Health care resource use by patients before and after a diagnosis of chronic fatigue syndrome CFS-ME: a clinical practice research datalink studyReportar como inadecuado




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BMC Family Practice

, 18:60

Knowledge, attitudes, behaviors, education, and communication

Abstract

BackgroundOur aim was to investigate patterns of health care resource use by patients before and after a diagnosis of CFS-ME, as recorded by Clinical Practice Research Datalink CPRD GP practices in the UK.

MethodsWe used a case–control study design in which patients who had a first recorded diagnosis of CFS-ME during the period 01-01-2001 to 31-12-2013 were matched 1:1 with controls by age, sex, and GP practice. We compared rates of GP consultations, diagnostic tests, prescriptions, referrals, and symptoms between the two groups from 15 years in adults or 10 years in children before diagnosis to 10 years after diagnosis.

ResultsData were available for 6710 adult and 916 child age <18 years matched case–control pairs. Rates of GP consultations, diagnostic tests, prescriptions, referrals, and symptoms spiked dramatically in the year when a CFS-ME diagnosis was recorded. GP consultation rates were 50% higher in adult cases compared to controls 11–15 years before diagnosis rate ratio RR 1.49 95% CI 1.46, 1.52 and 56% higher 6–10 years after diagnosis RR 1.56 1.54, 1.57. In children, consultation rates in cases were 45% higher 6–10 years before diagnosis RR 1.45 1.40, 1.51 and 62% higher 6–10 years after diagnosis RR 1.62 1.54, 1.70. For adults and children, rates of tests, prescriptions, referrals, and symptoms were higher in cases compared to controls for up to 10 years before and after diagnosis.

ConclusionsAdults and children with CFS-ME have greater health care needs than the rest of the population for at least ten years before their diagnosis, and these higher levels of health care resource use continue for at least ten years after diagnosis.

KeywordsChronic fatigue syndrome CFS-ME fibromyalgia Diagnosis Adults Children Primary care CPRD Health care resource use AbbreviationsCFS-MEChronic fatigue syndrome-myalgic encephalomyelitis

CPRDClinical Practice Research Datalink

FMFibromyalgia

GPRDGeneral Practice Research Database

IMDIndex of Multiple Deprivation

PVFSPost viral fatigue syndrome

RRRate ratio

UTSUp To Standard

Electronic supplementary materialThe online version of this article doi:10.1186-s12875-017-0635-z contains supplementary material, which is available to authorized users.





Autor: Simon M. Collin - Inger J. Bakken - Irwin Nazareth - Esther Crawley - Peter D. White

Fuente: https://link.springer.com/







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