Drug utilization patterns and healthcare resource use and costs in patients with neurogenic bladder in the United Kingdom: A retrospective primary care database study
Identifieur interne : 000553 ( Main/Exploration ); précédent : 000552; suivant : 000554Drug utilization patterns and healthcare resource use and costs in patients with neurogenic bladder in the United Kingdom: A retrospective primary care database study
Auteurs : Ashley Jaggi ; Jameel Nazir ; Francis Fatoye ; Emad Siddiqui ; Nurul Choudhury ; Ramzi Argoubi ; Mahmood Ali ; Dirk De Ridder ; Marcus J. DrakeSource :
- Neurourology and Urodynamics [ 0733-2467 ] ; 2019.
Descripteurs français
- KwdFr :
- Acceptation des soins par les patients (statistiques et données numériques), Adulte (MeSH), Adulte d'âge moyen (MeSH), Antagonistes cholinergiques (usage thérapeutique), Bases de données factuelles (MeSH), Femelle (MeSH), Humains (MeSH), Incontinence urinaire (complications), Incontinence urinaire (épidémiologie), Infections urinaires (complications), Infections urinaires (épidémiologie), Mâle (MeSH), Royaume-Uni (épidémiologie), Soins de santé primaires (statistiques et données numériques), Soins de santé primaires (économie), Sujet âgé (MeSH), Sujet âgé de 80 ans ou plus (MeSH), Utilisation médicament (statistiques et données numériques), Vessie neurologique (traitement médicamenteux), Vessie neurologique (économie), Vessie neurologique (épidémiologie), Études rétrospectives (MeSH).
- MESH :
- statistiques et données numériques : Acceptation des soins par les patients, Soins de santé primaires, Utilisation médicament.
- traitement médicamenteux : Vessie neurologique.
- usage thérapeutique : Antagonistes cholinergiques, Incontinence urinaire, Infections urinaires.
- économie : Soins de santé primaires, Vessie neurologique.
- épidémiologie : Incontinence urinaire, Infections urinaires, Royaume-Uni, Vessie neurologique.
- Adulte, Adulte d'âge moyen, Bases de données factuelles, Femelle, Humains, Mâle, Sujet âgé, Sujet âgé de 80 ans ou plus, Études rétrospectives.
- Wicri :
- geographic : Royaume-Uni.
English descriptors
- KwdEn :
- Adult (MeSH), Aged (MeSH), Aged, 80 and over (MeSH), Cholinergic Antagonists (therapeutic use), Databases, Factual (MeSH), Drug Utilization (statistics & numerical data), Female (MeSH), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), Patient Acceptance of Health Care (statistics & numerical data), Primary Health Care (economics), Primary Health Care (statistics & numerical data), Retrospective Studies (MeSH), United Kingdom (epidemiology), Urinary Bladder, Neurogenic (drug therapy), Urinary Bladder, Neurogenic (economics), Urinary Bladder, Neurogenic (epidemiology), Urinary Incontinence (complications), Urinary Incontinence (epidemiology), Urinary Tract Infections (complications), Urinary Tract Infections (epidemiology).
- MESH :
- chemical , therapeutic use : Cholinergic Antagonists.
- geographic , epidemiology : United Kingdom.
- complications : Urinary Incontinence, Urinary Tract Infections.
- drug therapy : Urinary Bladder, Neurogenic.
- economics : Primary Health Care, Urinary Bladder, Neurogenic.
- epidemiology : Urinary Bladder, Neurogenic, Urinary Incontinence, Urinary Tract Infections.
- statistics & numerical data : Drug Utilization, Patient Acceptance of Health Care, Primary Health Care.
- Adult, Aged, Aged, 80 and over, Databases, Factual, Female, Humans, Male, Middle Aged, Retrospective Studies.
Abstract
To characterize patients with neurogenic bladder (NGB), their treatment patterns, healthcare resource utilization, and associated costs based on records from a primary care database in the United Kingdom.
This was a retrospective, descriptive, observational study of anonymized data from the Clinical Practice Research Datalink and Hospital Episode Statistics databases (selection period, 1 January 2004 to 31 December 2016). Adults with a definitive or probable diagnosis of NGB and ≥1 referral to a urologist were included.
