Management of immune thrombocytopenia in adults: a population‐based analysis of the French hospital discharge database from 2009 to 2012

Summary The present study describes the current clinical practice and hospital management of adults with immune thrombocytopenia (ITP) between 2009 and 2012 in France, based on the national discharge hospital database. Adult ITP patients were managed almost exclusively in public hospitals. A relativ...

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Veröffentlicht in:British journal of haematology 2015-07, Vol.170 (2), p.218-222
Hauptverfasser: Michel, Marc, Suzan, Florence, Adoue, Daniel, Bordessoule, Dominique, Marolleau, Jean‐Pierre, Viallard, Jean‐François, Godeau, Bertrand
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container_end_page 222
container_issue 2
container_start_page 218
container_title British journal of haematology
container_volume 170
creator Michel, Marc
Suzan, Florence
Adoue, Daniel
Bordessoule, Dominique
Marolleau, Jean‐Pierre
Viallard, Jean‐François
Godeau, Bertrand
description Summary The present study describes the current clinical practice and hospital management of adults with immune thrombocytopenia (ITP) between 2009 and 2012 in France, based on the national discharge hospital database. Adult ITP patients were managed almost exclusively in public hospitals. A relatively stable number of patients, around 3200 per year, were hospitalized for ITP annually over the 4‐year period, about two‐thirds of whom were newly‐diagnosed ITP. Re‐hospitalizations tended to decrease over the study period. Intravenous immunoglobulin administration, concerning half of ITP hospitalized patients, and rituximab administration were stable over time, whereas a slight decrease of splenectomies was observed.
doi_str_mv 10.1111/bjh.13415
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Adult ITP patients were managed almost exclusively in public hospitals. A relatively stable number of patients, around 3200 per year, were hospitalized for ITP annually over the 4‐year period, about two‐thirds of whom were newly‐diagnosed ITP. Re‐hospitalizations tended to decrease over the study period. Intravenous immunoglobulin administration, concerning half of ITP hospitalized patients, and rituximab administration were stable over time, whereas a slight decrease of splenectomies was observed.</description><identifier>ISSN: 0007-1048</identifier><identifier>EISSN: 1365-2141</identifier><identifier>DOI: 10.1111/bjh.13415</identifier><identifier>PMID: 25824587</identifier><language>eng</language><publisher>England</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Antibodies, Monoclonal, Murine-Derived - therapeutic use ; Databases, Factual ; Disease Management ; Female ; France - epidemiology ; health services research ; Hemorrhage - etiology ; Hospital Mortality ; Hospitalization ; Humans ; immune thrombocytopenia ; immunoglobulin ; Immunoglobulins, Intravenous - therapeutic use ; Male ; Middle Aged ; Population Surveillance ; Prognosis ; Purpura, Thrombocytopenic, Idiopathic - complications ; Purpura, Thrombocytopenic, Idiopathic - epidemiology ; Purpura, Thrombocytopenic, Idiopathic - therapy ; Retrospective Studies ; Rituximab ; Splenectomy ; Treatment Outcome ; Young Adult</subject><ispartof>British journal of haematology, 2015-07, Vol.170 (2), p.218-222</ispartof><rights>2015 John Wiley &amp; Sons Ltd</rights><rights>2015 John Wiley &amp; Sons Ltd.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4305-4bc76d47149c87b2d8249509ae7d176940cd8278a5a05da6ffc76d79d6780623</citedby><cites>FETCH-LOGICAL-c4305-4bc76d47149c87b2d8249509ae7d176940cd8278a5a05da6ffc76d79d6780623</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fbjh.13415$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fbjh.13415$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,778,782,1414,1430,27907,27908,45557,45558,46392,46816</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25824587$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Michel, Marc</creatorcontrib><creatorcontrib>Suzan, Florence</creatorcontrib><creatorcontrib>Adoue, Daniel</creatorcontrib><creatorcontrib>Bordessoule, Dominique</creatorcontrib><creatorcontrib>Marolleau, Jean‐Pierre</creatorcontrib><creatorcontrib>Viallard, Jean‐François</creatorcontrib><creatorcontrib>Godeau, Bertrand</creatorcontrib><title>Management of immune thrombocytopenia in adults: a population‐based analysis of the French hospital discharge database from 2009 to 2012</title><title>British journal of haematology</title><addtitle>Br J Haematol</addtitle><description>Summary The present study describes the current clinical practice and hospital management of adults with immune thrombocytopenia (ITP) between 2009 and 2012 in France, based on the national discharge hospital database. 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Intravenous immunoglobulin administration, concerning half of ITP hospitalized patients, and rituximab administration were stable over time, whereas a slight decrease of splenectomies was observed.