Table 3.
CDI-attributable costs/charges and CDI-related management costs/charges
Author, Year | Population | Outcome | Statistic | Incremental CDI-attributable cost/charges | CDI-related cost/charges | Note | ||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Sample size | Attributable cost 2015$ | SD or 95 % CI | Sample size | CDI only cost 2015$ | SD, 95 % CI or IQR | |||||||
CO-CDI Inpatient Cost | ||||||||||||
Arora 2011 [29] | General | Cost | Median | 85 | 25,436 | 85 | 25,436 | |||||
O’Brien 2007 [51] | General | Cost | Mean | 4015 | 14,736 | 4015 | 14,736 | |||||
Peery 2012 [56] | General | Cost | Median | 110,553 | 7513 | 110,553 | 7513 | |||||
VeerLee 2012 [64] | General | Charges | Mean | 68,686 | 74,211 | 120,156 | 68,686 | 74,211 | 120,156 | |||
Kuntz 2012 [41] | General | Cost | Mean | 1650 | 929 | 4800 | 1650 | 929 | 4800 | Outpatient | ||
Kuntz 2012 [41] | General | Cost | Mean | 1316 | 11,877 | 35,923 | 1316 | 11,877 | 35,923 | Inpatient | ||
O’Brien 2007 [51] | General | Cost | Median | 1036 | 7263 | 1036 | 7263 | PD | ||||
VeerLee 2012 [64] | General | Charges | Mean | 17,413 | 27,463 | 40,484 | 17,413 | 27,463 | 40,484 | PD | ||
O’Brien 2007 [51] | General | Cost | Mean | 3327 | 16,946 | 34,655 | 3327 | 16,946 | Rehospitalisation | |||
Sammons 2013 [59] | Children | Cost | Mean | 2060 | 19,993 | 15,973 | 24,013 | 2060 | 19,993 | 15,973 | 24,013 | Community onset |
Ananthakrishnan 2008 [28] | IBD | Charges | Median | 44,400 | 16,864 | CDI only | ||||||
Pant 2013 [55] | IBD | Charges | Mean | 12,610 | 12,761 | 6868 | 18,655 | 447 | 50,050 | CDI only | ||
Bajaj 2010 [30] | Cirrhosis | Charges | Mean | 58,220 | 70,309 | CDI only | ||||||
Quimbo 2013 [57] | CDI History | Cost | Mean | 1866 | 29,662 | 20,798 | 42,300 | 933 | 51,863 | 36,641 | 73,411 | CDI only |
Total numbers/Weighted Mean | 224,617 | 20,085 | 314,141 | 23,322 | ||||||||
HO-CDI Inpatient Cost | ||||||||||||
Fuller 2009 [37] | General | Cost | Coefficient | 1282 | 18,466 | 288 | 1282 | 18,466 | 288 | Maryland, SD | ||
Fuller 2009 [37] | General | Cost | Coefficient | 2478 | 29,980 | 271 | 2478 | 29,980 | 271 | California, SD | ||
Lipp 2012 [46] | General | Cost | Mean | 3826 | 32,050 | 3826 | 32,050 | SD | ||||
McGlone 2012 [48] | General | Cost | Median | 54,046 | 10,016 | 8547 | 12,055 | 54,046 | 10,016 | 8547 | 12,055 | SD Cost-hospital perspective-6 days LOS |
McGlone 2012 [48] | General | Cost | Median | 54,046 | 11,116 | 9476 | 13,366 | 54,046 | 11,116 | 9476 | 13,366 | 10 days LOS |
McGlone 2012 [48] | General | Cost | Median | 54,046 | 12,194 | 10,146 | 14,896 | 54,046 | 12,194 | 10,146 | 14,896 | 14 days LOS |
O’Brien 2007 [51] | General | Cost | Median | 2656 | 6630 | 2656 | 6630 | SD | ||||
VeerLee 2012 [64] | General | Charges | Mean | 51,273 | 90,202 | 146,767 | 51,273 | 90,202 | 146,767 | SD | ||
Jiang 2013 [39] | General | Cost | Median | 7264 | 11,689 | 1211 | 21,751 | |||||
Pakyz 2011 [52] | General | Cost | Mean | 30,071 | 31,180 | 10,857 | 64,732 | Unadjusted | ||||
Pakyz 2011 [52] | General | Cost | Median | 30,071 | 24,456 | 10,857 | 39,598 | 22,400 | 88,537 | Unadjusted | ||
Pakyz 2011 [52] | General | Cost | Mean | 30,071 | 31,169 | 10,857 | 64,000 | 63,541 | 64,458 | Adjusted | ||
Tabak 2013 [63] | General | Cost | Mean | 1020 | 6893 | 1365 | 13,617 | 255 | 22,992 | 12,222 | 42,470 | |
Campbell 2013 [31] | Age > = 65 | Cost | Mean | 3064 | 7536 | 4302 | 10,771 | 3064 | 48,932 | 67,727 | ||
