Patients with tinnitus use more primary healthcare compared to people without tinnitus

Abstract Tinnitus is a heterogeneous condition not only in terms of nature of the sound, but also in co-morbidities such as mental health issues. Prevalence number range widely between 5 and 43%. Even though the etiologic pathway between tinnitus and its comorbidities remains unclear, in this study...

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Autores principales:	Maaike Maartje Rademaker, Inge Stegeman, Mariette Hooiveld, Robert Jan Stokroos, Adriana Leni Smit
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/acce4485ee4e41c4be0f5bfb89a7f429
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spelling	oai:doaj.org-article:acce4485ee4e41c4be0f5bfb89a7f4292021-12-02T16:34:53ZPatients with tinnitus use more primary healthcare compared to people without tinnitus10.1038/s41598-021-96607-x2045-2322https://doaj.org/article/acce4485ee4e41c4be0f5bfb89a7f4292021-08-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-96607-xhttps://doaj.org/toc/2045-2322Abstract Tinnitus is a heterogeneous condition not only in terms of nature of the sound, but also in co-morbidities such as mental health issues. Prevalence number range widely between 5 and 43%. Even though the etiologic pathway between tinnitus and its comorbidities remains unclear, in this study we aim to assess whether people with tinnitus use more primary health care than people without tinnitus. To compare primary healthcare consumption between patients with tinnitus and people without tinnitus. In this cross-sectional study, data on number of consultations with the general practitioner or nurse practitioner mental health services were obtained from Nivel (Netherlands Institute for Health Service Research) Primary Care Database in 2018 (n = 963,880 people). People with an open tinnitus episode (n = 8050) were defined as a patient with tinnitus and compared to all other people. Percentages, means, ranges and mean differences were calculated for the total number of consultations and for organ specific diagnoses registered as ICPC-1 code on the day of consultation. Secondary, the total number of referrals to medical specialists and number of drug prescriptions was collected. Logistic regressions were performed to predict having one or more contacts, referrals, and prescriptions,with having tinnitus, this was corrected for age and gender. Patients with tinnitus had a mean of 9.8 (SD 10.9) primary care consultations in 2018, compared to 5.7 (SD 7.9) for people without tinnitus. More patients with tinnitus had more than one referral to medical specialists (47%) compared to people without tinnitus (25%). Patients with tinnitus have 1.2 (mean difference) more drug prescriptions than people without tinnitus. Compared to people without tinnitus, patients with tinnitus were more likely to have one or more of primary healthcare contact, independent of age group and gender. Patients with tinnitus had more consultations in primary health care than people without tinnitus. They are more often referred to medical specialists and receive more drug prescriptions. The causal relationship between tinnitus and the higher healthcare consumption remains to be researched.Maaike Maartje RademakerInge StegemanMariette HooiveldRobert Jan StokroosAdriana Leni SmitNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Maaike Maartje Rademaker Inge Stegeman Mariette Hooiveld Robert Jan Stokroos Adriana Leni Smit Patients with tinnitus use more primary healthcare compared to people without tinnitus
description	Abstract Tinnitus is a heterogeneous condition not only in terms of nature of the sound, but also in co-morbidities such as mental health issues. Prevalence number range widely between 5 and 43%. Even though the etiologic pathway between tinnitus and its comorbidities remains unclear, in this study we aim to assess whether people with tinnitus use more primary health care than people without tinnitus. To compare primary healthcare consumption between patients with tinnitus and people without tinnitus. In this cross-sectional study, data on number of consultations with the general practitioner or nurse practitioner mental health services were obtained from Nivel (Netherlands Institute for Health Service Research) Primary Care Database in 2018 (n = 963,880 people). People with an open tinnitus episode (n = 8050) were defined as a patient with tinnitus and compared to all other people. Percentages, means, ranges and mean differences were calculated for the total number of consultations and for organ specific diagnoses registered as ICPC-1 code on the day of consultation. Secondary, the total number of referrals to medical specialists and number of drug prescriptions was collected. Logistic regressions were performed to predict having one or more contacts, referrals, and prescriptions,with having tinnitus, this was corrected for age and gender. Patients with tinnitus had a mean of 9.8 (SD 10.9) primary care consultations in 2018, compared to 5.7 (SD 7.9) for people without tinnitus. More patients with tinnitus had more than one referral to medical specialists (47%) compared to people without tinnitus (25%). Patients with tinnitus have 1.2 (mean difference) more drug prescriptions than people without tinnitus. Compared to people without tinnitus, patients with tinnitus were more likely to have one or more of primary healthcare contact, independent of age group and gender. Patients with tinnitus had more consultations in primary health care than people without tinnitus. They are more often referred to medical specialists and receive more drug prescriptions. The causal relationship between tinnitus and the higher healthcare consumption remains to be researched.
format	article
author	Maaike Maartje Rademaker Inge Stegeman Mariette Hooiveld Robert Jan Stokroos Adriana Leni Smit
author_facet	Maaike Maartje Rademaker Inge Stegeman Mariette Hooiveld Robert Jan Stokroos Adriana Leni Smit
author_sort	Maaike Maartje Rademaker
title	Patients with tinnitus use more primary healthcare compared to people without tinnitus
title_short	Patients with tinnitus use more primary healthcare compared to people without tinnitus
title_full	Patients with tinnitus use more primary healthcare compared to people without tinnitus
title_fullStr	Patients with tinnitus use more primary healthcare compared to people without tinnitus
title_full_unstemmed	Patients with tinnitus use more primary healthcare compared to people without tinnitus
title_sort	patients with tinnitus use more primary healthcare compared to people without tinnitus
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/acce4485ee4e41c4be0f5bfb89a7f429
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Patients with tinnitus use more primary healthcare compared to people without tinnitus

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