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. Author manuscript; available in PMC: 2020 Oct 1.
Published in final edited form as: Headache. 2019 Sep 14;59(9):1504–1515. doi: 10.1111/head.13639

Table 2.—

Mean Annual Estimated Incremental Total, Direct, and Indirect Expenditures of Children With Headache vs Children Without Headache, Adjusted For Covariates Specified in the Anderson Behavioral Model of Healthcare Use. Reported in 2016 U.S. Dollars

Headache Cohort Non-Headache Cohort Incremental Adjusted Expenditures
Associated with Headache



Expenditure Type $ 95% CI $ 95% CI $ 95% CI P Value
Total expenditures (Sum of direct and indirect expenditures) 3036 [2374,3699] 2350 [2140,2559] 687 [26,1347] .042
Direct expenditures (total) 2665 [2000,3331] 2042 [1829,2255] 623 [−30,1276] .061
  Office visits 914 [654,1175] 547 [501,592] 368 [105,630] .006
  Hospital outpatient visits 278 [80,477] 159 [101,277] 119 [−53,292] .174
  ED visits 197 [145,250] 101 [91,111] 97 [43,150] <.0001
  Inpatient stays 208 [84,332] 201 [148,254] 7 [−123,137] .913
  Prescription medications 499 [238,761] 512 [370,653] −12 [−275,250] .926
  Other 230 [37,423] 103 [78,127] 128 [−62,317] .186
Indirect expenditures 418 [327,508] 316 [292,339] 102 [11,192] .027

For all analyses, dollar amounts were adjusted for inflation to reflect 2016 dollar costs using the consumer price index medical care inflation component and expenditures were estimated using regression models adjusted for age group, sex, race/ethnicity, income category, insurance, geographical region of the United States, usual source of healthcare, perceived mental health, and perceived physical health.

Source: MEPS 2012–2015.

Total does not equal to the sum of service types or sum because of separate regression estimates.

Regression estimation for expenditures used a standard 2-part expenditure model.