Impact of HCV cure on subsequent hospitalizations in people with mental disorders: Results from the French claims database.
Psychiatry Res
; 339: 116032, 2024 Sep.
Article
em En
| MEDLINE
| ID: mdl-38909413
ABSTRACT
BACKGROUND AND AIMS:
Although HCV cure after direct-acting antiviral (DAA) treatment is associated with hepatic and extrahepatic benefits, few studies have assessed the impact of HCV treatment in people with mental disorders (PWMDs). Using quasi-exhaustive national data from the French administrative health care databases (SNDS), we explored whether DAA treatment in PWMDs affected hospitalizations in both psychiatric and non-psychiatric settings.METHODS:
All adult PWMDs identified in the SNDS with DAA treatment initiation between 2015 and 2018 and 12 months of data pre- and post-treatment were included. Individuals were algorithmically classified into one or several subgroups "addictive disorders", "neurotic and mood disorders", "psychotic disorders" and "other psychiatric disorders". A longitudinal approach was used to compare the frequency and duration of hospitalizations one year before and one year after DAA treatment.RESULTS:
In total, 17,203 individuals met the inclusion criteria. The number of patients with at least one hospitalization (any type) decreased by 28% after HCV cure. The mean numbers of hospitalizations in non-psychiatric units per patient per year were 1·2 during the pre-DAA period and 0·8 during the post-DAA period (p < 0·0001). Similarly, the number of hospitalizations in psychiatric wards decreased from 1·4 to 1·2 (p = 0.006). The duration of hospital stays decreased from 20·2 days to 16·7 days in non-psychiatric settings (p < 0·0001). These results were also homogeneous and significant across all subgroups.CONCLUSIONS:
HCV cure significantly lowered the frequency and duration of hospitalizations during the year following treatment in all PWMDs subgroups, including the psychotic disorders subgroup.FUNDING:
This study was funded by Gilead Sciences.Palavras-chave
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Base de dados:
MEDLINE
Assunto principal:
Antivirais
/
Bases de Dados Factuais
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Hospitalização
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Transtornos Mentais
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article