Journal of Clinical Epidemiology
Volume 52, Issue 3 , Pages 251-258 , March 1999

Modeling of High-cost Patient Distribution within Renal Failure Diagnosis Related Group

  • C. Quantin

      Affiliations

    • Department of Biostatistics, Teaching Public Hospital of Dijon, Dijon Cedex, France
    • Corresponding Author InformationAddress correspondence to: Catherine Quantin, M.D., Ph.D., Service de Biostatistique et Informatique Médicale, C.H.U, B.P 1542, 21034 Dijon Cedex, France
  • ,
  • E. Sauleau

      Affiliations

    • Department of Biostatistics, Public Hospital of Mulhouse, Mulhouse, France
  • ,
  • P. Bolard

      Affiliations

    • Department of Biostatistics, Teaching Public Hospital of Dijon, Dijon Cedex, France
  • ,
  • C. Mousson

      Affiliations

    • Department of Nephrology, Teaching Public Hospital of Dijon, Dijon Cedex, France
  • ,
  • M. Kerkri

      Affiliations

    • Department of Biostatistics, Teaching Public Hospital of Dijon, Dijon Cedex, France
  • ,
  • P.Brunet Lecomte

      Affiliations

    • Department of Biostatistics, Teaching Public Hospital of Dijon, Dijon Cedex, France
  • ,
  • T. Moreau

      Affiliations

    • Department of Epidemiology and Biostatistics, National Institute of Medical Research (INSERM), Villejuif Cedex, France
  • ,
  • L. Dusserre

      Affiliations

    • Department of Biostatistics, Teaching Public Hospital of Dijon, Dijon Cedex, France

,Accepted 3 November 1998.

References 

  1. Fetter RB, Youngsoo S, Freeman JL, Averill RF, Thomson JD. Case-mix; definition by diagnosis related groups. Med Care. 1980;18(Suppl. 2):1–53
  2. De Pouvourville G, Comar L, Bouvier V. Prospective case-based payment for French hospitals [in French]. Rev Epidemiol Sante Publique. 1994;42:68–78
  3. Gonnella JS, Hornbrook MC, Louis DZ. Staging of disease (A case mix group measurement). JAMA. 1984;263:241–246
  4. Young WW, Swinkola RB, Hutton MA. Assessment of the Autogroup patient classification system. Med Care. 1980;18:228–244
  5. Froehlich H, Jarvis WR. Economic impact of diagnosis-related groups and severity of illness on reimbursement for central nervous system infections. J Pediatr. 1991;118:693–697
  6. Kelleher C. Relationship of physician ratings of severity of illness and difficulty of clinical management of stay. Health Serv Res. 1993;27:841–855
  7. Naessens JM, Leibson CL, Krishan I, Ballard DJ. Contribution of a measure of disease complexity (complex) to prediction of outcome and charges among hospitalized patients. Mayo Clin Proc. 1992;67:1140–1149
  8. Dayhoff D, Cromwell J. Measuring differences and similarities in hospital caseloads (A conceptual and empirical analysis). Health Serv Res. 1993;28:293–312
  9. Averill RF, McGuire TE, Manning BE, Fowler DA, Horn SD, Dickson PS, et al.  A study of the relationship between severity of illness and hospital costs in New Jersey hospitals. Health Serv Res. 1992;27:587–606
  10. Horn SD, Horn RA, Sharkey PD, Chambers AF. Severity of illness within DRGs (Homogeneity study). Med Care. 1986;24:225–235
  11. Horn SD, Sharkey PD, Chambers AF, Horn RA. Severity of illness within DRGs (Impact on prospective payment). Am J Public Health. 1985;75:1195–1199
  12. Thomas JW, Aschraft MLF. Measuring severity of illness (Six severity systems and their ability to explain cost variations). Inquiry. 1991;28:39–55
  13. Horn SD, Sharkey PD, Buckle JM, Backofen JE, Averill RF, Horn RA. The relationship between severity of illness and hospital length of stay and mortality. Med Care. 1991;29:305–317
  14. Knaus WA, Draper EA, Wagner DP, Zimmerman JE. APACHE II (A severity of disease classification system). Crit Care Med. 1985;13:818–829
  15. Iezzoni LI, Ash AS, Moskowitz MA. MedisGroups: A clinical and Analytic Assessment. Health POLICY Research Consortium. Prepared for the health care financing administration under cooperative agreement no. 18-C-98526/1-03. Baltimore, MD, July 1987.
  16. Calore KA, Iezzoni L. Disease staging and PMCs: Can they improve DRGs? Med Care 1987; 824–837.
  17. Voss G, Hasman A, Rutten F, De Zwaan C, Carpay J. Explaining cost variations in DRGs Acute Myocardial Infraction by severity of illness. Health Policy. 1994;28:37–50
  18. Freeman JL, Fetter RB, Schneider KC, Lichtenstein JL, Hughes JS, Bauman WA, et al.  Diagnosis-related group refinement with diagnosis- and procedure-specific comorbidities and complications. Med Care. 1995;33:806–827
  19. Dempster AP, Laird NM, Rubin DB. Maximum likelihood estimation from incomplete data via the EM algorithm (with discussion). J R Stat Soc B. 1997;39:1–38
  20. Everitt BS. Maximum likelihood estimation of the parameters in a mixture of two univariate normal distributions, a comparison of different algorithms. Statistician. 1984;33:205–215
  21. Wolfe JH. A Monte Carlo study of the sampling distribution of the likelihood ratio for mixtures of multinomial distributions. Tech Bull Nav Pers Tran Res Lab San Diego 1971; STB 72–82.
  22. Dussaucy A, Viel JF, Mulin B, Euvrard J. L’outil PMSI (Basis, sources d’erreurs et conséquences). Rev Epidemiol Sante Publications. 1994;42:345–358
  23. Report of management of renal failure in Europe, XXV, 1994. Nephrol Dial Transplant 1996; 11: 1–18.
  24. Munoz E, Thies H, Maesaka JK, Angus G, Goldstein J, Wise L. Diagnosis related groups, resource utilization, age, and outcome for hospitalized nephrology patients. Am J Kidney Dis. 1988;11:481–488
  25. Shwartz M, Iezzoni L, Ash A, Mackiernan Y. Do severity measures explain differences in length of hospital stay? The case of hip fracture. Health Serv Res. 1996;31:365–385
  26. Mozes B, Easterling MJ, Sheiner L, Melmon K, Kline R, Godman E, et al.  Case-mix adjustment using objective measures of severity (The case for laboratory data). Health Serv Res. 1994;28:686–712
  27. Ruffieux C, Marazzi A, Paccaud F. Exploring models for the length of stay distribution. Soz Praventivmed. 1993;38:77–82
  28. Quantin C, Entezam F, Bourdais C, Moreau T, Brunet-Lecomte P, Bouzelat H, et al.  Modelization of long-stay and high cost patient distribution within bronchopneumopathies and leukemia or lymphoma diagnosis related groups [in French]. Rev Epidemiol Sante Publications. 1997;45:117–130

PII: S0895-4356(98)00164-4

Journal of Clinical Epidemiology
Volume 52, Issue 3 , Pages 251-258 , March 1999