Evidence map›Paper›PMID 32366247›Full record

Observational studyBMC health services research2020

Hospitalization burden and comorbidities of patients with rheumatoid arthritis in Spain during the period 2002-2017.

Mario Gil-Conesa, Juan Antonio Del-Moral-Luque, Ruth Gil-Prieto, Ángel Gil-de-Miguel, Ramón Mazzuccheli-Esteban, Gil Rodríguez-Caravaca

Abstract readObservational Study
In one paragraph

Observational study in BMC health services research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Trial
  2. Article
  3. Review
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  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Mario Gil-ConesaPreventive Medicine Unit, Alcorcon Foundation University Hospital, Alcorcón, Madrid, Spain.
Juan Antonio Del-Moral-LuquePreventive Medicine Unit, Alcorcon Foundation University Hospital, Alcorcón, Madrid, Spain.
Ruth Gil-PrietoPreventive Medicine Department, King Juan Carlos University, Alcorcon, Madrid, Spain.
Ángel Gil-de-MiguelPreventive Medicine Department, King Juan Carlos University, Alcorcon, Madrid, Spain.
Ramón Mazzuccheli-EstebanRheumatology Unit, Alcorcon Foundation University Hospital, Alcorcón, Madrid, Spain.
Gil Rodríguez-CaravacaPreventive Medicine Unit, Alcorcon Foundation University Hospital, Alcorcón, Madrid, Spain. grodriguez@fhalcorcon.es.ORCID http://orcid.org/0000-0002-8370-6003

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRheumatoid arthritis (RA) is a chronic autoimmune rheumatic disease that is associated with multiple comorbidities and has a significant economic impact on the Spanish health system. The objective of this study was to estimate the rates of hospitalization of rheumatoid arthritis in Spain, and describing hospitalization rates and their changing by age, region, RA variant, and when RA as a main cause of hospitalization or a comorbidity.

methodsObservational descriptive study that reviewed hospital records from the CMBD. We included all hospitalizations of patients in Spain whose main diagnosis or comorbidity in the ICD-9-CM was rheumatoid arthritis during the period of 2002-2017.

resultsA total of 315,190 hospitalizations with the RA code were recorded; 67.3% were in women. The mean age of the patients was 68.5 ± 13.9 years. The median length of hospital stay was 7 days (IQR 3-11 days). In 29,809 of the admissions, RA was coded as the main diagnosis (9.4%). When RA was not coded as the main diagnosis, the most frequent main diagnoses were diseases of the circulatory system (18.9%) and diseases of the respiratory system (17.4%). The hospitalization rate during the period of 2002-2017 was 43.8 (95% CI: 43.7-44.0) per 100,000 inhabitants and constantly increased during the period. The total cost for the healthcare system was 1.476 million euros, with a median of 3542 euros per hospitalization (IQR 2646-5222 euros).

conclusionsIn Spain, the hospitalization rate of patients with RA increased during the study period, despite the decrease in the hospitalization rate when RA was the main diagnosis.

Indexed as

AdultAgedAged, 80 and overArthritis, RheumatoidComorbidityFemaleHospitalizationHumansInternational Classification of DiseasesMaleMiddle AgedRegistriesSpainYoung AdultCMBDEpidemiological studyHealth systemHospital burdenRheumatoid arthritisSpain

Identifiers

PMID32366247
PMCPMC7197170

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.