OBJECTIVE: To study the natural history of @entity420 in terms of utilization of the healthcare resources and associated medical costs. METHODS: All 29 @entity1 treated at the University of New Mexico Health Center between 1 January 1992 and 1 December 1998 for an @entity420 were included in the study. For each individual @entity1 , all medical resources utilized, facility costs, and physician fees were retrieved from the computerized databases of the collection departments. RESULTS: During the progress of the disease, the same type of diagnostic or therapeutic procedure became necessary a number of times, and @entity1 underwent, on average, three (range one to eight) upper @entity344 , five (range one to 11) computerized tomography scans, 35 (five to 143) X-ray examinations, and 28 (three to 46) radiation therapies or 39 (10 to 74) chemotherapies. The large variation in the numbers of resources utilized was also reflected by a corresponding variation in total healthcare costs. The mean cost per @entity1 was  48 127, ranging between  13 454 and  139 721. Facility costs comprised 88% of all costs compared to physician fees which comprised 12%. The largest cost items, in declining order, were physician encounters ( 16 916), radiation plus chemotherapy ( 9909 plus  4891, respectively), and pharmacy prescriptions ( 7565). CONCLUSIONS: The prolonged disease process and the many diagnostic and therapeutic procedures result in complications, side-effects, inconclusive tests, or failed therapies that all markedly increase the use of healthcare resources. Because such outcomes are the rule rather than the exception, the management of @entity420 is expensive.

Healthcare resource utilization in the management of XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity420 :: ('MESH:D000230', 'Disease') :: ['oesophageal adenocarcinoma'] @entity344 :: ('MESH:D005767', 'Disease') :: ['gastrointestinal endoscopies']
@entity420 :: (MESH:D000230,Disease) :: ['oesophageal adenocarcinoma']
