal Infections
Chapter 3: Viral HepatitisChapter 4: Esophageal CancerChapter 5: Gastric Cancer
Chapter 6: Cancer Of The Small Intestine
Chapter 7: Colorectal Cancer
Chapter 8: Liver CancerChapter 9: Bile Duct CancerChapter 10: Gallbladder CancerChapter 11: Pancreatic CancerChapter 12: Any Digestive Cancers
Contents (continued)
Chapter 13: Hemorrhoids
Chapter 14: Gastroesophageal Reflux Disease
Chapter 15: Peptic Ulcer Disease
Chapter 16: Functional Disorders
Chapter 17: Appendicitis
Chapter 18: Abdominal Wall Hernia
Chapter 19: Inflammatory Bowel Disease
Chapter 20: Diverticular Disease Of The Intestine
Chapter 21: Acute And Chronic Liver Disease
Chapter 22: Gallstones
Chapter 23: Acute And Chronic Pancreatitis
Chapter 24: Celiac Disease
Contents (continued)
Chapter 25: Any Digestive Diseases
Chapter 26: Endoscopy (National Endoscopy Database)
Chapter 27: Cost Of Digestive Diseases
Chapter 28: Conclusion
Appendix 1: Summary Of Surveys Used In The Burden Report
Appendix 2: ICD-9-CM, ICD-9, AND ICD-10 DIGESTIVE DISEASE CODES
Ambulatory Care Visits and Hospital Discharges with First-Listed and Any-Listed Diagnoses of Intestinal Infections by Age, Race, and Sex
in the United States, 2004
Deaths and Years of Potential Life Lost (to age 75) from Intestinal Infections by Age, Race, and Sex in the United States, 2004
Intestinal Infections
ICD-9 001-009
Age-Adjusted Rates of Ambulatory Care Visits and Hospital Discharges With All-Listed Diagnoses of Intestinal Infections in
the United States, 1979–2004
SOURCE: National Ambulatory Medical Care Survey, National Hospital Ambulatory Medical Care Survey, and National Hospital Discharge Survey
Age-Adjusted Rates of Deaths From Intestinal Infections in the United States,
1979–2004
SOURCE: Vital Statistics of the United States
Most Costly Prescriptions for Intestinal Infections
Drug Rx # Rx % Retail cost ($) Cost %
Levofloxacin 1,265,368 16.7% 109,871,828 31.1%
Ciprofloxacin 670,080 8.8% 88,932,185 25.2%
Prochlorperazine 1,947,888 25.7% 40,064,734 11.3%
Vancomycin 17,802 0.2% 27,525,530 7.8%
Moxifloxacin 322,722 4.3% 27,432,212 7.7%
Promethazine 640,117 8.5% 23,243,001 6.6%
Gatifloxacin 201,430 2.7% 15,340,499 4.3%
Metronidazole 662,700 8.7% 7,443,865 2.1%
Diphenoxylate 285,934 3.8% 4,697,608 1.4%
Loperamide 154,837 2.0% 1,828,348 0.5%
Total top 10 6,168,878 81.4% $346,379,810 98.0%
Source: Verispan
Number of Cases and Incidence Rate of Colorectal Cancer by Age, Race/Ethnicity, and Sex, 2004
SOURCE: Surveillance, Epidemiology, and End Results (SEER) Program
Age-Adjusted Incidence Rate and 5-Year Survival Rate for Colorectal Cancer, 1979–2004
SOURCE: National Ambulatory Medical Care Survey, National Hospital Ambulatory Medical Care Survey, and
National Hospital Discharge Survey
Direct, Indirect, and Total Costs of Digestive Diseases in the United States, 2004
Direct Costs of Digestive Diseases in the United States, 2004 (continued)
Indirect Costs of Digestive Diseases in the United States, 2004 (continued)
Characteristics of Endoscopy Sites, 2001–2005, in the National Endoscopy Database
Number of Endoscopic Procedures at “Stable” Sites (N=36) by Year, 2001–2005
Number of Colonoscopies at “Stable” Sites (N=36) by Age (Years) and Year
Colonoscopy: Top Five Indications, 2001–2005 (N=542,650)
Indications are not mutually exclusive.
Colonoscopy: Top Five Findings in the Total Population and Persons at Routine Risk, 2001–2005
Findings are not mutually exclusive
Colonoscopy Findings in Persons at Routine Risk by Age, 2001–2005
Diverticulosis
Normal