logo BDSP

Base documentaire


Votre avis nous intéresse

Le réseau BDSP met en oeuvre un projet d'innovation et d'amélioration de ses services, dans le souci constant de proposer des contenus de qualité adaptés aux besoins des utilisateurs.

Identifier de nouvelles sources de financements est la condition nécessaire pour assurer la poursuite et la pérennité de cet outil unique qu'est la BDSP, tout en le faisant évoluer.

Pour définir un nouveau modèle économique, nous avons besoin de votre avis : merci de répondre à notre enquête (temps estimé : 5 minutes).

Participer maintenant
Participer plus tard J'ai déjà participé

  1. The relationship between insurance class and severity of presentation of inflammatory bowel disease in children.

    Article - En anglais

    Objective 

    To determine whether there is an association between insurance class and the severity of presentation of inflammatory bowel disease in children.

    Methods 

    Twenty underinsured children were computer-matched with 20 children with private insurance with regard to diagnosis and age but without regard to severity of disease from a pool of 63 patients (20 underinsured patients and 43 insured patients).

    We compared four patient-reported parameters and eight laboratory values.

    Results 

    There were 22 patients with Crohn's disease (11 underinsured and 11 insured) and 18 patients with ulcerative colitis (nine underinsured and nine insured), with a mean age at diagnosis of 13.7 ± 4.2 yr in the underinsured and 13.4 ± 3.8 yr in the privately insured patients.

    Patients in the underinsured category had more than 2.5 times the weight loss of the privately insured patients (20.0 ± 13.9 vs. 7.8 ± 8.6, p<0.005) and longer delay in months (10.3 ± 10.9 vs. 2.7 ± 2.6, p<0.005) before the diagnosis was made.

    Laboratory data in the underinsured children indicated that they were more ill at time of presentation than the insured patients.

    Conclusion 

    Underinsured children have clinical and laboratory parameters that indicate that their disease is more severe at presentation than privately insured patients.

    We postulate that this is partly related to the fact that underinsured patients have inferior access to quality healthcare when compared to privately in.

    Mots-clés Pascal : Entérite Crohn, Rectocolite ulcérohémorragique, Protection sociale, Complication, Corrélation, Enfant, Homme, Appareil digestif pathologie, Intestin pathologie, Maladie inflammatoire

    Mots-clés Pascal anglais : Crohn disease, Ulcerative colitis, Welfare aids, Complication, Correlation, Child, Human, Digestive diseases, Intestinal disease, Inflammatory disease

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 95-0366846

    Code Inist : 002B30A01B. Création : 01/03/1996.