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Healthcare resource utilization in patients with myeloproliferative neoplasms: A Danish nationwide matched cohort study
Department of Hematology Zealand University Hospital, Roskilde, Denmark.ORCID iD: 0000-0003-2178-0440
Department of Clinical Epidemiology, Department of Clinical Medicine, Aarhus University Hospital and Aarhus University, Aarhus, Denmark.ORCID iD: 0000-0002-4938-037X
Department of Clinical Epidemiology, Department of Clinical Medicine, Aarhus University Hospital and Aarhus University, Aarhus, Denmark.
Novartis Sverige AB, Kista, Sweden.
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2022 (English)In: European Journal of Haematology, ISSN 0902-4441, E-ISSN 1600-0609Article in journal (Refereed) Epub ahead of print
Abstract [en]

Few studies have assessed healthcare resource utilization (HRU) in patients with Philadelphia-negative myeloproliferative neoplasms (MPN) using a matched cohort design. Further, no detailed assessment of HRU in the years preceding an MPN diagnosis exists. We conducted a registry-based nationwide Danish cohort study, including patients with essential thrombocythemia, polycythemia vera, myelofibrosis, and unclassifiable MPN diagnosed between January 2010 and December 2016. HRU data were summarized annually from 2 years before MPN diagnosis until emigration, death, or end of study (December 2017). We included 3342 MPN patients and 32 737 comparisons without an MPN diagnosis, matched on sex, age, region of residence, and level of education. During the study period, the difference in HRU (rate ratio) between patients and matched comparisons ranged from 1.0 to 1.5 for general practitioner contacts, 0.9 to 2.2 for hospitalizations, 0.9 to 3.8 for inpatient days, 1.0 to 4.0 for outpatient visits, 1.3 to 2.1 for emergency department visits, and 1.0 to 4.1 for treatments/examinations. In conclusion, MPN patients had overall higher HRU than the matched comparisons throughout the follow-up period (maximum 8 years). Further, MPN patients had substantially increased HRU in both the primary and secondary healthcare sector in the 2 years preceding the diagnosis.

Place, publisher, year, edition, pages
John Wiley & Sons, 2022.
Keywords [en]
ambulatory care, case–control studies, early diagnosis, epidemiology, general practice, health resources, healthcare costs, hospitalization, myeloproliferative disorder, registries
National Category
Hematology Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
URN: urn:nbn:se:umu:diva-199414DOI: 10.1111/ejh.13841ISI: 000846501600001PubMedID: 35900040Scopus ID: 2-s2.0-85137102985OAI: oai:DiVA.org:umu-199414DiVA, id: diva2:1696128
Available from: 2022-09-15 Created: 2022-09-15 Last updated: 2022-09-16

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Stenling, Anna

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Christensen, Sarah FriisSvingel, Lise SkovgaardStenling, AnnaSeverinsen, Marianne TangHasselbalch, Hans CarlFrederiksen, HenrikBak, Marie
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European Journal of Haematology
HematologyHealth Care Service and Management, Health Policy and Services and Health Economy

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