Clinical characteristics and patterns of healthcare utilization in patients with painful neuropathic disorders in UK general practice: a retrospective cohort studyReport as inadecuate




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BMC Neurology

, 12:8

First Online: 06 March 2012Received: 19 September 2011Accepted: 06 March 2012

Abstract

BackgroundClinical characteristics and patterns of healthcare utilization in patients with painful neuropathic disorders PNDs who are under the care of general practitioners GPs in the UK are not well understood.

MethodsUsing a large electronic UK database, we identified all adults age ≥ 18 years with any GP encounters between 1 January 2006 - 31 December 2006 at which a diagnosis of PND was noted -PND patients-. An age-and gender-matched comparison group also was constituted consisting of randomly selected patients with one or more GP encounters-but no mention of PNDs-during this period. Characteristics and patterns of healthcare utilization of patients in the two groups were then examined over the one-year study period.

ResultsThe study sample consisted of 31,688 patients with mention of PNDs and an equal number of matched comparators; mean age was 56 years, and 62% were women. The prevalence of various comorbidities was higher among patients in the PND group, including digestive disorders 31% vs. 17% for comparison group, circulatory disorders 29% vs. 22%, and depression 4% vs. 3% all p < 0.01. Receipt of prescriptions for pain-related pharmacotherapy also was higher among PND patients, including nonsteroidal anti-inflammatory drugs 56% of PND patients had one or more such prescriptions vs. only 22% in the comparison group, opioids 49% vs. 12%, tricyclic antidepressants 20% vs. 1%, and antiepileptics 12% vs. 1% all p < 0.01. PND patients also averaged significantly more GP visits 22.8 vs. 14.2 and referrals to specialists 2.8 vs. 1.4 over one year both comparisons p < 0.01.

ConclusionsPatients with PNDs under the care of GPs in the UK have relatively high levels of use of healthcare services and pain-related pharmacotherapy.

KeywordsNeuralgia Nerve pain Peripheral neuropathies Pharmacotherapy Analgesia Health services research  Download fulltext PDF



Author: Ariel Berger - Alesia Sadosky - Ellen Dukes - John Edelsberg - Gerry Oster

Source: https://link.springer.com/







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