{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T12:52:21Z","timestamp":1785415941867,"version":"3.56.0"},"reference-count":34,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2008,10,6]],"date-time":"2008-10-06T00:00:00Z","timestamp":1223251200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatric Blood &amp; Cancer"],"published-print":{"date-parts":[[2009,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>While multiple studies have examined the healthcare burden of sickle cell disease (SCD) in adults, few have specifically focused on healthcare utilization and expenditures in children. The objective of this study was to characterize the healthcare utilization and costs associated with the care of low\u2010income children with SCD in comparison to other children of similar socioeconomic status.<\/jats:p><\/jats:sec><jats:sec><jats:title>Procedure<\/jats:title><jats:p>For the study period, 2004\u20132007, we conducted a retrospective, cross\u2010sectional descriptive analysis of administrative claims data from a managed care plan exclusively serving low\u2010income children with Medicaid and the State Children's Health Insurance Plan (SCHIP). Patient demographics, continuity of insurance coverage, healthcare utilization, and expenditures were collected for all children enrolled with SCD and the general population within the health plan for comparison.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>On average, 27% of members with SCD required inpatient hospitalization and 39% utilized emergency care in a given calendar year. Both values were significantly higher than those of the general health plan population (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.0001). Across the study period, 63% of members with SCD averaged one well child check per year and 10% had a minimum of one outpatient visit per year to a hematologist for comprehensive specialty care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Low\u2010income children with SCD demonstrate significantly higher healthcare utilization for inpatient care, emergency center care, and home health care compared to children with similar socio\u2010demographic characteristics. A substantial proportion of children with SCD may fail to meet minimum guidelines for outpatient primary and hematology comprehensive care. Pediatr Blood Cancer 2009;52:263\u2013267. \u00a9 2008 Wiley\u2010Liss, Inc.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pbc.21781","type":"journal-article","created":{"date-parts":[[2008,10,6]],"date-time":"2008-10-06T19:03:21Z","timestamp":1223319801000},"page":"263-267","source":"Crossref","is-referenced-by-count":88,"title":["Healthcare utilization and expenditures for low income children with sickle cell disease"],"prefix":"10.1002","volume":"52","author":[{"given":"Jean L.","family":"Raphael","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Craig L.","family":"Dietrich","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deborah","family":"Whitmire","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Donald H.","family":"Mahoney","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brigitta U.","family":"Mueller","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angelo P.","family":"Giardino","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2008,12,5]]},"reference":[{"key":"e_1_2_7_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0031-3955(05)70426-0"},{"key":"e_1_2_7_3_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.311.7020.1600"},{"key":"e_1_2_7_4_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.81.6.749"},{"key":"e_1_2_7_5_2","doi-asserted-by":"publisher","DOI":"10.1002\/ajh.2830390305"},{"key":"e_1_2_7_6_2","doi-asserted-by":"publisher","DOI":"10.2165\/00019053-200220060-00001"},{"key":"e_1_2_7_7_2","doi-asserted-by":"publisher","DOI":"10.3310\/hta3110"},{"key":"e_1_2_7_8_2","first-page":"44","article-title":"Hospital utilization patterns and costs for adult sickle cell patients in Illinois","volume":"112","author":"Woods K","year":"1997","journal-title":"Public Health Rep"},{"key":"e_1_2_7_9_2","first-page":"80","article-title":"Comparison of costs to the health sector of comprehensive and episodic health care for sickle cell disease patients","volume":"110","author":"Yang YM","year":"1995","journal-title":"Public Health Rep"},{"key":"e_1_2_7_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/00043426-199811000-00003"},{"key":"e_1_2_7_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/00043426-199909000-00010"},{"key":"e_1_2_7_12_2","first-page":"40","article-title":"Cost of hospitalizations associated with sickle cell disease in the United States","volume":"112","author":"Davis H","year":"1997","journal-title":"Public Health Rep"},{"key":"e_1_2_7_13_2","unstructured":"SteinerCA MillerJL.Sickle Cell Disease Patients in U.S. Hospitals 2004: Agency for Healthcare Research and Quality; 2006."},{"key":"e_1_2_7_14_2","doi-asserted-by":"publisher","DOI":"10.1080\/02770900701815743"},{"key":"e_1_2_7_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaci.2007.12.1178"},{"key":"e_1_2_7_16_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.99.6.757"},{"key":"e_1_2_7_17_2","doi-asserted-by":"publisher","DOI":"10.1002\/pbc.20630"},{"key":"e_1_2_7_18_2","doi-asserted-by":"publisher","DOI":"10.1002\/ajh.20485"},{"key":"e_1_2_7_19_2","first-page":"663","article-title":"The health insurance plight of subjects with sickle cell anemia","volume":"78","author":"Gilbert S","year":"1986","journal-title":"J Nat Med Assoc"},{"key":"e_1_2_7_20_2","unstructured":"Texas Health and Human Services Commission. 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