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Trends in 21st century Health Care Utilization in a Rheumatoid Arthritis Cohort Compared to the General Population
Department of Clinical Sciences Lund, Section of Rheumatology, Lund University, Sweden & Skåne University Hospital, Lund, Sweden.
Department of Orthopedics, Lund University, Lund, Sweden.
Halmstad University, School of Business, Engineering and Science, Biological and Environmental Systems (BLESS).ORCID iD: 0000-0002-8081-579X
Department of Clinical Sciences Lund, Section of Rheumatology, Lund University, Sweden and Skåne University Hospital, Lund, Sweden.
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2012 (English)In: Arthritis and Rheumatism, ISSN 0004-3591, E-ISSN 1529-0131, Vol. 64, no S10, p. S31-S32, article id 73Article in journal, Meeting abstract (Refereed) Published
Abstract [en]

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.

Place, publisher, year, edition, pages
Hoboken, NJ: John Wiley & Sons, 2012. Vol. 64, no S10, p. S31-S32, article id 73
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Health Care Service and Management, Health Policy and Services and Health Economy
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URN: urn:nbn:se:hh:diva-20008ISI: 000309748300074OAI: oai:DiVA.org:hh-20008DiVA, id: diva2:570836
Conference
Annual Scientific Meeting of the American-College-of-Rheumatology (ACR) and Association-of-Rheumatology-Health-Professionals (ARHP), Washington DC, USA, Nov 9-14, 2012
Available from: 2012-11-20 Created: 2012-11-20 Last updated: 2017-12-07Bibliographically approved

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Bremander, Ann

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