Prevalence of primary immune thrombocytopenia and related healthcare resource utilization among Texas Medicaid beneficiaries
| Autor: | Karen L. Rascati, Yi Liang, Kristin M. Richards |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Adult
Male medicine.medical_specialty 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine immune system diseases hemic and lymphatic diseases Health care Prevalence medicine Retrospective analysis Humans 030212 general & internal medicine Child Aged Retrospective Studies Purpura Thrombocytopenic Idiopathic Medicaid business.industry General Medicine Patient Acceptance of Health Care Texas United States humanities Immune thrombocytopenia Hospitalization Family medicine Female Emergency Service Hospital business Resource utilization |
| Zdroj: | Current Medical Research and Opinion. 37:1315-1322 |
| ISSN: | 1473-4877 0300-7995 |
| Popis: | To estimate the prevalence of primary immune thrombocytopenia (ITP) and describe ITP-associated healthcare resource utilization (HRU) among Texas Medicaid beneficiaries.A retrospective analysis using 2012-2015 Texas Medicaid claims data was conducted to estimate the annual prevalence of ITP. HRU was summarized for the 12-month period following initial ITP diagnosis. Logistic regression and generalized linear model were used to investigate predictors for all-cause and ITP-related HRU.The average annual prevalence of ITP was 17.0 per 100,000 persons; higher among females vs males (17.4 vs 13.6 per 100,000) and highest among adults aged ≥ 65 years (36.7 per 100,000). Among 325 patients included in the HRU analyses, 49.2% received ITP therapies. More than half of patients had at least one all-cause emergency department (ED) visit (70.5%) and/or hospitalization (56.0%). One-third (32.6%) experienced at least one ITP-related ED visit and 40.3% had at least one ITP-related hospitalization. Compared to adults aged 18-49 with ITP, children aged 0-4 (odds ratio [OR] = 3.65,There are 17 patients diagnosed with ITP for every 100,000 Texas Medicaid enrollees annually, with higher prevalence in females and the elderly. Children are more likely to experience hospitalizations and ED visits associated with ITP. ITP patients in Texas Medicaid utilize more healthcare resources compared to the general Medicaid population. |
| Databáze: | OpenAIRE |
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