Socioeconomic deprivation does not influence the severity of Crohnʼs disease

Nahon, Stéphane; Lahmek, Pierre; Macaigne, Gilles; Faurel, J; Sass, Catherine; Howaizi, Mehran; Fleury, Antoine; Baju, Alice; Locher, Christophe; Barjonet, Georges; Saillant, G; Moulin, J. J.; Poupardin, Cécile

doi:10.1002/ibd.20794

Cited by 42 publications

(47 citation statements)

References 17 publications

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“…However, this result was consistent with the one we recently published in 207 patients in seven hospitals of the Paris area where patients were probably more deprived. 16 In this survey, socioeconomic deprivation was not associated with low adherence to treatment as observed in other chronic diseases.…”

Section: Discussionmentioning

confidence: 86%

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Socioeconomic and psychological factors associated with nonadherence to treatment in inflammatory bowel disease patients

Nahon

Lahmek

Saas

et al. 2011

Inflammatory Bowel Diseases

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Section: Discussionmentioning

confidence: 86%

“…[16][17][18][19] The EPICES score was used as a quantitative or as a dichotomous variable with the EPICES median considered the cutoff value to divide the population into two subgroups: the less deprived with a score of 30.17 and the more deprived with a score of >30.17.…”

Section: Assessment Of Deprivationmentioning

confidence: 99%

Socioeconomic and psychological factors associated with nonadherence to treatment in inflammatory bowel disease patients

Nahon

Lahmek

Saas

et al. 2011

Inflammatory Bowel Diseases

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“…8,15 When comparing race against socioeconomic factors, insurance status was a stronger predictor of leaving against medical advice than race. 16 However, many of these studies failed to separate socioeconomic factors from race/ethnicity, and all were limited in scope by focusing either on a few centers or on one clinical care setting, precluding generalizability and comparisons between different types of services.…”

Section: ) a Mo N G A L L I B D P A T I E N T S I N P A T I E N Tmentioning

confidence: 99%

Differences in healthcare expenditures for inflammatory bowel disease by insurance status, income, and clinical care setting

