Gender differences in ankylosing spondylitis-associated cumulative healthcare utilization: a population-based cohort study
Clinics
;
66(2): 251-254, 2011. tab
Artigo
em Inglês
| LILACS
| ID: lil-581510
ABSTRACT
BACKGROUND:
Ankylosing spondylitis (AS) is one of the most common rheumatic diseases with gender differences in prevalence and clinical presentation. This study aimed to examine whether such gender differences are correlated with cumulative healthcare utilization in Taiwan.METHODS:
The National Health Insurance Research Database supplied claim records of one million individuals from 1996 to 2007. Selected cases included patients aged >16 years. Certified rheumatologists diagnosed the patients in three or more visits and gave prescriptions for AS. Multivariate adjusted logistic regression analyses were used to calculate the influence of gender on cumulative healthcare utilization associated with AS.RESULTS:
The study included 228 women and 636 men. After adjustment for potential confounding factors, men had more cumulative outpatient visits associated with AS (odds ratio, 1.59; 95 percent confidence interval, 1.13 -2.23; p = 0.008). Men also exhibited a trend for higher frequency of AS-related hospitalization (p = 0.054).CONCLUSION:
Men are more likely to have high cumulative AS-associated healthcare utilization than women. Further investigation of the causal factors is warranted.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Espondilite Anquilosante
/
Necessidades e Demandas de Serviços de Saúde
Tipo de estudo:
Estudo de etiologia
/
Estudo observacional
/
Fatores de risco
Limite:
Adolescente
/
Adulto
/
Idoso
/
Feminino
/
Humanos
/
Masculino
País/Região como assunto:
Ásia
Idioma:
Inglês
Revista:
Clinics
Assunto da revista:
Medicina
Ano de publicação:
2011
Tipo de documento:
Artigo
País de afiliação:
Taiwan
Instituição/País de afiliação:
Chung-Shan Medical University/TW
/
Taichung Veterans General Hospital/TW
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