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Delays in Coccidioidomycosis Diagnosis and Relationship to Healthcare Utilization, Phoenix, Arizona, USA 1 .

Rachel Ginn, Ralph Mohty, KeriLyn Bollmann, Jessica Goodsell, Guillermo Mendez, Barrie Bradley, John N Galgiani
Emerging Infectious Diseases 2019 August
We developed an electronic records methodology to programmatically estimate the date of first appearance of coccidioidomycosis symptoms in patients. We compared the diagnostic delay with overall healthcare utilization charges. Many patients (46%) had delays in diagnosis of >1 month. Billed healthcare charges before diagnosis increased with length of delay.

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