Research Article

Hepatitis C Attributable Healthcare Costs and Mortality among Immigrants: A Population-Based Matched Cohort Study

Table 3

Total and CHC-attributable healthcare costs (in 2020 CAD) per 30 days among immigrants by phase of care.

CostsPrediagnosis phaseInitial phaseLate phaseTerminal phase
ExposedUnexposedNetExposedUnexposedNetExposedUnexposedNetExposedUnexposedNet
N = 5,575N = 5,575(95% CI)N = 5,575N = 5,575(95% CI)N = 1,535N = 1,535(95% CI)N = 756N = 756(95% CI)

Total costs, mean (sd)247 (953)159 (848)88 (55; 122)510 (1,019)187 (682)324 (291; 356)1,290 (2,054)274 (864)1,016 (901; 1,132)8,967 (9,485)7,992 (9,003)975 (−25; 1,974)
Total costs, median (IQR)83 (46–170)32 (1–105)196 (79–521)61 (18–157)565 (192–1,543)78 (23–207)6,109 (2,734–12,351)5,760 (2,959–9,899)
Costs by resource category, mean (sd)
 Outpatient services28 (350)20 (270)9 (−3; 20)56 (378)23 (192)34 (22; 45)171 (746)42 (360)129 (86; 172)791 (1,604)770 (1,610)21 (−152; 195)
 Physician services83 (149)57 (128)26 (20; 31)98 (138)59 (81)39 (34; 43)202 (485)73 (106)129 (103; 155)1,229 (1,134)998 (932)232 (119; 344)
 ED visits10 (36)6 (27)4 (3; 5)9 (22)6 (14)3 (3; 4)27 (88)8 (23)19 (14; 24)229 (228)180 (145)49 (28; 69)
 Same-day surgery4 (33)5 (40)−1 (−2; 1)9 (53)6 (19)3 (1; 4)25 (46)8 (26)17 (14; 20)35 (112.0)36 (184)−1 (−17; 16)
 Inpatient care53 (511)35 (492)19 (0; 38)65 (450)41 (411)24 (8; 41)253 (963)57 (359)196 (142; 249)5,156 (7,810)3,994 (7,530)1,162 (332; 1,991)
 Outpatient prescription21 (130)17 (106)5 (1; 9)237 (545)26 (146)211 (196; 226)533 (967)42 (149)491 (440; 542)481 (1,821)326 (688)156 (7; 305)
 Laboratory services31 (27)8 (15)22 (21; 23)14 (18)7 (8)7 (6; 8)18 (23)7 (8)10 (9; 11)22 (32)18 (28)4 (1; 7)
 Other services17 (394)15 (316)2 (−11; 15)27 (240)25 (273)2 (−8; 11)76 (463)51 (528)25 (−12; 61)1,023 (2,012)1,671 (2,807)−648 (−912; −385)

Costs, standardized to 30 days, were collected cumulatively over each phase and rounded to the nearest dollar. CAD: Canadian dollar; CHC: chronic hepatitis C; CI: confidence interval; IQR: interquartile range; SD: standard deviation. Note. Negative attributable costs observed, for example, in the terminal phase for “other services,” often occur because exposed individuals are hospitalized and do not incur costs outside the hospital, but unexposed do.