CME – Smoking & PAD: Assessing the Costs

CME – Smoking & PAD: Assessing the Costs

Peripheral artery disease (PAD) is one of the most common cardiovascular diseases among adults in the United States. The risk for developing PAD increases as people age and are exposed to specific atherosclerosis risk factors. Previous published research has linked continued tobacco use to an increasing number of heart attacks and strokes, worsened claudication, increased amputations, aneurysms, exposure to costly medical procedures, and death in people with PAD. Tobacco use has been identified as an important preventable cause of PAD and is a major determinant of adverse clinical outcomes. Taking a Closer Look Surprisingly, no prior studies have specifically explored the contribution of tobacco use to short-term healthcare utilization and medical costs in PAD. To address this research gap, Sue Duval, PhD, FAHA, and colleagues evaluated this risk in a large, population-based, cross-sectional study published in the Journal of the American College of Cardiology that analyzed 2011 claims data of more than 22,000 people with PAD. “Our study was designed to define the associated immediate health and economic burden of tobacco use in Minnesota and the United States,” says Dr. Duval. “It represents one of the largest measurements of the impact of PAD on health.” Claims data used in the study were provided by Blue Cross and Blue Shield of Minnesota, the state’s largest health plan. The total study group included individuals with 12 months of continuous enrollment and one or more PAD-related claims. The authors also queried tobacco cessation pharmacotherapy billing codes in a subgroup of patients with pharmacy benefits in order to better identify current smokers. Outcomes assessed in the study included the annual proportion of members hospitalized,...
Smoking & PAD: Assessing the Costs

Smoking & PAD: Assessing the Costs

Peripheral artery disease (PAD) is one of the most common cardiovascular diseases among adults in the United States. The risk for developing PAD increases as people age and are exposed to specific atherosclerosis risk factors. Previous published research has linked continued tobacco use to an increasing number of heart attacks and strokes, worsened claudication, increased amputations, aneurysms, exposure to costly medical procedures, and death in people with PAD. Tobacco use has been identified as an important preventable cause of PAD and is a major determinant of adverse clinical outcomes. Taking a Closer Look Surprisingly, no prior studies have specifically explored the contribution of tobacco use to short-term healthcare utilization and medical costs in PAD. To address this research gap, Sue Duval, PhD, FAHA, and colleagues evaluated this risk in a large, population-based, cross-sectional study published in the Journal of the American College of Cardiology that analyzed 2011 claims data of more than 22,000 people with PAD. “Our study was designed to define the associated immediate health and economic burden of tobacco use in Minnesota and the United States,” says Dr. Duval. “It represents one of the largest measurements of the impact of PAD on health.” Claims data used in the study were provided by Blue Cross and Blue Shield of Minnesota, the state’s largest health plan. The total study group included individuals with 12 months of continuous enrollment and one or more PAD-related claims. The authors also queried tobacco cessation pharmacotherapy billing codes in a subgroup of patients with pharmacy benefits in order to better identify current smokers. Outcomes assessed in the study included the annual proportion of members hospitalized,...