Quimbo 2013 [57] | Elderly | Cost | Mean | 34,732 | 45,749 | 43,279 | 48,359 | 10,933 | 83,004 | 78,548 | 87,713 | |
Sammons 2013 [59] | Children | Cost | Mean | 2414 | 99,012 | 84,626 | 113,398 | 2414 | 99,012 | 84,626 | 113,398 | |
Ananthakrishnan 2008 [28] | IBD | Charges | Median | 80,170 | 7655 | 2804 | 24,623 | |||||
Ananthakrishnan 2008 [28] | IBD | Charges | Mean | 80,170 | 14,368 | 9467 | 19,270 | – | ||||
Campbell 2013 [31] | IBD | Cost | Mean | 84 | 1522 | −14,932 | 11,888 | 84 | 40,194 | 44,845 | ||
Quimbo 2013 [57] | IBD | cost | Mean | 3618 | 11,825 | 9851 | 14,181 | 1206 | 42,035 | 35,918 | 49,191 | |
Ananthakrishnan 2008 [28] | Ulcerative colitis (UC) | Charges | Median | 1843 | 26,750 | |||||||
Nguyen 2008 [49] | UC | Charges | Mean | 43,645 | 14,749 | 196 | 43,381 | Regression | ||||
Ananthakrishnan 2008 [28] | Crohn's disease (CD) | Charges | Median | 961 | 22,738 | |||||||
Nguyen 2008 [49] | CD | Charges | Mean | 73,197 | 14,316 | 329 | 41,453 | Regression | ||||
Reed 2008 | Digestive disorders | Charges | Mean | 2394 | 3670 | 320 | 9076 | 8068 | ||||
Damle 2014 [14] | Colorectal surgery | Cost | Median | 84,648 | 14,644 | 13,700 | 15,589 | 1266 | 21,309 | 38,218 | – | |
Kim 2012 [40] | Cystectomy | Cost | Mean | 10,856 | 25,014 | 153 | 57,379 | 50,204 | 64,554 | |||
Lesperance 2011 [45] | Elective colonic resection | Charges | Mean | 695,010 | 84,899 | 10,077 | 158,401 | |||||
Reed 2008 | Major bowel procedures | Charges | Mean | 1035 | 25,476 | 45 | 47,064 | 31,302 | ||||
Wilson 2013 [66] | Ileostomy | Cost | Mean | 13,462 | 20,272 | 217 | 35,076 | |||||
Wilson 2013 [66] | Ileostomy | Cost | Coefficient | 13,462 | 17,513 | 14,106 | 20,921 | |||||
Egorova 2015 [35] | Vascular surgery | Cost | Median | 450,251 | 14,250 | 4708 | 36,847 | 22,912 | 62,903 | |||
Flagg 2014 [36] | Cardiac surgery | Cost | Median | 5160 | 19,524 | 2580 | 213,661 | Adjusted | ||||
Flagg 2014 [36] | Cardiac surgery | Cost | Median | 349,122 | 38,320 | 2580 | 72,730 | Unadjusted | ||||
Lemaire 2015 [43] | Cardiac surgery | Cost | Median | 421,294 | 35,968 | – | 72,685 | CABG | ||||
Lemaire 2015 [43] | Cardiac surgery | Cost | Median | 90,923 | 59,696 | – | 106,141 | VS | ||||
Reed 2008 | OR procedure for infectious /parasitic diseases | Charges | Mean | 449 | 7462 | 32 | 35,524 | 25,498 | ||||
Glance 2011 [38] | Trauma | Cost | Median | 149,656 | 24,131 | 768 | 39,296 | |||||
Campbell 2013 [31] | Cabx | Cost | Mean | 1641 | 18,567 | 10,448 | 26,687 | 1641 | 78,948 | 99,739 | ||
Quimbo 2013 [57] | Cabx | Cost | Mean | 17,716 | 38,413 | 35,195 | 41,922 | 4429 | 64,242 | 59,145 | 69,780 | |
Lagu 2014 [42] | Sepsis | Cost | Median | 4736 | 5792 | 4933 | 6665 | 2368 | 28,576 | 16,496 | 50,494 | |
Reed 2008 | Septicaemia | Charges | Mean | 1211 | 9141 | 92 | 22,378 | 20,591 | ||||
Campbell 2013 [31] | Renal impairment | Cost | Mean | 3236 | 5024 | 1118 | 8928 | 3236 | 50,586 | 72,180 | ||
Quimbo 2013 [57] | RI | Cost | Mean | 22,132 | 122,318 | 111,315 | 134,405 | 5533 | 201,212 | 183,706 | 220,386 | |
Ali 2012 [27] | Liver transplant | Charges | Mean | 193,714 | 77,361 | 5159 | 158,038 | |||||
Singal 2014 [60] | Cirrhosis | Charges | Mean | 89,673 | 23,310 | 1444 | 47,401 | |||||
Reed 2008 | Congestive Heart Failure | Charges | Mean | 2542 | 7332 | 35 | 14,738 | 13,841 | ||||
Quimbo 2013 [57] | Immunocompromised | Cost | Mean | 14,344 | 33,632 | 30,151 | 37,516 | 3586 | 73,612 | 66,048 | 82,041 | |
Campbell 2013 [31] | Cancer/BMT | Cost | Mean | 782 | 687 | −6480 | 7855 | 782 | 48,280 | 72,605 | ||
