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Unplanned admissions for patients with myeloma in the UK: low frequency but high costs

Unplanned admissions for patients with myeloma in the UK: low frequency but high costs
Unplanned admissions for patients with myeloma in the UK: low frequency but high costs
Background
Multiple myeloma (MM) is associated with high healthcare resource utilisation and increasing hospitalisation rates. The aim of this study was to characterise the hospital use by patients with MM in the English National Health Service (NHS).

Methods
Routinely-collected aggregate data about all NHS-funded hospital admissions of patients with MM were analysed. Data were obtained from the English Hospital Episodes Statistics on admissions between 1 April 2014 and 31 March 2018.

Results
A total of 754,345 admissions were reported over four years, equivalent to a mean of 188,586 admissions per year. Of the 41,845 patients admitted during this period, 42% were women and 58% men. From the total admissions, 90% were elective and 10% unplanned. Mean annual estimated costs over the period were £46 million for elective and £56 million for unplanned admissions. The number of elective admissions increased by 4.5% with costs increasing 1.5% per year; for unplanned admissions, these figures were 4.1% and 9.0%, respectively.

Conclusions
MM is associated with a significant number of hospital admissions and NHS costs. The majority of the hospital admissions are elective, but the highest burden in terms of costs relates to unplanned admissions, with numbers increasing over time.
1-8
Kolovos, Spyros
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Nador, Guido
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Kishore, Bhuvan
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Streetly, Matthew
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Rabin, Neil K.
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Chantry, Andrew D.
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Yong, Kwee
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Ashcroft, John
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Bowcock, Stella
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Drayson, Mark T.
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Ramasamy, Karthik
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Prieto-Alhambra, Daniel
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Cooper, Cyrus
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Javaid, M Kassim
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Pinedo-Villanueva, Rafael
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Kolovos, Spyros
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Nador, Guido
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Kishore, Bhuvan
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Streetly, Matthew
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Rabin, Neil K.
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Chantry, Andrew D.
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Yong, Kwee
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Ashcroft, John
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Bowcock, Stella
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Drayson, Mark T.
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Ramasamy, Karthik
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Prieto-Alhambra, Daniel
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Cooper, Cyrus
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Javaid, M Kassim
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Pinedo-Villanueva, Rafael
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Kolovos, Spyros, Nador, Guido, Kishore, Bhuvan, Streetly, Matthew, Rabin, Neil K., Chantry, Andrew D., Yong, Kwee, Ashcroft, John, Bowcock, Stella, Drayson, Mark T., Ramasamy, Karthik, Prieto-Alhambra, Daniel, Cooper, Cyrus, Javaid, M Kassim and Pinedo-Villanueva, Rafael (2019) Unplanned admissions for patients with myeloma in the UK: low frequency but high costs. Journal of Bone Oncology, 1-8, [100243]. (doi:10.1016/j.jbo.2019.100243).

Record type: Article

Abstract

Background
Multiple myeloma (MM) is associated with high healthcare resource utilisation and increasing hospitalisation rates. The aim of this study was to characterise the hospital use by patients with MM in the English National Health Service (NHS).

Methods
Routinely-collected aggregate data about all NHS-funded hospital admissions of patients with MM were analysed. Data were obtained from the English Hospital Episodes Statistics on admissions between 1 April 2014 and 31 March 2018.

Results
A total of 754,345 admissions were reported over four years, equivalent to a mean of 188,586 admissions per year. Of the 41,845 patients admitted during this period, 42% were women and 58% men. From the total admissions, 90% were elective and 10% unplanned. Mean annual estimated costs over the period were £46 million for elective and £56 million for unplanned admissions. The number of elective admissions increased by 4.5% with costs increasing 1.5% per year; for unplanned admissions, these figures were 4.1% and 9.0%, respectively.

Conclusions
MM is associated with a significant number of hospital admissions and NHS costs. The majority of the hospital admissions are elective, but the highest burden in terms of costs relates to unplanned admissions, with numbers increasing over time.

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Multiple myeloma hospital use JBO v2 clean - Accepted Manuscript
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More information

Accepted/In Press date: 4 June 2019
e-pub ahead of print date: 7 June 2019
Published date: August 2019

Identifiers

Local EPrints ID: 432066
URI: http://eprints.soton.ac.uk/id/eprint/432066
PURE UUID: 5d8c59e4-c660-47aa-b2b7-87a7c2bc4859
ORCID for Cyrus Cooper: ORCID iD orcid.org/0000-0003-3510-0709

Catalogue record

Date deposited: 28 Jun 2019 16:30
Last modified: 26 Nov 2021 02:40

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Contributors

Author: Spyros Kolovos
Author: Guido Nador
Author: Bhuvan Kishore
Author: Matthew Streetly
Author: Neil K. Rabin
Author: Andrew D. Chantry
Author: Kwee Yong
Author: John Ashcroft
Author: Stella Bowcock
Author: Mark T. Drayson
Author: Karthik Ramasamy
Author: Daniel Prieto-Alhambra
Author: Cyrus Cooper ORCID iD
Author: M Kassim Javaid
Author: Rafael Pinedo-Villanueva

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