Comorbidity Patterns Among Patients with Peripheral Arterial Occlusive Disease in Germany: A Trend Analysis of Health Insurance Claims Data
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Comorbidity Patterns Among Patients with Peripheral Arterial Occlusive Disease in Germany: A Trend Analysis of Health Insurance Claims Data : Editor's Choice. / Kreutzburg, Thea; Peters, Frederik; Rieß, Henrik C; Hischke, Sandra; Marschall, Ursula; Kriston, Levente; L'Hoest, Helmut; Sedrakyan, Art; Debus, Eike S; Behrendt, Christian-Alexander.
In: EUR J VASC ENDOVASC, Vol. 59, No. 1, 01.2020, p. 59-66.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Comorbidity Patterns Among Patients with Peripheral Arterial Occlusive Disease in Germany: A Trend Analysis of Health Insurance Claims Data
T2 - Editor's Choice
AU - Kreutzburg, Thea
AU - Peters, Frederik
AU - Rieß, Henrik C
AU - Hischke, Sandra
AU - Marschall, Ursula
AU - Kriston, Levente
AU - L'Hoest, Helmut
AU - Sedrakyan, Art
AU - Debus, Eike S
AU - Behrendt, Christian-Alexander
N1 - Copyright © 2019 The Author(s). Published by Elsevier B.V. All rights reserved.
PY - 2020/1
Y1 - 2020/1
N2 - OBJECTIVE: Patients suffering from peripheral arterial occlusive disease (PAOD) are a central target population for multidisciplinary vascular medicine. This study aimed to highlight trends in treatment patterns and comorbidities using up to date longitudinal patient related data from Germany.METHODS: This study is a retrospective health insurance claims data analysis of patients insured by the second largest health insurance provider in Germany, BARMER. All PAOD patient hospitalisations between 2008 and 2016 were included. The comorbidities were categorised with Elixhauser groups using WHO ICD-10 codes and summarised as the linear van Walraven score (vWS). A trend analysis of the comorbidities was performed after standardisation by age and sex.RESULTS: A total of 156 217 patients underwent 202 961 hospitalisations (49.4% for chronic limb threatening ischaemia in 2016) with PAOD during the study period. Although the estimated annual incidence of PAOD among the BARMER cohort decreased slightly (- 4.4%), an increase was observed in the prevalence of PAOD (+ 23.1%), number of hospitalisations (+ 25.1%), peripheral vascular interventions (PVI, + 61.1%), and disease related reimbursement costs (+ 31%) from 2008 to 2016. Meanwhile, the number of major amputations decreased (- 15.1%). The proportion of patients aged 71-80 years increased about +10% among PAOD patients and the mean vWS also increased by two points during the study period. Considerable increases were found in the rates of hypertension, renal failure, and hypothyroidism, whereas the rates of diabetes and congestive heart failure decreased over time.CONCLUSION: Increasing numbers of PVI performed on these ageing and sicker patients lead to rising costs but correlate with decreasing major amputation rates.
AB - OBJECTIVE: Patients suffering from peripheral arterial occlusive disease (PAOD) are a central target population for multidisciplinary vascular medicine. This study aimed to highlight trends in treatment patterns and comorbidities using up to date longitudinal patient related data from Germany.METHODS: This study is a retrospective health insurance claims data analysis of patients insured by the second largest health insurance provider in Germany, BARMER. All PAOD patient hospitalisations between 2008 and 2016 were included. The comorbidities were categorised with Elixhauser groups using WHO ICD-10 codes and summarised as the linear van Walraven score (vWS). A trend analysis of the comorbidities was performed after standardisation by age and sex.RESULTS: A total of 156 217 patients underwent 202 961 hospitalisations (49.4% for chronic limb threatening ischaemia in 2016) with PAOD during the study period. Although the estimated annual incidence of PAOD among the BARMER cohort decreased slightly (- 4.4%), an increase was observed in the prevalence of PAOD (+ 23.1%), number of hospitalisations (+ 25.1%), peripheral vascular interventions (PVI, + 61.1%), and disease related reimbursement costs (+ 31%) from 2008 to 2016. Meanwhile, the number of major amputations decreased (- 15.1%). The proportion of patients aged 71-80 years increased about +10% among PAOD patients and the mean vWS also increased by two points during the study period. Considerable increases were found in the rates of hypertension, renal failure, and hypothyroidism, whereas the rates of diabetes and congestive heart failure decreased over time.CONCLUSION: Increasing numbers of PVI performed on these ageing and sicker patients lead to rising costs but correlate with decreasing major amputation rates.
KW - Administrative Claims, Healthcare/statistics & numerical data
KW - Age Factors
KW - Aged
KW - Aged, 80 and over
KW - Amputation/statistics & numerical data
KW - Comorbidity/trends
KW - Diabetes Mellitus
KW - Female
KW - Germany/epidemiology
KW - Health Care Costs/statistics & numerical data
KW - Heart Failure/epidemiology
KW - Hospitalization/economics
KW - Humans
KW - Hypertension/epidemiology
KW - Hypothyroidism/epidemiology
KW - Incidence
KW - Longitudinal Studies
KW - Male
KW - Middle Aged
KW - Peripheral Arterial Disease/economics
KW - Prevalence
KW - Renal Insufficiency/epidemiology
KW - Retrospective Studies
KW - Risk Factors
KW - Treatment Outcome
KW - Vascular Surgical Procedures/economics
U2 - 10.1016/j.ejvs.2019.08.006
DO - 10.1016/j.ejvs.2019.08.006
M3 - SCORING: Journal article
C2 - 31744786
VL - 59
SP - 59
EP - 66
JO - EUR J VASC ENDOVASC
JF - EUR J VASC ENDOVASC
SN - 1078-5884
IS - 1
ER -
