Healthcare-related impact of gout in hospitalized patients in Spain

Abstract To analyze the epidemiology, clinical features and costs of hospitalized patients with gout during the last decade in Spain. Retrospective observational study based on data from the Minimum Basic Data Set (MBDS) from the Spanish National Health Service database. Patients ≥ 18 years with any...

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Autores principales:	Diego Benavent, Diana Peiteado, María Ángeles Martinez-Huedo, María Hernandez-Hurtado, Alejandro Balsa, Eugenio de Miguel
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/89329e936a3446379868d634dd90d82e
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spelling	oai:doaj.org-article:89329e936a3446379868d634dd90d82e2021-12-02T17:12:25ZHealthcare-related impact of gout in hospitalized patients in Spain10.1038/s41598-021-92673-32045-2322https://doaj.org/article/89329e936a3446379868d634dd90d82e2021-06-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-92673-3https://doaj.org/toc/2045-2322Abstract To analyze the epidemiology, clinical features and costs of hospitalized patients with gout during the last decade in Spain. Retrospective observational study based on data from the Minimum Basic Data Set (MBDS) from the Spanish National Health Service database. Patients ≥ 18 years with any gout diagnosis at discharge who had been admitted to public or private hospitals between 2005 and 2015 were included. Patients were divided in two periods: p1 (2005–2010) and p2 (2011–2015) to compare the number of hospitalizations, mean costs and mortality rates. Data from 192,037 patients with gout was analyzed. There was an increase in the number of hospitalized patients with gout (p < 0.001). The more frequent comorbidities were diabetes (27.6% of patients), kidney disease (26.6%) and heart failure (19.3%). Liver disease (OR 2.61), dementia (OR 2.13), cerebrovascular diseases (OR 1.57), heart failure (OR 1.41), and kidney disease (OR 1.34) were associated with a higher mortality risk. Women had a lower risk of mortality than men (OR 0.85). General mortality rates in these hospitalized patients progressively increased over the years (p < 0.001). In addition, costs gradually rose, presenting a significant increase in p2 even after adjusting for inflation (p = 0.001). A progressive increase in hospitalizations, mortality rates and cost in hospitalized patients with gout was observed. This harmful trend in a preventable illness highlights the need for change and the search for new healthcare strategies.Diego BenaventDiana PeiteadoMaría Ángeles Martinez-HuedoMaría Hernandez-HurtadoAlejandro BalsaEugenio de MiguelNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-6 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Diego Benavent Diana Peiteado María Ángeles Martinez-Huedo María Hernandez-Hurtado Alejandro Balsa Eugenio de Miguel Healthcare-related impact of gout in hospitalized patients in Spain
description	Abstract To analyze the epidemiology, clinical features and costs of hospitalized patients with gout during the last decade in Spain. Retrospective observational study based on data from the Minimum Basic Data Set (MBDS) from the Spanish National Health Service database. Patients ≥ 18 years with any gout diagnosis at discharge who had been admitted to public or private hospitals between 2005 and 2015 were included. Patients were divided in two periods: p1 (2005–2010) and p2 (2011–2015) to compare the number of hospitalizations, mean costs and mortality rates. Data from 192,037 patients with gout was analyzed. There was an increase in the number of hospitalized patients with gout (p < 0.001). The more frequent comorbidities were diabetes (27.6% of patients), kidney disease (26.6%) and heart failure (19.3%). Liver disease (OR 2.61), dementia (OR 2.13), cerebrovascular diseases (OR 1.57), heart failure (OR 1.41), and kidney disease (OR 1.34) were associated with a higher mortality risk. Women had a lower risk of mortality than men (OR 0.85). General mortality rates in these hospitalized patients progressively increased over the years (p < 0.001). In addition, costs gradually rose, presenting a significant increase in p2 even after adjusting for inflation (p = 0.001). A progressive increase in hospitalizations, mortality rates and cost in hospitalized patients with gout was observed. This harmful trend in a preventable illness highlights the need for change and the search for new healthcare strategies.
format	article
author	Diego Benavent Diana Peiteado María Ángeles Martinez-Huedo María Hernandez-Hurtado Alejandro Balsa Eugenio de Miguel
author_facet	Diego Benavent Diana Peiteado María Ángeles Martinez-Huedo María Hernandez-Hurtado Alejandro Balsa Eugenio de Miguel
author_sort	Diego Benavent
title	Healthcare-related impact of gout in hospitalized patients in Spain
title_short	Healthcare-related impact of gout in hospitalized patients in Spain
title_full	Healthcare-related impact of gout in hospitalized patients in Spain
title_fullStr	Healthcare-related impact of gout in hospitalized patients in Spain
title_full_unstemmed	Healthcare-related impact of gout in hospitalized patients in Spain
title_sort	healthcare-related impact of gout in hospitalized patients in spain
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/89329e936a3446379868d634dd90d82e
work_keys_str_mv	AT diegobenavent healthcarerelatedimpactofgoutinhospitalizedpatientsinspain AT dianapeiteado healthcarerelatedimpactofgoutinhospitalizedpatientsinspain AT mariaangelesmartinezhuedo healthcarerelatedimpactofgoutinhospitalizedpatientsinspain AT mariahernandezhurtado healthcarerelatedimpactofgoutinhospitalizedpatientsinspain AT alejandrobalsa healthcarerelatedimpactofgoutinhospitalizedpatientsinspain AT eugeniodemiguel healthcarerelatedimpactofgoutinhospitalizedpatientsinspain
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Healthcare-related impact of gout in hospitalized patients in Spain

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