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Antibodies, Monoclonal, Murine-Derived - therapeutic use</subject><subject>Databases, Factual</subject><subject>Disease Management</subject><subject>Female</subject><subject>France - epidemiology</subject><subject>health services research</subject><subject>Hemorrhage - etiology</subject><subject>Hospital Mortality</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>immune thrombocytopenia</subject><subject>immunoglobulin</subject><subject>Immunoglobulins, Intravenous - therapeutic use</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Population Surveillance</subject><subject>Prognosis</subject><subject>Purpura, Thrombocytopenic, Idiopathic - complications</subject><subject>Purpura, Thrombocytopenic, Idiopathic - epidemiology</subject><subject>Purpura, Thrombocytopenic, Idiopathic - therapy</subject><subject>Retrospective Studies</subject><subject>Rituximab</subject><subject>Splenectomy</subject><subject>Treatment Outcome</subject><subject>Young Adult</subject><issn>0007-1048</issn><issn>1365-2141</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kL9OwzAQhy0EgvJn4AWQRxhS7MSOEzaoKAUVsXSPLrHTGCVxiB2hbsxMPCNPgkOBDS8nWd99d_dD6JSSKfXvMn-upjRilO-gCY1iHoSU0V00IYSIgBKWHKBDa58JoRHhdB8dhDwJGU_EBL0_Qgtr1ajWYVNi3TRDq7CretPkptg406lWA9YtBjnUzl5hwJ3phhqcNu3n20cOVknsJfXGajs6XKXwvFdtUeHK2E47qLHUtqigXysswcHYg0s_AoeEpNgZX2l4jPZKqK06-alHaDW_Xc0WwfLp7n52vQwK5tcPWF6IWDJBWVokIg-lPyXlJAUlJBVxykjhv0QCHAiXEJflyItUxiIhcRgdofOttuvNy6Csyxq_nKpraJUZbEbjNBKU8GhEL7Zo0Rtre1VmXa8b6DcZJdmYfOaTz76T9-zZj3bIGyX_yN-oPXC5BV51rTb_m7Kbh8VW-QVEMI3P</recordid><startdate>201507</startdate><enddate>201507</enddate><creator>Michel, Marc</creator><creator>Suzan, Florence</creator><creator>Adoue, Daniel</creator><creator>Bordessoule, Dominique</creator><creator>Marolleau, Jean‐Pierre</creator><creator>Viallard, Jean‐François</creator><creator>Godeau, Bertrand</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201507</creationdate><title>Management of immune thrombocytopenia in adults: a population‐based analysis of the French hospital discharge database from 2009 to 2012</title><author>Michel, Marc ; Suzan, Florence ; Adoue, Daniel ; Bordessoule, Dominique ; Marolleau, Jean‐Pierre ; Viallard, Jean‐François ; Godeau, Bertrand</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4305-4bc76d47149c87b2d8249509ae7d176940cd8278a5a05da6ffc76d79d6780623</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Antibodies, Monoclonal, Murine-Derived - therapeutic use</topic><topic>Databases, Factual</topic><topic>Disease Management</topic><topic>Female</topic><topic>France - epidemiology</topic><topic>health services research</topic><topic>Hemorrhage - etiology</topic><topic>Hospital Mortality</topic><topic>Hospitalization</topic><topic>Humans</topic><topic>immune thrombocytopenia</topic><topic>immunoglobulin</topic><topic>Immunoglobulins, Intravenous - therapeutic use</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Population Surveillance</topic><topic>Prognosis</topic><topic>Purpura, Thrombocytopenic, Idiopathic - complications</topic><topic>Purpura, Thrombocytopenic, Idiopathic - epidemiology</topic><topic>Purpura, Thrombocytopenic, Idiopathic - therapy</topic><topic>Retrospective Studies</topic><topic>Rituximab</topic><topic>Splenectomy</topic><topic>Treatment Outcome</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Michel, Marc</creatorcontrib><creatorcontrib>Suzan, Florence</creatorcontrib><creatorcontrib>Adoue, Daniel</creatorcontrib><creatorcontrib>Bordessoule, Dominique</creatorcontrib><creatorcontrib>Marolleau, Jean‐Pierre</creatorcontrib><creatorcontrib>Viallard, Jean‐François</creatorcontrib><creatorcontrib>Godeau, Bertrand</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>British journal of haematology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Michel, Marc</au><au>Suzan, Florence</au><au>Adoue, Daniel</au><au>Bordessoule, Dominique</au><au>Marolleau, Jean‐Pierre</au><au>Viallard, Jean‐François</au><au>Godeau, Bertrand</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Management of immune thrombocytopenia in adults: a population‐based analysis of the French hospital discharge database from 2009 to 2012</atitle><jtitle>British journal of haematology</jtitle><addtitle>Br J Haematol</addtitle><date>2015-07</date><risdate>2015</risdate><volume>170</volume><issue>2</issue><spage>218</spage><epage>222</epage><pages>218-222</pages><issn>0007-1048</issn><eissn>1365-2141</eissn><abstract>Summary The present study describes the current clinical practice and hospital management of adults with immune thrombocytopenia (ITP) between 2009 and 2012 in France, based on the national discharge hospital database. Adult ITP patients were managed almost exclusively in public hospitals. A relatively stable number of patients, around 3200 per year, were hospitalized for ITP annually over the 4‐year period, about two‐thirds of whom were newly‐diagnosed ITP. Re‐hospitalizations tended to decrease over the study period. Intravenous immunoglobulin administration, concerning half of ITP hospitalized patients, and rituximab administration were stable over time, whereas a slight decrease of splenectomies was observed.</abstract><cop>England</cop><pmid>25824587</pmid><doi>10.1111/bjh.13415</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; Wiley Online Library Journals Frontfile Complete; Wiley Free Content
subjects Adolescent
Adult
Aged
Aged, 80 and over
Antibodies, Monoclonal, Murine-Derived - therapeutic use
Databases, Factual
Disease Management
Female
France - epidemiology
health services research
Hemorrhage - etiology
Hospital Mortality
Hospitalization
Humans
immune thrombocytopenia
immunoglobulin
Immunoglobulins, Intravenous - therapeutic use
Male
Middle Aged
Population Surveillance
Prognosis
Purpura, Thrombocytopenic, Idiopathic - complications
Purpura, Thrombocytopenic, Idiopathic - epidemiology
Purpura, Thrombocytopenic, Idiopathic - therapy
Retrospective Studies
Rituximab
Splenectomy
Treatment Outcome
Young Adult
title Management of immune thrombocytopenia in adults: a population‐based analysis of the French hospital discharge database from 2009 to 2012
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