A retrospective study to assess resource utilization in patients with cervical dystonia in the United Kingdom

Mireia Raluy-Callado,1 Sylvie Gabriel,2 Jérôme Dinet,2 Meng Wang,1 Radek Wasiak1 1Retrospective Observational Studies, Evidera, London, UK; 2Ipsen Pharma, Boulogne-Billancourt, France Purpose: Cervical dystonia (CD) is a hypertonic condition caused by damage to the central ne...

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Autores principales:	Raluy-Callado M, Gabriel S, Dinet J, Wang M, Wasiak R
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2015
Materias:	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/24bc474f05c7492db6f467f4e79b6042
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spelling	oai:doaj.org-article:24bc474f05c7492db6f467f4e79b60422021-12-02T07:36:45ZA retrospective study to assess resource utilization in patients with cervical dystonia in the United Kingdom1178-2021https://doaj.org/article/24bc474f05c7492db6f467f4e79b60422015-03-01T00:00:00Zhttp://www.dovepress.com/a-retrospective-study-to-assess-resource-utilization-in-patients-with--peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021 Mireia Raluy-Callado,1 Sylvie Gabriel,2 Jérôme Dinet,2 Meng Wang,1 Radek Wasiak1 1Retrospective Observational Studies, Evidera, London, UK; 2Ipsen Pharma, Boulogne-Billancourt, France Purpose: Cervical dystonia (CD) is a hypertonic condition caused by damage to the central nervous system. Very few studies have assessed the overall economic burden of the disease. The objective of this study was to describe the utilization of health care resources of patients with CD in the UK primary care setting, using a large population-based database.Patients and methods: Adults with a first diagnosis of CD between January 1, 2007 and January 31, 2011, who were registered to a general practitioner (GP) practice contributing to The Health Improvement Network (THIN), were included. Sociodemographic and clinical characteristics were assessed at the time of diagnosis. Health care resource utilization and pharmacological treatment were investigated at the end of the first and second year after diagnosis.Results: Overall, 4,024 newly diagnosed patients with CD were identified, with average age at diagnosis of 45 years old; 65.3% were female. Depression in the year prior to diagnosis was the most common comorbidity. Primary care utilization was high in the first year, with 99.2% of patients visiting their GP (on average 6.2 times), and 43% visiting a nurse (on average 2.5 times). Patients were most commonly referred to an orthopedic surgeon, and 15.9% reported at least one physiotherapy visit. In the second year, utilization was similar. Prescriptions of at least one of the investigated treatments were found in 82.0% and 45.3%, in the first and second year, respectively.Conclusion: Findings suggest a high number of new CD cases are being identified in primary care, but not all will be referred to secondary care. Health care resource utilization was compared with that of all patients registered in THIN, which is representative of the UK, and the adjusted usage of primary care resources was found to be similar to that of the THIN population. Keywords: primary care, health care utilizationRaluy-Callado MGabriel SDinet JWang MWasiak RDove Medical PressarticleNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol 2015, Iss default, Pp 647-655 (2015)
institution	DOAJ
collection	DOAJ
language	EN
topic	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Raluy-Callado M Gabriel S Dinet J Wang M Wasiak R A retrospective study to assess resource utilization in patients with cervical dystonia in the United Kingdom
description	Mireia Raluy-Callado,1 Sylvie Gabriel,2 Jérôme Dinet,2 Meng Wang,1 Radek Wasiak1 1Retrospective Observational Studies, Evidera, London, UK; 2Ipsen Pharma, Boulogne-Billancourt, France Purpose: Cervical dystonia (CD) is a hypertonic condition caused by damage to the central nervous system. Very few studies have assessed the overall economic burden of the disease. The objective of this study was to describe the utilization of health care resources of patients with CD in the UK primary care setting, using a large population-based database.Patients and methods: Adults with a first diagnosis of CD between January 1, 2007 and January 31, 2011, who were registered to a general practitioner (GP) practice contributing to The Health Improvement Network (THIN), were included. Sociodemographic and clinical characteristics were assessed at the time of diagnosis. Health care resource utilization and pharmacological treatment were investigated at the end of the first and second year after diagnosis.Results: Overall, 4,024 newly diagnosed patients with CD were identified, with average age at diagnosis of 45 years old; 65.3% were female. Depression in the year prior to diagnosis was the most common comorbidity. Primary care utilization was high in the first year, with 99.2% of patients visiting their GP (on average 6.2 times), and 43% visiting a nurse (on average 2.5 times). Patients were most commonly referred to an orthopedic surgeon, and 15.9% reported at least one physiotherapy visit. In the second year, utilization was similar. Prescriptions of at least one of the investigated treatments were found in 82.0% and 45.3%, in the first and second year, respectively.Conclusion: Findings suggest a high number of new CD cases are being identified in primary care, but not all will be referred to secondary care. Health care resource utilization was compared with that of all patients registered in THIN, which is representative of the UK, and the adjusted usage of primary care resources was found to be similar to that of the THIN population. Keywords: primary care, health care utilization
format	article
author	Raluy-Callado M Gabriel S Dinet J Wang M Wasiak R
author_facet	Raluy-Callado M Gabriel S Dinet J Wang M Wasiak R
author_sort	Raluy-Callado M
title	A retrospective study to assess resource utilization in patients with cervical dystonia in the United Kingdom
title_short	A retrospective study to assess resource utilization in patients with cervical dystonia in the United Kingdom
title_full	A retrospective study to assess resource utilization in patients with cervical dystonia in the United Kingdom
title_fullStr	A retrospective study to assess resource utilization in patients with cervical dystonia in the United Kingdom
title_full_unstemmed	A retrospective study to assess resource utilization in patients with cervical dystonia in the United Kingdom
title_sort	retrospective study to assess resource utilization in patients with cervical dystonia in the united kingdom
publisher	Dove Medical Press
publishDate	2015
url	https://doaj.org/article/24bc474f05c7492db6f467f4e79b6042
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A retrospective study to assess resource utilization in patients with cervical dystonia in the United Kingdom

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