Siaal Research Center for Family Medicine and Primary Care, Division of Community Health, Ben-Gurion University of the Negev, 8155211 Yavne, Israel.
Acta Derm Venereol. 2019 Apr 1;99(4):370-374. doi: 10.2340/00015555-3117.
Understanding of the epidemiology and healthcare service utilization related to atopic dermatitis is necessary to inform the use of new treatments. This cross-sectional study was based on a group of patients with atopic dermatitis and a matched control group comprised of age- and sex- matched enrolees without atopic dermatitis from a large medical database. Healthcare service utilization usage data were extracted and compared between groups. The study included 116,816 patients with atopic dermatitis and 116,812 controls. Atopic dermatitis was associated with an increased burden of healthcare utilization across the entire spectrum of healthcare services compared with controls. For patients severely affected by atopic dermatitis, the increased burden correlated with disease severity: a high-er frequency of emergency room visits (odd ratio (OR) 1.7; 95% confidence interval (CI) 1.6-1.9), dermatology wards hospitalizations (OR 315; 95% CI 0-7,342), and overall hospitalizations (OR 3.6; 95% CI 3.3-3.9). In conclusion, this study demonstrates an increased burden of healthcare utilization in atopic dermatitis.
了解特应性皮炎的流行病学和医疗保健服务利用情况对于新治疗方法的应用是必要的。这项横断面研究基于一组特应性皮炎患者和一组年龄和性别匹配的无特应性皮炎的大型医疗数据库入组者组成的对照组。从两组中提取和比较了医疗保健服务利用数据。该研究纳入了 116816 例特应性皮炎患者和 116812 例对照。与对照组相比，特应性皮炎患者在整个医疗保健服务范围内的医疗保健利用负担增加。对于受特应性皮炎严重影响的患者，这种负担的增加与疾病严重程度相关：急诊就诊频率更高（比值比 (OR) 1.7；95%置信区间 (CI) 1.6-1.9）、皮肤科病房住院治疗（OR 315；95%CI 0-7,342）和总住院治疗（OR 3.6；95%CI 3.3-3.9）。总之，本研究表明特应性皮炎患者的医疗保健利用负担增加。