Park

Bhattacharya

Park

2014

Preprint

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View the peer-reviewed version (peerj.com/articles/587), which is the preferred citable publication unless you specifically need to cite this preprint.Park MD, Bhattacharya J, Park K. 2014. Differences in healthcare expenditures for inflammatory bowel disease by insurance status, income, and clinical care setting. PeerJ 2:e587 https://doi.org/10.7717/peerj.587Di ff e r e n c e s i n h e a l t h c a r e e x p e n d i t u r e s f o r i n fl a mma t o r y b o we l d i s e a s e b y i n s u r a n c e s t a t u s , i n c o me , a n d c l i n i c a l c a r e s e t t i n g Ba c k g r o u n d : S o c i o e c o n o mi c f a c t o r s a n d i n s u r a n c e s t a t u s h a v e n o t b e e n c o r r e l a t e d wi t h d i ff e r e n t i a l u s e o f h e a l t h c a r e s e r v i c e s i n i n fl a mma t o r y b o we l d i s e a s e ( I B D) . Ai m: T o d e s c r i b e I B D-r e l a t e d e x p e n d i t u r e s b a s e d o n i n s u r a n c e a n d h o u s e h o l d i n c o me wi t h t h e u s e o f i n p a t i e n t , o u t p a t i e n t , e me r g e n c y , a n d o ffi c e -b a s e d s e r v i c e s , a n d p r e s c r i b e d me d i c a t i o n s i n t h e Un i t e d S t a t e s ( US ) . Me t h o d s :We e v a l u a t e d t h e Me d i c a l E x p e n d i t u r e P a n e l S u r v e y f r o m 1 9 9 6 t o 2 0 1 1 o f i n d i v i d u a l s wi t h Cr o h n ' s d i s e a s e ( CD) o r u l c e r a t i v e c o l i t i s ( UC) . Na t i o n a l l ywe i g h t e d me a n s , p r o p o r t i o n s , a n d mu l t i v a r i a t e r e g r e s s i o n mo d e l s e x a mi n e d t h e r e l a t i o n s h i p s b e t we e n i n c o me a n d i n s u r a n c e s t a t u s wi t h e x p e n d i t u r e s . Re s u l t s : A n n u a l p e r c a p i t a me a n e x p e n d i t u r e s f o r CD, UC, a n d a l l I B D we r e $ 1 0 , 3 6 4 ( N= 2 3 8 ) , $ 7 , 8 2 7 ( N= 9 5 ) , a n d $ 9 , 5 2 8 , r e s p e c t i v e l y , s i g n i fi c a n t l y h i g h e r t h a n n o n -I B D ( $ 4 , 3 1 4 , N= 2 7 6 , 3 7 2 , p < 0 . 0 5 ) . P u b l i c l y i n s u r e d p a t i e n t s i n c u r r e d t h e h i g h e s t c o s t s ( $ 1 8 , 0 6 7 ) , o v e r p r i v a t e l y i n s u r e d ( $ 8 , 0 1 4 , p < 0 . 0 5 ) o r u n i n s u r e d p a t i e n t s ( $ 5 , 1 2 9 , p < 0 . 5 ) . A mo n g a l l I B D p a t i e n t s , i n p a t i e n t c a r e c o mp o s e d t h e h i g h e s t p r o p o r t i o n o f c o s t s ( $ 3 , 3 9 2 , p < . 5 ) . I n p a t i e n t c o s t s we r e d i s p r o p o r t i o n a t e l y h i g h e rf o r p u b l i c l y i n s u r e d p a t i e n t s . P u b l i c i n s u r a n c e h a d h i g h e r o d d s o f t o t a l c o s t s t h a n p r i v a t e ( OR 2 . 1 3 , CI 1 . 0 8 -4 . 1 9 ) o r n o i n s u r a n c e ( OR 4 . 9 4 , CI 1 . 2 6 -1 9 . 4 7 ) , wi t h i n c r e a s e d o d d s f o r i n p a t i e n t a n d e me r g e n c y c a r e . P r i v a t e i n s u r a n c e h a d h i g h e r c o s t s a s s o c i a t e d wi t h o u t p a t i e n t c a r e , o ffi c e -b a s e d c a r e , a n d p r e s c r i b e d me d i c i n e s ....

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“…Le score EPICES est utilisé comme outil de repérage des populations vulnérables par de nombreux organismes impliqués dans le champ de la prévention, l'éducation en santé et le dépistage. C'est également un indicateur de vulnérabilité dans des protocoles d'études épidémiologiques [40][41][42][43]. Dans PREMTES, afin d'éviter le calcul informatisé, le seuil a été calculé en additionnant le nombre de réponses défavorables (4 ou 5 selon l'âge).…”

Section: Résultatsunclassified

Agir pour la santé des « travailleurs vulnérables » : expérimentation d’un partenariat entre services de santé au travail et centres d’examens de santé de l’assurance maladie (PREMTES)

Labbé¹,

Moulin²,

Fontana³

et al. 2012

Archives des Maladies Professionnelles et de l'Environnement

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Socioeconomic deprivation does not influence the severity of Crohnʼs disease

Abstract: In this study deprivation does not seem to influence the severity of CD. This can be explained by easy access to healthcare in France.

Cited by 42 publications

References 17 publications

Socioeconomic and psychological factors associated with nonadherence to treatment in inflammatory bowel disease patients

Socioeconomic and psychological factors associated with nonadherence to treatment in inflammatory bowel disease patients

Differences in healthcare expenditures for inflammatory bowel disease by insurance status, income, and clinical care setting

Agir pour la santé des « travailleurs vulnérables » : expérimentation d’un partenariat entre services de santé au travail et centres d’examens de santé de l’assurance maladie (PREMTES)

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