ncdd meeting 11-19-07 outline table of contents chapter examples –gi infections –colorectal...
TRANSCRIPT
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NCDD Meeting 11-19-07Outline
• Table of Contents
• Chapter Examples– GI infections– Colorectal cancer
• Cost of Digestive Diseases
• National Endoscopy Data
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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
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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
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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
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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
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Deaths and Years of Potential Life Lost (to age 75) from Intestinal Infections by Age, Race, and Sex in the United States, 2004
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Intestinal Infections
ICD-9 001-009
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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
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Age-Adjusted Rates of Deaths From Intestinal Infections in the United States,
1979–2004
SOURCE: Vital Statistics of the United States
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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
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Number of Cases and Incidence Rate of Colorectal Cancer by Age, Race/Ethnicity, and Sex, 2004
SOURCE: Surveillance, Epidemiology, and End Results (SEER) Program
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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
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Direct, Indirect, and Total Costs of Digestive Diseases in the United States, 2004
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Direct Costs of Digestive Diseases in the United States, 2004 (continued)
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Indirect Costs of Digestive Diseases in the United States, 2004 (continued)
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Characteristics of Endoscopy Sites, 2001–2005, in the National Endoscopy Database
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Number of Endoscopic Procedures at “Stable” Sites (N=36) by Year, 2001–2005
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Number of Colonoscopies at “Stable” Sites (N=36) by Age (Years) and Year
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Colonoscopy: Top Five Indications, 2001–2005 (N=542,650)
Indications are not mutually exclusive.
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Colonoscopy: Top Five Findings in the Total Population and Persons at Routine Risk, 2001–2005
Findings are not mutually exclusive
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Colonoscopy Findings in Persons at Routine Risk by Age, 2001–2005
Diverticulosis
Normal