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Trends in 21st cent...
Trends in 21st century Health Care Utilization in a Rheumatoid Arthritis Cohort Compared to the General Population
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- Hagel, Sofia (författare)
- Department of Clinical Sciences Lund, Section of Rheumatology, Lund University, Sweden & Skåne University Hospital, Lund, Sweden
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- Petersson, Ingemar F. (författare)
- Department of Orthopedics, Lund University, Lund, Sweden
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- Bremander, Ann, 1957- (författare)
- Högskolan i Halmstad,Bio- och miljösystemforskning (BLESS)
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- Lindqvist, Elisabet (författare)
- Department of Clinical Sciences Lund, Section of Rheumatology, Lund University, Sweden and Skåne University Hospital, Lund, Sweden
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- Bergknut, Charlotte (författare)
- Department of Orthopedics, Lund University, Lund, Sweden
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- Englund, Martin (författare)
- Department of Orthopedics, Lund University, Lund, Sweden
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(creator_code:org_t)
- Hoboken, NJ : John Wiley & Sons, 2012
- 2012
- Engelska.
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Ingår i: Arthritis and Rheumatism. - Hoboken, NJ : John Wiley & Sons. - 0004-3591 .- 1529-0131. ; 64:S10, s. S31-S32
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http://acrabstracts....
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Abstract
Ämnesord
Stäng
- Statement of purpose: To study twenty-first century trends in health care utilization by rheumatoid arthritis (RA) patients compared to the general population. Methods: Observational cohort study; using Swedish health care register data, we identified 3977 Region Skåne residents (mean age year 2001, 62.7 years and 73% women) consulting for RA (ICD-10 codes M05 or M06) in 1998-2001. We randomly sampled two referents from the general population per RA patient matched for age, sex, and area of residence. We calculated the year 2001-2010 trends for the annual ratio (RA cohort/referents) of the mean number of hospitalizations and outpatient clinic visits. Results: By the end of the 10-year period 62% of RA patients and 74% of referents were still alive and resident in the region. From 2001 to 2010 the ratio (RA cohort/referents) of the mean number of hospitalizations for men and women decreased by 27% (p=0.01) and 28% (p=0.004), respectively. The corresponding decrease was 29% (p=0.005), and 16% (p=0.004) for outpatient physician care, 34% (p=0.009) and 18% (p=0.01) for nurse visits, and 34% (p=0.01) and 28% (p=0.004) for physiotherapy (Figure 1 and 2). Figure 1.Health care utilization during the first decade of the twenty-first century by patients in a closed rheumatoid arthritis cohort and their matched referents from the general population. The y-axes show the mean number of visits per subject per calendar year. Figure 2.Health care utilization during the first decade of the twenty-first century by patients in a closed rheumatoid arthritis cohort and their matched referents from the general population. The y-axes show the mean number of visits per subject per calendar year. Conclusions: During the twenty-first century, coinciding with increasing use of earlier and more active RA treatment including biological treatment, the overall inpatient and outpatient health care utilization by a cohort of RA patients decreased relative to the general population.
Ämnesord
- 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)
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- ref (ämneskategori)
- art (ämneskategori)
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