scholarly journals Understanding NHS hospital admissions in England: linkage of Hospital Episode Statistics to the Hertfordshire Cohort Study

2014 ◽  
Vol 43 (5) ◽  
pp. 653-660 ◽  
Author(s):  
Shirley J. Simmonds ◽  
Holly E. Syddall ◽  
Bronagh Walsh ◽  
Maria Evandrou ◽  
Elaine M. Dennison ◽  
...  
Keyword(s):  
Cohort Study ◽  
Hospital Admissions ◽  
Hospital Episode Statistics ◽  
Hospital Episode ◽  
Hertfordshire Cohort Study

Hospital admissions for dental treatment among children with cleft lip and/or palate born between 1997 and 2003: an analysis of Hospital Episode Statistics in England

2013 ◽  
Vol 24 (3) ◽  
pp. 200-208 ◽  
Author(s):  
Kate J. Fitzsimons ◽  
Lynn P. Copley ◽  
Jacqueline A. Smallridge ◽  
Victoria J. Clark ◽  
Jan H. van der Meulen ◽  
...  
Keyword(s):  
Cleft Lip ◽  
Hospital Admissions ◽  
Dental Treatment ◽  
Hospital Episode Statistics ◽  
Hospital Episode

scholarly journals Rates of knee arthroplasty in patients with a history of arthroscopic chondroplasty: results from a retrospective cohort study utilising the National Hospital Episode Statistics for England

BMJ Open ◽  
2020 ◽  
Vol 10 (4) ◽  
pp. e030609 ◽  
Author(s):  
Simon G F Abram ◽  
Antony J R Palmer ◽  
Andrew Judge ◽  
David J Beard ◽  
Andrew J Price
Keyword(s):  
Cohort Study ◽  
General Population ◽  
Knee Arthroplasty ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Cruciate Ligament ◽  
Hospital Episode Statistics ◽  
Cox Proportional Hazards Model ◽  
Hospital Episode ◽  
History Of

ObjectiveThe purpose of this study was to analyse the rate of knee arthroplasty in the population of patients with a history of arthroscopic chondroplasty of the knee, in England, over 10 years, with comparison to general population data for patients without a history of chondroplasty.DesignRetrospective cohort study.SettingEnglish Hospital Episode Statistics (HES) data.Participants and interventionsPatients undergoing arthroscopic chondroplasty in England between 2007/2008 and 2016/2017 were identified. Patients undergoing previous arthroscopic knee surgery or simultaneous cruciate ligament reconstruction or microfracture in the same knee were excluded.OutcomesPatients subsequently undergoing a knee arthroplasty in the same knee were identified and mortality-adjusted survival analysis was performed (survival without undergoing knee arthroplasty). A Cox proportional hazards model was used to identify factors associated with knee arthroplasty. Relative risk of knee arthroplasty (total or partial) in comparison to the general population was determined.ResultsThrough 2007 to 2017, 157 730 eligible chondroplasty patients were identified. Within 1 year, 5.91% (7984/135 197; 95% CI 5.78 to 6.03) underwent knee arthroplasty and 14.22% (8145/57 267; 95% CI 13.94 to 14.51) within 5 years. Patients aged over 30 years with a history of chondroplasty were 17.32 times (risk ratio; 95% CI 16.81 to 17.84) more likely to undergo arthroplasty than the general population without a history of chondroplasty.ConclusionsPatients with cartilage lesions of the knee, treated with arthroscopic chondroplasty, are at greater risk of subsequent knee arthroplasty than the general population and for a proportion of patients, there is insufficient benefit to prevent the need for knee arthroplasty within 1 to 5 years. These important new data will inform patients of the anticipated outcomes following this procedure. The risk in comparison to non-operative treatment remains unknown and there is an urgent need for a randomised clinical trial in this population.

Patterns and costs of hospital-based cancer care in the last year of life: A national data linkage study in England.

