L’état de santé des populations des départements d’outre-mer en 2012, comparativement à la métropole : une analyse de la base nationale de l’Assurance maladie

Filipović-Pierucci, Antoine; Rigault, Alexandre; Fagot-Campagna, A.; Tuppin, Philippe

doi:10.1016/j.respe.2016.01.099

Cited by 22 publications

(6 citation statements)

References 13 publications

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“…Survivors were followed throughout the SNDS until December 2016 or death. We excluded survivors who lived outside metropolitan France during follow-up due to the difference in the health insurance system, characteristics of the population and funding of care in French overseas territories [ 16 ].…”

Section: Methodsmentioning

confidence: 99%

Health care expenditures among long-term survivors of pediatric solid tumors: Results from the French Childhood Cancer Survivor Study (FCCSS) and the French network of cancer registries (FRANCIM)

Bejarano-Quisoboni

Pelletier‐Fleury²,

Allodji³

et al. 2022

PLoS ONE

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Background Childhood cancer survivors (CCS) may require lifelong medical care due to late effects of cancer treatments. Little is known about of their healthcare utilization and expenditures at long-term especially in publicly funded health care system. We aim to estimate and describe the health care expenditures among long-term CCS in France. Methods A total of 5319 five-year solid CCS diagnosed before the age of 21 between 1945 and 2000 in France were identified in the French Childhood Cancer Survivors Study cohort (FCCSS) and the French cancer registry. Information about health care expenditure was taken from the French national health data system between 2011 and 2016, and was described according to survivors’ characteristics. Generalized linear models were used to determine associations between health care expenditures and survivors’ characteristics. Results Mean annual amount of healthcare expenditures was € 4,255. Expenditures on hospitalizations and pharmacy represents 60% of total expenditures. Mean annual of healthcare expenditures were higher at increasing age, among women survivors (€ 4,795 vs € 3,814 in men) and in central nervous system (CNS) tumor survivors (€ 7,116 vs € 3,366 in lymphoma and € 3,363 in other solid tumor survivors). Conclusions Childhood cancer survivorship is associated with a substantial economic burden in France. We found that female gender and CNS primary cancer were associated with increased healthcare expenditures.

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Section: Methodsmentioning

confidence: 99%

Health care expenditures among long-term survivors of pediatric solid tumors: Results from the French Childhood Cancer Survivor Study (FCCSS) and the French network of cancer registries (FRANCIM)

Bejarano-Quisoboni

Pelletier‐Fleury²,

Allodji³

et al. 2022

PLoS ONE

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“…Women born outside France were less likely to undergo blood tests, because they more frequently refused such testing, even if their antenatal care was adequate. Livebirths affected by DS are more frequent in FOT, where deprivation is more frequent 33 than on the mainland, particularly for the youngest age groups. FOT also have specific cultural characteristics, higher rates of migration and refusal of testing, even in situations in which perinatal care is adequate, and there are differences between FOT.…”

Section: Discussionmentioning

confidence: 99%

A French nationwide study compared various conditions and healthcare use of individuals < 65 years with a Down’s syndrome to those without

