Evidence map›Paper›PMID 36877341›Full record

ArticleRheumatology and therapy2023

Patients with Axial Spondyloarthritis are Great Consumers of Healthcare Resources, Especially Young and Women: Results from the Spanish Atlas.

Marco Garrido-Cumbrera, Eduardo Collantes-Estévez, Victoria Navarro-Compán, Pedro Zarco-Montejo, Carlos Sastre, José Correa-Fernández, Jordi Gratacós

Open access · goldAbstract read
In one paragraph

Article in Rheumatology and therapy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.0field-weighted citation impact, top 24% of its field
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

3 citing papers in PubMed, 4 citations in OpenAlex.

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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

7 authors at 5 institutions in 2 countries.

Marco Garrido-CumbreraHealth & Territory Research (HTR), Universidad de Sevilla, Seville, Spain. mcumbrera@us.es.ORCID http://orcid.org/0000-0001-9727-1189
Eduardo Collantes-EstévezReina Sofia University Hospital, Cordoba, Spain.
Victoria Navarro-CompánUniversity Hospital La Paz, IdiPAZ, Madrid, Spain.
Pedro Zarco-MontejoHospital Fundación Alcorcón, Madrid, Spain.
Carlos SastreNovartis Spain, Barcelona, Spain.
José Correa-FernándezHospital Universitari Parc Taulí, Sabadell, Spain.
Jordi GratacósHospital Universitari Parc Taulí, Sabadell, Spain.
Deleted InstitutionHospital Universitario Fundación Alcorcón · ESInstituto Maimónides de Investigación Biomédica de Córdoba · ESMultiple Sclerosis International Federation · GBNovartis (Spain) · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThis study aimed to assess high healthcare utilization over 1 year in patients with axial spondyloarthritis (axSpA) and factors associated with increased healthcare utilization.

methodsA total of 530 unselected patients with axSpA from the Atlas of Axial Spondyloarthritis in Spain-who had used at least one healthcare resource-were included in the present study. Total health care utilization was obtained from the total number of healthcare visits, medical tests, hospital admissions and emergency visits, during the 12 months prior to the survey. Linear regression was used to analyse possible factors associated with higher healthcare utilization.

resultsA total of 530 patients with axSpA participated in this study: mean age was 45.3 years and 51.1% were female. In the previous 12 months, 77.9% (n = 530) used at least one healthcare resource, with the median healthcare utilization at 25. In the multiple linear regression, the only categorical factor associated with higher healthcare utilization was female gender (β = 12.854), while the continuous factors associated with higher healthcare utilization were higher disease activity (β = 3.378), longer diagnostic delay (β = 0.959), younger age (β = - 0.737) and greater functional limitation (β = 0.576).

conclusionHalf of patients with axSpA used 25 or more healthcare resources during 1 year. Higher healthcare utilization was associated with younger age, female gender, greater disease activity, higher functional limitation and longer diagnostic delay. Optimal monitoring of patients with axSpA may help to reduce their healthcare utilization.

Indexed as

Axial spondyloarthritisDiagnostic delayGender differencesHealthcare utilization

Identifiers

PMID36877341
PMCPMC10140249
OpenAlexW4323295437

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Registered trials

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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.