The study cohort included 3913 patients with definitive (n = 363) or probable (n = 3550) NGB. Patients had a mean of 8.6 (standard deviation [SD], 7.6) comorbidities, and mean Anticholinergic Cognitive Burden Scale score of 6.6 (SD, 5.9). During 12 months’ follow‐up, urinary tract infection (UTI) and urinary incontinence were the most common complications. Most patients (92.2%) received ≥1 prescription for an antimuscarinic agent or mirabegron, and 53.9% of patients received prescriptions for UTI‐specific antibiotics. The mean number of visits to a general practitioner for any cause was 67.7 (SD, 42.6) per individual. Almost half (46.7%) of the study cohort visited a specialist during the 12‐month follow‐up period, and 11.0% had ≥1 hospital admission. Total mean per patient costs for healthcare resource utilization was £2395.
The burden of illness, healthcare resource needs, and associated costs among patients with NGB are considerable. Drug prescribing patterns are consistent with the symptoms and complications of NGB, although increased awareness of drugs with anticholinergic activity among prescribers may help to reduce the cumulative anticholinergic burden in this vulnerable population.
Url:
DOI: 10.1002/nau.23981
PubMed: 30924184
PubMed Central: 6850049
Affiliations:
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Le document en format XML
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Drake</name><affiliation><nlm:aff id="nau23981-aff-0005"></nlm:aff></affiliation></author></analytic><series><title level="j">Neurourology and Urodynamics</title><idno type="ISSN">0733-2467</idno><idno type="eISSN">1520-6777</idno><imprint><date when="2019">2019</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Aged (MeSH)</term><term>Aged, 80 and over (MeSH)</term><term>Cholinergic Antagonists (therapeutic use)</term><term>Databases, Factual (MeSH)</term><term>Drug Utilization (statistics & numerical data)</term><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Patient Acceptance of Health Care (statistics & numerical data)</term><term>Primary Health Care (economics)</term><term>Primary Health Care (statistics & numerical data)</term><term>Retrospective Studies (MeSH)</term><term>United Kingdom (epidemiology)</term><term>Urinary Bladder, Neurogenic (drug therapy)</term><term>Urinary Bladder, Neurogenic (economics)</term><term>Urinary Bladder, Neurogenic (epidemiology)</term><term>Urinary Incontinence (complications)</term><term>Urinary Incontinence (epidemiology)</term><term>Urinary Tract Infections (complications)</term><term>Urinary Tract Infections (epidemiology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Acceptation des soins par les patients (statistiques et données numériques)</term><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Antagonistes cholinergiques (usage thérapeutique)</term><term>Bases de données factuelles (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Incontinence urinaire (complications)</term><term>Incontinence urinaire (épidémiologie)</term><term>Infections urinaires (complications)</term><term>Infections urinaires (épidémiologie)</term><term>Mâle (MeSH)</term><term>Royaume-Uni (épidémiologie)</term><term>Soins de santé primaires (statistiques et données numériques)</term><term>Soins de santé primaires (économie)</term><term>Sujet âgé (MeSH)</term><term>Sujet âgé de 80 ans ou plus (MeSH)</term><term>Utilisation médicament (statistiques et données numériques)</term><term>Vessie neurologique (traitement médicamenteux)</term><term>Vessie neurologique (économie)</term><term>Vessie neurologique (épidémiologie)</term><term>Études rétrospectives (MeSH)</term></keywords><keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Cholinergic Antagonists</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>United Kingdom</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Urinary Incontinence</term><term>Urinary Tract Infections</term></keywords><keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>Urinary Bladder, Neurogenic</term></keywords><keywords scheme="MESH" qualifier="economics" xml:lang="en"><term>Primary Health Care</term><term>Urinary Bladder, Neurogenic</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Urinary Bladder, Neurogenic</term><term>Urinary Incontinence</term><term>Urinary Tract Infections</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Drug Utilization</term><term>Patient Acceptance of Health Care</term><term>Primary Health Care</term></keywords><keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Acceptation