Tuppin,

Barthelemy,

Debeugny

et al. 2023

Sci Rep

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Few regular national clinical data are available for individuals with Down’s syndrome (IDS) bearing in mind that they are subject to countries variations in medical termination of pregnancy and screening. Individuals < 65 in 2019 were selected in view of the low number of older IDS. Thus, 98% of 52.4 million people with correct data were included from the national health data system. IDS (35,342) were identified on the basis of the International Classification of Diseases 10th revision code (Q90). Risk ratios (RR) were calculated to compare the frequencies in 2019 between IDS and individual without Down’s syndrome (IWDS) of use of health care. The prevalence of IDS was 0.07% (48% women), comorbidities were more frequent, especially in younger patients (24% < 1 year had another comorbidity, RR = 20), as was the percentage of deaths (4.6%, RR = 10). Overall, tumours were less frequent in IDS compared with IWDS (1.2%, RR = 0.7) except for certain leukaemias and testicular tumours (0.3%, RR = 4). Cardiac malformations (5.2%, RR = 52), dementia (1.2%, RR = 29), mental retardation (5%, RR = 21) and epilepsy (4%, RR = 9) were also more frequent in IDS. The most frequent hospital diagnoses for IDS were: aspiration pneumonia (0.7%, RR = 89), respiratory failure (0.4%, RR = 17), sleep apnoea (1.1%, RR = 8), cryptorchidism (0.3%, RR = 5.9), protein-energy malnutrition (0.1%, RR = 7), type 1 diabetes (0.2%, RR = 2.8) and hypothyroidism (0.1%, RR = 72). IDS were more likely to use emergency services (9%, RR = 2.4), short hospital stay (24%, RR = 1.6) or hospitalisation at home (0.6%, RR = 6). They consulted certain specialists two to three times more frequently than IWDS, for example cardiologists (17%, RR = 2.6). This study is the first detailed national study comparing IDS and non-IDS by age group. These results could help to optimize prenatal healthcare, medical and social support.

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“…The comprehensiveness of reimbursement data and their coverage enable spatial and temporal calculations at the regional level. 24 25 Accordingly, subnational surveillance is possible and standardised rates can be used to compare different areas. In this study the highest rates of syphilis were observed for French overseas territories, whereas the ResIST sentinel network currently underestimates the burden of the epidemic in those areas.…”

Section: Discussionmentioning

confidence: 99%

Relevance of healthcare reimbursement data to monitor syphilis epidemic: an alternative surveillance through the national health insurance database in France, 2011–2013

et al. 2018

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ObjectiveIn France, surveillance of early syphilis (primary, secondary and early latent) relies on the clinician-based ResIST sentinel network. Although ResIST enables the monitoring of trends, a complete picture of the syphilis epidemic is not possible. More specifically, cases reported by this network are mostly diagnosed in free sexually transmitted infection clinics and hospitals (75% and 24%, respectively). This study aims to estimate the number and rate of diagnoses made outside these health facilities by exploring health insurance data.MethodsAn algorithm combining healthcare reimbursements for specific diagnostic tests and recommended treatment was fitted to identify syphilis cases. Sensitivity analyses were used to validate the algorithm. Age-standardised and gender-standardised diagnosis rates were estimated using census data.ResultsBetween 2011 and 2013, 12 644 (7.5 cases per 100 000 inhabitants) reimbursements were made for syphilis-related diagnoses. The annual number of cases increased by 22% from 2011 (n=3771, rate=6.7/100 000) to 2013 (n=4589, rate=8.2/100 000). The rate of syphilis diagnosis increased in men from 12.9/100 000 to 16.0/100 000, while it remained steady in women at approximately 1.8/100 000. The disease burden was greatest in French overseas territories (18.1/100 000) and in the Paris area (11.7 cases/100 000).ConclusionDespite the lack of data on the number of confirmed diagnoses and information on sexual behaviour, these findings demonstrate the relevance of analysing insurance data to help monitor the syphilis epidemic in patients who visit general practitioners and non-hospital-based specialists. Thus, reimbursement database might be a relevant alternative source of continuous information on syphilis in countries with similar insurance-based healthcare systems.

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L’état de santé des populations des départements d’outre-mer en 2012, comparativement à la métropole : une analyse de la base nationale de l’Assurance maladie

Cited by 22 publications

References 13 publications

Health care expenditures among long-term survivors of pediatric solid tumors: Results from the French Childhood Cancer Survivor Study (FCCSS) and the French network of cancer registries (FRANCIM)

Health care expenditures among long-term survivors of pediatric solid tumors: Results from the French Childhood Cancer Survivor Study (FCCSS) and the French network of cancer registries (FRANCIM)

A French nationwide study compared various conditions and healthcare use of individuals < 65 years with a Down’s syndrome to those without

Relevance of healthcare reimbursement data to monitor syphilis epidemic: an alternative surveillance through the national health insurance database in France, 2011–2013

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