Tu1130 Impact of Clinical and Endoscopic Features on BMI in Patients With Eosinophilic Esophagitis

G A A b st ra ct s standard grocery store for the SFED needed more items from a second store to complete his/her shopping when compared to a patient consuming an unrestricted diet (39% vs 4%; p=0.008; Table 2). The prices of the SFED and unrestricted diet just using a specialty supermarket were comparable ($104.86 vs 108.25; p=0.84), as was the percentage of items requiring a trip to a second store (5% vs 1%; p=0.25). Shopping at a specialty grocery store increased weekly grocery costs by $27.93 (p=0.008) for the SFED and $42.31 (p=0.008) for the unrestricted diet. Conclusions: For a patient shopping at a standard grocery store, the cost of an SFED is higher than the cost of an unrestricted diet (~$570/year), and an SFED requires visits to multiple grocery stores to complete a shopping trip. These differences disappear at a specialty grocery store, but the weekly grocery bill at a specialty store was significantly higher. The cost and logistical burden of maintaining an SFED can be communicated to patients when deciding between swallowed steroids and dietary therapy. We also note that our research team required considerable dietician assistance, and this may be a major challenge for patients with limited health literacy, financial means, or the time to carefully read labels. Future research should assess whether the difference in dietary cost is offset by the price of medication in the unrestricted diet population or other savings in the SFED community. Table 1. Weekly Menu Cost by City and Supermarket