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See Latest ArticlesHealth care utilization in patients with spondyloarthropathies
Rheumatology, 02/26/09
Singh JA et al. – After adjustment for differences in demographics and comorbidities, more outpatient health resource utilization was observed in spondyloarthropathies (SpA) patients. Further studies should focus on what leads to this increase, and whether any modifiable factors can be introduced to reduce it in these pts.
Methods- Aim was to study health care utilization in veterans with SpAs
- A postal survey of 70,508 veterans from 1 Oct 1996 to 31 March 1998
- Demographics, smoking status and performance of activities of daily living (ADLs) were queried
- Databases provided ICD-9 codes for AS, PsA and ReA; comorbidities; demographics; and health care utilization post-survey in respondents
- Multivariable linear/logistic regression compared out- and inpatient health care utilization in SpA vs non-SpA, and its predictors in SpA
- 1001 veteran respondents had diagnoses of SpA: AS, n=154; PsA, n=814; ReA, n=33
- Veterans with AS, PsA and ReA, respectively, had higher adjusted annual medical specialty, surgical care, and primary care visits
- More ADL limitations and higher comorbidity were associated with higher in- and outpatient health care utilization in PsA
- None of the predictors were significantly associated with utilization in AS
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