Healthcare Utilization Patterns in Sickle Cell Patients and Their Association With Sickle Cell Retinopathy.

Autor: Minniti CP; Division of Hematology, Albert Einstein College of Medicine, Bronx, New York, USA., Suman PD; NYU Langone Health Medical Center, New York, New York, USA., Dahlan K; Stony Brook Department of Ophthalmology, Stony Brook Medicine, Stony Brook, New York, USA., Crouch A; Division of Hematology, Albert Einstein College of Medicine, Bronx, New York, USA., Goodman M; NYU Langone Health Medical Center, New York, New York, USA., Mian UK; Department of Ophthalmology and Visual Sciences, Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, New York, USA.
Jazyk: angličtina
Zdroj: European journal of haematology [Eur J Haematol] 2024 Dec 23. Date of Electronic Publication: 2024 Dec 23.
DOI: 10.1111/ejh.14369
Abstrakt: Background/aim: A few shave identified systemic and hematologic risk factors for Proliferative Sickle Cell Retinopathy (PSR) development. The relevance of healthcare utilization as a risk factor for PSR has not been defined. This study evaluates patterns of healthcare utilization among patients with sickle cell disease (SCD) and retinopathy.
Methods: A retrospective study of adults with SCD, using EMR, was conducted from January 2017 to December 2019, seen at the Montefiore Medical Center eye clinic.
Results: Four hundred twelve patients with SCD were included in this analysis (65.8% HbSS (SS)) and 34.2% HbSC (SC). HBSS patients had higher utilization of hematology outpatient visits and inpatient admissions than HBSC. For individuals with either HBSC or HBSS disease, higher outpatient healthcare utilization was associated with higher number of inpatient admissions. The prevalence of retinopathy was 24% and 55% in SS and SC patients respectively, with PSR in 60% SS and 87.6% SC of these patients. Patients with HBSC with higher outpatient visits and inpatient admissions experienced significantly lower PSR rates. In contrast, for patients with HBSS, higher outpatient visits were significantly associated with higher PSR prevalence.
Conclusion: Healthcare utilization patterns in individuals with HBSS and HBSC varied according to their prevalence of PSR. These differences may be useful in stratifying patients' risk for retinopathy development and in deciding follow-up eye examination frequency.
(© 2024 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.)
Databáze: MEDLINE
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