des soins par les patients</term><term>Soins de santé primaires</term><term>Utilisation médicament</term></keywords><keywords scheme="MESH" qualifier="traitement médicamenteux" xml:lang="fr"><term>Vessie neurologique</term></keywords><keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr"><term>Antagonistes cholinergiques</term><term>Incontinence urinaire</term><term>Infections urinaires</term></keywords><keywords scheme="MESH" qualifier="économie" xml:lang="fr"><term>Soins de santé primaires</term><term>Vessie neurologique</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Incontinence urinaire</term><term>Infections urinaires</term><term>Royaume-Uni</term><term>Vessie neurologique</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Databases, Factual</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Retrospective Studies</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Bases de données factuelles</term><term>Femelle</term><term>Humains</term><term>Mâle</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Études rétrospectives</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Royaume-Uni</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><title>Abstract</title><sec id="nau23981-sec-0010"><title>Aim</title><p>To characterize patients with neurogenic bladder (NGB), their treatment patterns, healthcare resource utilization, and associated costs based on records from a primary care database in the United Kingdom.</p></sec><sec id="nau23981-sec-0020"><title>Methods</title><p>This was a retrospective, descriptive, observational study of anonymized data from the Clinical Practice Research Datalink and Hospital Episode Statistics databases (selection period, 1 January 2004 to 31 December 2016). Adults with a definitive or probable diagnosis of NGB and ≥1 referral to a urologist were included.</p></sec><sec id="nau23981-sec-0030"><title>Results</title><p>The study cohort included 3913 patients with definitive (n = 363) or probable (n = 3550) NGB. Patients had a mean of 8.6 (standard deviation [SD], 7.6) comorbidities, and mean Anticholinergic Cognitive Burden Scale score of 6.6 (SD, 5.9). During 12 months’ follow‐up, urinary tract infection (UTI) and urinary incontinence were the most common complications. Most patients (92.2%) received ≥1 prescription for an antimuscarinic agent or mirabegron, and 53.9% of patients received prescriptions for UTI‐specific antibiotics. The mean number of visits to a general practitioner for any cause was 67.7 (SD, 42.6) per individual. Almost half (46.7%) of the study cohort visited a specialist during the 12‐month follow‐up period, and 11.0% had ≥1 hospital admission. Total mean per patient costs for healthcare resource utilization was £2395.</p></sec><sec id="nau23981-sec-0040"><title>Conclusions</title><p>The burden of illness, healthcare resource needs, and associated costs among patients with NGB are considerable. Drug prescribing patterns are consistent with the symptoms and complications of NGB, although increased awareness of drugs with anticholinergic activity among prescribers may help to reduce the cumulative anticholinergic burden in this vulnerable population.</p></sec></div></front><back><div1 type="bibliography"><listBibl></listBibl></div1></back></TEI><affiliations><list></list><tree><noCountry><name sortKey="Ali, Mahmood" sort="Ali, Mahmood" uniqKey="Ali M" first="Mahmood" last="Ali">Mahmood Ali</name><name sortKey="Argoubi, Ramzi" sort="Argoubi, Ramzi" uniqKey="Argoubi R" first="Ramzi" last="Argoubi">Ramzi Argoubi</name><name sortKey="Choudhury, Nurul" sort="Choudhury, Nurul" uniqKey="Choudhury N" first="Nurul" last="Choudhury">Nurul Choudhury</name><name sortKey="De Ridder, Dirk" sort="De Ridder, Dirk" uniqKey="De Ridder D" first="Dirk" last="De Ridder">Dirk De Ridder</name><name sortKey="Drake, Marcus J" sort="Drake, Marcus J" uniqKey="Drake M" first="Marcus J." last="Drake">Marcus J. Drake</name><name sortKey="Fatoye, Francis" sort="Fatoye, Francis" uniqKey="Fatoye F" first="Francis" last="Fatoye">Francis Fatoye</name><name sortKey="Jaggi, Ashley" sort="Jaggi, Ashley" uniqKey="Jaggi A" first="Ashley" last="Jaggi">Ashley Jaggi</name><name sortKey="Nazir, Jameel" sort="Nazir, Jameel" uniqKey="Nazir J" first="Jameel" last="Nazir">Jameel Nazir</name><name sortKey="Siddiqui, Emad" sort="Siddiqui, Emad" uniqKey="Siddiqui E" first="Emad" last="Siddiqui">Emad Siddiqui</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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