Use of healthcare services by patients with multiple sclerosis in France over 2010-2015: a nationwide population-based study using health administrative data - EHESP - École des hautes études en santé publique Access content directly
Journal Articles Multiple Sclerosis Journal - Experimental, Translational and Clinical Year : 2019

Use of healthcare services by patients with multiple sclerosis in France over 2010-2015: a nationwide population-based study using health administrative data

Abstract

Background - Most of the knowledge about people with multiple sclerosis (PwMS) in France comes from cohorts, which may suffer from recruitment bias or from the unique registry located in Lorraine, East France. Objective - To describe use of care in the French population of PwMS, over 2010-2015. Methods - All PwMS in the French national health data system (97% of the general population covered) were included. Demographics, and use of care were described (visits with general practitioners (GPs), neurologists, nurses, physiotherapists and hospitalisations). A focus on the neurological follow-up was also conducted. Results - A total of 112,415 PwMS were identified (sex ratio F:M = 2.4, median age 46), of whom 5005 died during follow-up. The median numbers of visits with GPs and neurologists were 6.6 and 1.3 respectively per patient-year. Moreover, 53,457 (47.6%) received multiple sclerosis (MS) treatments; about 13% of patients had no neurological follow-up, and 81.8% had at least one hospitalisation. Conclusions - For the first time in France, this exhaustive dataset offered the opportunity to provide objective figures regarding care practices for MS at the national level, without any selection bias. It also allowed description of patients with MS according to their neurological follow-up, especially those who were absent from cohorts led by neurologists.
Fichier principal
Vignette du fichier
Roux-Use of healthcare services by patients.pdf (780.35 Ko) Télécharger le fichier
Origin : Publication funded by an institution
Loading...

Dates and versions

hal-02444012 , version 1 (29-01-2020)

Licence

Attribution - NonCommercial

Identifiers

Cite

Jonathan Roux, Alice Guilleux, Mathilde Lefort, Emmanuelle Leray. Use of healthcare services by patients with multiple sclerosis in France over 2010-2015: a nationwide population-based study using health administrative data. Multiple Sclerosis Journal - Experimental, Translational and Clinical, 2019, 5 (4), pp.2055217319896090. ⟨10.1177/2055217319896090⟩. ⟨hal-02444012⟩
82 View
79 Download

Altmetric

Share

Gmail Facebook X LinkedIn More