Burden on UK secondary care of rotavirus disease and seasonal infections in children

Morgan, Christopher L.; Adlard, Nicholas; Carroll, Stuart; Parvataneni, Latha

doi:10.1185/03007995.2010.518135

Cited by 12 publications

(9 citation statements)

References 16 publications

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“…for rotavirus, gonorrhoea, or varicella [32][33][34]. In Germany, ICD-10 codes have previously been used to assess the herpes zoster disease burden also in the outpatient sector [35], and to assess reporting completeness of notifiable disease surveillance systems [36,37].…”

Section: Discussionmentioning

confidence: 99%

Mumps epidemiology in Germany 2007-11

Takla

Wichmann

Klinc³

et al. 2013

Eurosurveillance

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In Germany, mumps has been notifiable until 2013 only in the five Eastern federal states (EFS) of former East Germany. Due to different immunisation policies until 1990 and varying vaccination coverages thereafter, mumps incidences cannot be extrapolated to the 11 Western federal states (WFS). We studied mumps-related International Classification of Diseases (ICD-10) code diagnoses claimed through statutory health insurances between 2007 and 2011 to estimate countrywide mumps incidences in the outpatient sector, and compared them with case numbers from ambulatory notification data. Overall, 32,330 outpatient mumps cases were claimed. Annual incidence ranged between 9.3/100,000 and 11.8/100,000 and showed a significant decreasing trend. Compared with EFS, mumps incidence in WFS was higher and indicated a shift towards older age groups. Notified outpatient case numbers in EFS were 13-fold lower and from voluntary surveillance during an outbreak in the WFS Bavaria 8-fold lower than from insurance data (n=316 versus n=4,217 and n=238 versus 1,995, respectively). Of all notified cases with available information, 75.4% (EFS) and 57.6% (Bavaria) were unvaccinated; 6.8% (EFS) and 19.3% (Bavaria) required hospitalisation. In Germany, mumps is still endemic despite decades of vaccination, with considerable underreporting in the established notification systems.

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Section: Discussionmentioning

confidence: 99%

Mumps epidemiology in Germany 2007-11

Takla

Wichmann

Klinc³

et al. 2013

Eurosurveillance

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“…13,14 However, Health Resource Group data are increasingly considered appropriate for use in health-care research. 15,16 Although it was not possible for the authors to validate all the data, the authors are directly involved in services in four major centres and found that the figures for their own centres generated by CHKS Ltd appeared to be appropriate. The use of routinely collected statistics has the weakness that the data are less detailed (eg, lack of information on indications for orbital decompression), but an important advantage is that it is comprehensive.…”

Section: Discussionmentioning

confidence: 99%

Orbital decompression for Graves’ orbitopathy in England

Perros

Chandler

Dayan

et al. 2011

Eye

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Aims The purpose of this study was to obtain data on orbital decompression procedures performed in England, classed by hospital and locality, to evaluate regional variation in care. Methods Data on orbital decompression taking place in England over a 2-year period between 2007 and 2009 were derived from CHKS Ltd and analysed by the hospital and primary care trust.Results and conclusions In all, 44% of these operations took place in hospitals with an annual workload of 10 or fewer procedures. Analysis of the same data by primary care trust suggests an almost 30-fold variance in the rates of decompression performed per unit population. Expertise available to patients with Graves' orbitopathy and rates of referral for specialist care in England appears to vary significantly by geographic location. These data, along with other outcome measures, will provide a baseline by which progress can be judged.

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“…This trend results from seasonality of many common childhood infections that represent >40% of infant hospitalizations, creating a high seasonal pressure on pediatric resources. [1][2][3] Rotavirus (RV) is the most frequent cause of hospitalization due to viral gastroenteritis in young children; RV epidemics peak in winter and early spring overlapping with those of other seasonal infections. Acute gastroenteritis (AGE)-related hospitalizations during winter seasons are almost completely attributed to RV.…”

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confidence: 99%