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Healthcare resource utilization in patients with myeloproliferative neoplasms: A Danish nationwide matched cohort study
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- Christensen, Sarah Friis (author)
- Department of Hematology Zealand University Hospital, Roskilde, Denmark
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- Svingel, Lise Skovgaard (author)
- Department of Clinical Epidemiology, Department of Clinical Medicine, Aarhus University Hospital and Aarhus University, Aarhus, Denmark
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- Kjærsgaard, Anders (author)
- Department of Clinical Epidemiology, Department of Clinical Medicine, Aarhus University Hospital and Aarhus University, Aarhus, Denmark
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- Stenling, Anna (author)
- Novartis Sverige AB, Kista, Sweden
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- Darvalics, Bianka (author)
- Department of Clinical Epidemiology, Department of Clinical Medicine, Aarhus University Hospital and Aarhus University, Aarhus, Denmark
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- Paulsson, Björn (author)
- Novartis Sverige AB, Kista, Sweden
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- Andersen, Christen Lykkegaard (author)
- Department of Hematology, Copenhagen University Hospital, Rigshospitalet, Denmark; The Research Unit for General Practice and Section of General Practice, Department of Public Health, University of Copenhagen, Copenhagen, Denmark
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- Christiansen, Christian Fynbo (author)
- Department of Clinical Epidemiology, Department of Clinical Medicine, Aarhus University Hospital and Aarhus University, Aarhus, Denmark
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- Stentoft, Jesper (author)
- Department of Hematology Aarhus University Hospital, Aarhus, Denmark
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- Starklint, Jørn (author)
- Department of Hematology, Holstebro Hospital, Holstebro, Denmark
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- Severinsen, Marianne Tang (author)
- Department of Hematology Aalborg University Hospital, Aalborg, Denmark
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- Clausen, Mette Borg (author)
- Department of Hematology, Copenhagen University Hospital, Rigshospitalet, Denmark
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- Hilsøe, Morten Hagemann (author)
- Department of Hematology, Hospital South West Jutland, Esbjerg, Denmark
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- Hasselbalch, Hans Carl (author)
- Department of Hematology, Zealand University Hospital, Roskilde, Denmark
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- Frederiksen, Henrik (author)
- Department of Hematology Odense University Hospital, Odense, Denmark
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- Mikkelsen, Ellen Margrethe (author)
- Department of Clinical Epidemiology, Department of Clinical Medicine, Aarhus University Hospital and Aarhus University, Aarhus, Denmark
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- Bak, Marie (author)
- Department of Hematology Zealand University Hospital, Roskilde, Denmark; Department of Hematology Copenhagen University Hospital, Rigshospitalet, Denmark
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(creator_code:org_t)
- 2022
- 2022
- English.
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In: European Journal of Haematology. - : John Wiley & Sons. - 0902-4441 .- 1600-0609.
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https://doi.org/10.1...
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https://umu.diva-por... (primary) (Raw object)
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Abstract
Subject headings
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- Few studies have assessed healthcare resource utilization (HRU) in patients with Philadelphia-negative myeloproliferative neoplasms (MPN) using a matched cohort design. Further, no detailed assessment of HRU in the years preceding an MPN diagnosis exists. We conducted a registry-based nationwide Danish cohort study, including patients with essential thrombocythemia, polycythemia vera, myelofibrosis, and unclassifiable MPN diagnosed between January 2010 and December 2016. HRU data were summarized annually from 2 years before MPN diagnosis until emigration, death, or end of study (December 2017). We included 3342 MPN patients and 32 737 comparisons without an MPN diagnosis, matched on sex, age, region of residence, and level of education. During the study period, the difference in HRU (rate ratio) between patients and matched comparisons ranged from 1.0 to 1.5 for general practitioner contacts, 0.9 to 2.2 for hospitalizations, 0.9 to 3.8 for inpatient days, 1.0 to 4.0 for outpatient visits, 1.3 to 2.1 for emergency department visits, and 1.0 to 4.1 for treatments/examinations. In conclusion, MPN patients had overall higher HRU than the matched comparisons throughout the follow-up period (maximum 8 years). Further, MPN patients had substantially increased HRU in both the primary and secondary healthcare sector in the 2 years preceding the diagnosis.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Hematologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Hematology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)
Keyword
- ambulatory care
- case–control studies
- early diagnosis
- epidemiology
- general practice
- health resources
- healthcare costs
- hospitalization
- myeloproliferative disorder
- registries
Publication and Content Type
- ref (subject category)
- art (subject category)
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Christensen, Sar ...
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Svingel, Lise Sk ...
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Kjærsgaard, Ande ...
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Stenling, Anna
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Darvalics, Biank ...
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Paulsson, Björn
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Andersen, Christ ...
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Christiansen, Ch ...
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Stentoft, Jesper
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Starklint, Jørn
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Severinsen, Mari ...
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Clausen, Mette B ...
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Hilsøe, Morten H ...
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Hasselbalch, Han ...
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Frederiksen, Hen ...
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Mikkelsen, Ellen ...
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Bak, Marie
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Hematology
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Health Sciences
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and Health Care Serv ...
- Articles in the publication
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European Journal ...
- By the university
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Umeå University