scholarly journals Increased health care utilization among long-term cancer survivors compared to the average Dutch population: A population-based study

2007 ◽  
Vol 121 (4) ◽  
pp. 871-877 ◽  
Author(s):  
Floortje Mols ◽  
Kazimier A. Helfenrath ◽  
Ad J.J.M. Vingerhoets ◽  
Jan Willem W. Coebergh ◽  
Lonneke V. van de Poll-Franse
Keyword(s):  
Health Care ◽  
Health Care Utilization ◽  
Cancer Survivors ◽  
Population Based ◽  
Care Utilization ◽  
Dutch Population ◽  
Population Based Study

scholarly journals High rates of health care utilization in pediatric multiple sclerosis: A Canadian population-based study

PLoS ONE ◽  
2019 ◽  
Vol 14 (6) ◽  
pp. e0218215 ◽  
Author(s):  
Ruth Ann Marrie ◽  
Julia O’Mahony ◽  
Colleen J. Maxwell ◽  
Vicki Ling ◽  
E. Ann Yeh ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Health Care ◽  
Health Care Utilization ◽  
Population Based ◽  
Care Utilization ◽  
Population Based Study ◽  
Pediatric Multiple Sclerosis ◽  
Canadian Population

Childhood, adolescent, and young adult cancer survivors (CAYACS) research program of British Columbia: Data linkage: Results to date

2009 ◽  
Vol 27 (15_suppl) ◽  
pp. 9555-9555
Author(s):  
P. C. Rogers ◽  
M. Lorenzi ◽  
A. Broemeling ◽  
V. Glickman ◽  
K. Goddard ◽  
...  
Keyword(s):  
Health Care ◽  
British Columbia ◽  
Health Care Utilization ◽  
Educational Outcomes ◽  
Data Linkage ◽  
Population Based ◽  
Care Utilization ◽  
Late Mortality ◽  
Late Morbidity

9555 Background: Long-term survivors of childhood and adolescent cancers are at risk for late mortality and morbidity. Using database linkages we assessed the extent of these issues and health care utilization in a population based cohort in British Columbia. Methods: Retrospective cohorts of 3,483 survivors (>5 years from diagnosis), and representative comparison groups, have been identified from population-based registries. Linkages were made with administrative databases of risk factors and outcomes. Late mortality, second cancers, late morbidity, health services utilization, continuity of care, and educational outcomes, among those diagnosed before age 20 between 1970 to 1995, and followed to 2000, have been examined. Results: Survivors experienced a 9-fold increase in mortality (SMR 9.1, 95% CI 7.8–10.5). Risk of developing a second cancer was 5 times higher than in the general population (SIR 5.0, 95% CI 3.8–6.5). Survivors had three times the odds of being hospitalized (OR 2.97, 95% CI 2.56–3.45) in a three-year period (1998–2000). Survivors were significantly more likely than the population group to consult any physician (excluding oncologists) (adj. RR 1.61, 95% CI 1.51–1.70). Survivors were found to experience a drop in continuity of primary health care as they aged and transitioned into adult care. Survivors were significantly more likely than their peers to receive special education (32.5% vs. 14.1%), most significantly among CNS survivors who received cranial irradiation. Conclusions: Survivors of childhood and adolescent cancers have severe long term health issues and increased health care utilization. Survivors of CNS tumors were at highest risk of poor health and educational outcomes measured. Data linkage provides useful insights for survivorship research. No significant financial relationships to disclose.

scholarly journals Health care utilization in non-traumatic and traumatic spinal cord injury: a population-based study

Spinal Cord ◽  
2009 ◽  
Vol 48 (1) ◽  
pp. 45-50 ◽  
Author(s):  
S J T Guilcher ◽  
S E P Munce ◽  
C M Couris ◽  
K Fung ◽  
B C Craven ◽  
...  
Keyword(s):  
Health Care ◽  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Health Care Utilization ◽  
Population Based ◽  
Care Utilization ◽  
Traumatic Spinal Cord Injury ◽  
Population Based Study ◽  
Cord Injury
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