狼活动对阿根廷布宜诺斯艾利斯医疗保健资源利用的负担
Rodolfo Nicolas Alvarado1, Gelsomina Alle1, Mayra Alejandra Tobar-Jaramillo1
1Department of Rheumatology, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.
Lupus
|November 13, 2023
概括
系统性红斑狼 (SLE) 患者使用的医疗保健资源明显超过对照组. 与缓解相比,火焰显著增加了资源使用,突出显示了SLE活动的经济负担.
科学领域:
- 类风湿病学 类风湿病学
- 医疗保健服务研究 医疗服务研究
- 流行病学 流行病学
背景情况:
- 系统性红斑狼 (SLE) 是一种慢性自身免疫性疾病,需要大量的医疗保健.
- 在SLE中了解医疗保健资源利用 (HCRU) 对资源分配和患者管理至关重要.
- 之前的研究没有在不同SLE疾病活动状态中完全详细说明HCRU.
研究的目的:
- 分析和比较SLE患者中的HCRU与匹配的对照.
- 为了评估不同疾病活动状态期间的HCRU:爆发,低疾病活动 (LLDAS) 和缓解.
- 确定与SLE患者HCRU增加相关的因素.
主要方法:
- 在布宜诺斯艾利斯的一家HMO (2000-2020) 中对SLE患者和匹配的对照进行了回顾性观察研究.
- 从行政数据库和电子医疗记录中提取的数据用于临床和HCRU信息.
- 疾病活动按月分类 (爆发,LLDAS,缓解,中间) 使用既定标准;HCRU项目量化.
主要成果:
- 与对照组相比,SLE患者在所有类别中表现出明显更高的HCRU,即使在缓解期间也持续存在.
- 患者大部分时间都处于缓解状态 (74.4%),其次是LLDAS (12.1%),中间活动 (12.2%),以及爆发 (1.3%).
- 在爆发期间,HCRU明显高于缓解期;爆发独立预测了急诊,实验室测试,处方和住院的增加.
结论:
- 与对照组相比,SLE患者表现出明显升高的HCRU.
- SLE患者的疾病爆发与医疗保健资源消耗增加密切相关.
- 管理SLE疾病活动对于降低医疗保健成本和改善患者治疗结果至关重要.
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