2021 ◽  
Vol 39 (15_suppl) ◽  
pp. e18769-e18769
Author(s):  
Xhyljeta Luta ◽  
Katharina Diernberger ◽  
Joanna Bowden ◽  
Joanne Droney ◽  
Peter S Hall ◽  
...  
Keyword(s):  
Health Care ◽  
End Of Life ◽  
Cancer Patients ◽  
Cancer Care ◽  
Hospital Admissions ◽  
Health Care Utilisation ◽  
Cost Of Care ◽  
Hospital Episode Statistics ◽  
Hospital Episode ◽  
Care Utilisation

e18769 Background: Delivery of high quality cancer care is associated with rising costs, both in earlier stages of the illness trajectory and at the end of life. A significant portion of the costs and health care utilisation occurs in the last year of life. Most publications to date have focused on costs in hospital. Little is known about the costs of care for cancer patients across the entire health service. The aim was to examine primary, secondary and acute health care utilisation and cost in the last 12 months of life and how these differ by cancer diagnosis and other patient characteristics among decedent patients aged 60 and over. Methods: We conducted a retrospective cohort study of people aged 60 years and over (N=26,077) who died in England between 2010 and 2017. We used routinely collected and linked data from primary care (Clinical Practice Research Datalink (CPRD) secondary and acute care, (Hospital Episode Statistics (HES), and death data (Office for National Statistics (ONS)). This provided a nationally representative sample of the English population. We analysed of healthcare utilisation and resource use amongst decedents by gender, primary cause of death, age, geography, socio-economic status and comorbidities. Results: Overall, 90.2 % of the cancer decedents were admitted in the hospital at least once in the last 12 months of life. About 50% of patients we admitted to hospital in the last month of life with 37.6 being admitted to the hospital more than once in the last month of life. The health care utilisation and costs increased sharply in the last month of life. life. The mean number of hospital admissions in the last year of life was 3.7 (SD, 5.8). Those dying of haematological cancers (N=2093) had highest number of hospital admissions (mean:7.2, SD:10.8) and longer average hospital stay (mean:36.7, SD:33.0) (mean:12.0, SD:14.4). Use of outpatient services was highest in the group dying of haematological cancers (mean:12.0, SD:14.4) whereas those dying of prostate cancer (N= 2197) had higher number of emergency (mean:2.0, SD: 1.9) and GP visits (mean:30.8, SD: 20.7). Healthcare costs were highest among haematological cancers and lowest among those dying of breast cancer. Proximity to death and comorbidities were the main contributors of end-of-life care health care utilisation and costs. Conclusions: This study uses large linked datasets (linked to the whole spectrum of hospital episode statistics) providing a comprehensive picture of healthcare services accessed by cancer patients at end of life in England. There is significant variation in use and cost of care for cancer patients in the last year and month of life. Further analysis of variation according to hospice, palliative, and social care service provision may identify strategies to address this variation.

scholarly journals Evaluating record linkage of birth registration and notification records to Hospital Episode Statistics: Singleton births in 2005 and 2006 across England

2019 ◽  
Vol 4 (3) ◽  
Author(s):  
Victoria Coathup ◽  
Alison Macfarlane ◽  
Maria Quigley
Keyword(s):  
External Validity ◽  
Hospital Admissions ◽  
Economic Status ◽  
Deterministic Algorithm ◽  
Hospital Episode Statistics ◽  
Birth Registration ◽  
Hospital Episode ◽  
Birth Records ◽  
Administrative Datasets

Background with rationaleLinked administrative datasets are particularly useful within the field of perinatal epidemiology. By linking multiple datasets, researchers can create longitudinal datasets, which allow them to explore research questions relating to early exposures and outcomes later in life. Main AimThe aims of this study were to describe the methods used to deal with duplicate hospital admission records, assess the quality of linkage between babies birth registration records and subsequent hospital admissions, and to evaluate the potential bias that may be introduced as a result of these methods. MethodsThree routinely collected datasets were linked for use within this study and included data from birth registration, NHS Numbers for Babies (NN4B) and Hospital Episode Statistics (HES) for babies born in England between 1st January 2005 and 31st December 2006. A number of stages to cleaning were undertaken, including dealing with duplicate HES records and assessing the quality of the linkage using a deterministic algorithm. Internal and external validity was also assessed. ResultsThere were a total of 1,170,970 live, singleton births, occurring in NHS hospitals, to mothers who normally reside in England in 2005 and 2006 combined. Of these, approximately 92% were successfully linked with a HES birth record. Data quality was somewhat poorer in HES birth records compared to birth registration and NN4B. The quality assurance algorithms identified 1,456 incorrect linkages (<1%) and examination of external validity identified children that were not linked were slightly more likely to be born to mothers who were older and of higher socio-economic status. ConclusionIt is possible to create valuable longitudinal datasets allowing researchers to explore important questions about exposures and childhood outcomes using administrative datasets, however, missing data and coding errors and inconsistencies mean it is important that the quality of linkage is assessed prior to analysis.

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