Demographic and health care service utilization by 4417 patients with hidradenitis suppurativa.
J Am Acad Dermatol
; 77(6): 1047-1052.e2, 2017 Dec.
Article
em En
| MEDLINE
| ID: mdl-28989106
ABSTRACT
BACKGROUND:
Data on the health care utilization of patients with hidradenitis suppurativa (HS) in primary care settings are scarce.OBJECTIVE:
To investigate the health care service utilization of patients with HS.METHODS:
In a cross-sectional study, patients with HS were compared with 2 age- and sex-matched control groups-general population enrollees of Clalit Health Services and a group of patients with psoriasis. Health care services data included inpatient and outpatient community clinic visits and pharmacy claims for topical and systemic treatments. Multivariate analysis of the data for patients with HS and controls was performed.RESULTS:
The study included 4417 patients with HS, 22,085 general population enrollees, and 4417 patients with psoriasis. On the basis of multivariate analyses, patients with HS had more annual dermatology clinic visits compared with the general population enrollees (odds ratio [OR], 6.49; 95% confidence interval [CI], 7.06-5.97) and patients with psoriasis (OR, 1.32; 95% CI, 1.44-1.21), more annual surgical clinic visits (OR, 3.78; 95% CI 3.28-4.36 and OR, 1.65; 95% CI, 1.42-1.91, respectively), and more hospitalizations (OR, 2.21; 95% CI, 1.89-2.56 and OR, 1.51; 95% CI, 1.28-1.78, respectively).LIMITATIONS:
Underestimation of HS frequency was possible.CONCLUSIONS:
The burden on health care systems due to patients with HS is greater than that due to patients with psoriasis and the general population.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Aceitação pelo Paciente de Cuidados de Saúde
/
Hidradenite Supurativa
Tipo de estudo:
Observational_studies
/
Prevalence_studies
/
Risk_factors_studies
Limite:
Adult
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Female
/
Humans
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Male
Idioma:
En
Ano de publicação:
2017
Tipo de documento:
Article