Socioeconomic deprivation does not influence the severity of Crohnʼs disease
| Autor: | Antoine Fleury, Stéphane Nahon, Gilles Macaigne, Cécile Poupardin, Jean‐Pierre Faurel, Georges Barjonet, Mehran Howaizi, Catherine Sass, Jean-Jacques Moulin, Alice Baju, GillesGatineau Saillant, Christophe Locher, Pierre Lahmek |
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| Rok vydání: | 2009 |
| Předmět: |
Adult
Male Paris Pediatrics medicine.medical_specialty Outpatient Clinics Hospital Disease Logistic regression Severity of Illness Index Health Services Accessibility Health examination Crohn Disease Surveys and Questionnaires medicine Humans Immunology and Allergy Clinical severity Prospective Studies Socioeconomic status Digestive System Surgical Procedures Crohn's disease business.industry Gastroenterology Mean age Health Status Disparities Middle Aged medicine.disease Hospitalization Logistic Models Social Class Multicenter study Female business |
| Zdroj: | Inflammatory Bowel Diseases. 15:594-598 |
| ISSN: | 1078-0998 |
| Popis: | Background: Socioeconomic deprivation is associated with poor health. The aims of this study were to evaluate the influence of deprivation in the characteristics and comparisons of deprived and nondeprived Crohn's disease (CD) patients. Methods: CD patients were prospectively recruited from September 2006 to June 2007 in 6 hospitals in the Paris area. To assess the level of deprivation we used the EPICES score (Evaluation of Precarity and Inequalities in Health Examination Centers; http://www.cetaf.asso.fr), a validated individual index of deprivation developed in France, a score >30 defining deprivation. We defined CD as severe when at least 1 of the conventionally predefined criteria of clinical severity was present. Results: In all, 207 patients (128 women and 79 men, mean age 40 years) were included and had a median score of deprivation of 20.7 (0–100). Seventy-three (35%) were deprived. There were no statistical differences between deprived and nondeprived patients for the following parameters: 1) mean age: 39 ± 14.6 versus 40.6 ± 13.5, P = 0.4; 2) sex ratio (female/male): 87/47 (65%) versus 41/32 (56%), P = 0.2; 3) duration of disease (years) 9 ± 8.8 versus 8.5 ± 7.2, P = 0.7; 4) delay from onset of symptoms to diagnosis >1 year: 22/115 (19%) versus 13/63 (21%), P = 0.8; and 5) severity of disease 71% versus 70% (P = 0.9). Nondeprived patients had a lower rate of hospitalization (40 versus 56%, P = 0,04) and a higher rate of surgery (44 versus 22%, P = 0,004); the rate of surgery was only identified by logistic regression. Conclusions: In this study deprivation does not seem to influence the severity of CD. This can be explained by easy access to healthcare in France. (Inflamm Bowel Dis 2008) |
| Databáze: | OpenAIRE |
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