Total numbers/Weighted mean | 3,020,827 | 34,149 | 207,801 | 49,712 | ||||||||
Dubberke 2014 [2, 34, 71] | Recurrent CDI | Cost | Mean | 3958 | 12,163 | 3958 | 11,523 | 4728 | 26,167 | Total cost difference | ||
Dubberke 2014 [2, 34, 71] | Recurrent CDI | Cost | Mean | 3958 | 12,692 | 9752 | 15,919 | Adjusted | ||||
Song 2008 [61] | General | Cost | Median | 1260 | 373 | 630 | 30,305 | |||||
Stewart 2011 [62] | General | Cost | Mean | 82,414 | 9670 | 41,207 | 26,790 | |||||
Wang 2011 [65] | General | Cost | Median | 7,227,788 | 4914 | 78,273 | 12,081 | |||||
Nylund 2011 [50] | Children | Charges | Median | 3565 | 15,937 | 3565 | 25,549 | 1997 | ||||
Nylund 2011 [50] | Children | Charges | Median | 4356 | 20,750 | 4356 | 31,858 | 2000 | ||||
Nylund 2011 [50] | Children | Charges | Median | 5574 | 23,627 | 5574 | 33,625 | 11,348 | 97,822 | 2003 | ||
Nylund 2011 [50] | Children | Charges | Median | 7779 | 23,362 | 7779 | 35,444 | 13,601 | 110,343 | 2006 | ||
Sammons 2013 [59] | Children | Cost | Mean | 698,616 | 51,304 | 44,746 | 57,969 | 698,616 | 51,304 | 44,746 | 57,969 | |
Dubberke 2008 [33] | Non-surgical | Cost | Median | 24,691 | 11,749 | 439 | 20,569 | Raw data | ||||
Dubberke 2008 [33] | Non-surgical | Charges | Median | 24,691 | 23,961 | 439 | 42,154 | Raw data | ||||
Dubberke 2008 [33] | Non-surgical | Cost | Mean | 24,691 | 3173 | 3078 | 3815 | Linear regression | ||||
Dubberke 2008 [33] | Non-surgical | Cost | Median | 24,691 | 4190 | 342 | 18,842 | Matched cases | ||||
Dubberke 2008 [33] | Non-surgical | Cost | Mean | 24,691 | 6520 | 4910 | 8381 | Linear regression, 180 days | ||||
Dubberke 2008 [33] | Non-surgical | Cost | Median | 24,691 | 9284 | 342 | 35,414 | Matched cases, 180 days | ||||
Zerey 2007 [67] | Surgical | Charges | Median | 1,553,597 | 59,424 | 8113 | 81,708 | |||||
Zerey 2007 [67] | Surgical | Charges | Coefficient | 1,553,597 | 94,402 | 91,589 | 97,216 | Multivariate regression analysis | ||||
Zilberberg 2009 [68] | Prolonged acute mechanical ventilation (PAMV) | Cost | Median | 64,910 | 48,065 | 3468 | 190,188 | 107,689 | 333,290 | Unadjusted | ||
Zilberberg 2009 [68] | PAMV | Cost | Mean | 3370 | 12,616 | 9186 | 16,046 | 3468 | 91,039 | 71,306 | Adjusted | |
Lawrence 2007 [44] | ICU | Cost | Median | 1872 | 7043 | 76 | 15,016 | ICU stay | ||||
Lawrence 2007 [44] | ICU | Cost | Median | 1872 | 36,095 | 76 | 60,723 | Entire hospital stay | ||||
Bajaj 2010 [30] | Cirrhosis | Charges | Mean | 83,230 | 49,460 | 1165 | 96,678 | |||||
Maltenfort 2013 [47] | Arthroplasty | Charges | Median | – | 43,648 | – | 84,877 | 52,498 | 142,827 | |||
Pant 2012 [53] | Organ transplant | Charges | Mean | 49,198 | 77,246 | 73,412 | 81,080 | 63,651 | 42,054 | 69,033 | ||
Pant 2012 (2) [54] | Renal disease | Charges | Coefficient | 184,139 | 69,679 | 68,338 | 71,020 | 59,793 | 87,982 | |||
Pant 2013 [55] | IBD | Charges | Mean | 12,610 | 39,453 | 32,470 | 46,436 | |||||
Total numbers/Weighted Mean | 10,012,927 | 14,403 | 981,005 | 45,421 |
Abbreviations: CO-CDI community-onset CDI, HO-CDI hospital-onset, PAMV prolonged acute mechanical ventilation, Cabx concomitant antibiotic use, UC ulcerative colitis, CD Crohn’s disease, IBD inflammatory bowel disease, ICU intensive care unit, CABG coronary artery bypass grafting, VS valvular surgery, BMT, PD primary diagnosis, SD secondary diagnosis, Calculated numbers were marked in Italic, attributable cost = cost of CDI group- cost of control non-CDI group