Psychiatry outpatient visits by atopic dermatitis patients varying in the complexity of their prescriptions A nationwide cohort study conducted from 2005 to 2013

Jaeyong Shin, Young Choi, Eun Cheol Park, Kwang Hoon Lee, Seo Young Hwang, Sang Ho Oh, Sang Gyu Lee

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

The uncomfortable symptoms of atopic dermatitis (AD) often trigger psychological stress. We investigated the association between AD severity and outpatient visits to psychiatrists using Korean National Health Insurance claims data from 2004 to 2013. This was a retrospective cohort analysis; we estimated hazard ratios (HRs). Of the 266,182 subjects, 18,290 (6.9%) had a history of visiting a psychiatrist, and 25,419 (9.5%) were diagnosed with AD. Compared with the subjects without AD, subjects with AD had a higher HR for visiting a psychiatrist (3.70, 95% confidence interval [CI]:48 3.43-3.98), and this significantly increased as the complexity of the AD medications increased. Subjects who received topical treatments plus a systematic steroid (HR: 4.88, 95% CI: 4.51-5.27) and those who received topical treatments plus a systematic steroid plus a systematic calcineurin inhibitor (HR: 9.56, 95% CI: 4.29-21.28) had higher HRs compared with those without AD. Severe AD patients exhibited greater psychological stress than those without AD or with mild AD symptoms. Moreover, medication diversity may represent an efficient and low-cost method by which to identify a vulnerable population.

Original languageEnglish
Pages (from-to)e5411
JournalMedicine (United States)
Volume95
Issue number49
DOIs
Publication statusPublished - 2016 Jan 1

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Atopic Dermatitis
Prescriptions
Psychiatry
Cohort Studies
Outpatients
Confidence Intervals
Psychological Stress
Steroids
National Health Programs
Vulnerable Populations
Costs and Cost Analysis

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

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title = "Psychiatry outpatient visits by atopic dermatitis patients varying in the complexity of their prescriptions A nationwide cohort study conducted from 2005 to 2013",
abstract = "The uncomfortable symptoms of atopic dermatitis (AD) often trigger psychological stress. We investigated the association between AD severity and outpatient visits to psychiatrists using Korean National Health Insurance claims data from 2004 to 2013. This was a retrospective cohort analysis; we estimated hazard ratios (HRs). Of the 266,182 subjects, 18,290 (6.9{\%}) had a history of visiting a psychiatrist, and 25,419 (9.5{\%}) were diagnosed with AD. Compared with the subjects without AD, subjects with AD had a higher HR for visiting a psychiatrist (3.70, 95{\%} confidence interval [CI]:48 3.43-3.98), and this significantly increased as the complexity of the AD medications increased. Subjects who received topical treatments plus a systematic steroid (HR: 4.88, 95{\%} CI: 4.51-5.27) and those who received topical treatments plus a systematic steroid plus a systematic calcineurin inhibitor (HR: 9.56, 95{\%} CI: 4.29-21.28) had higher HRs compared with those without AD. Severe AD patients exhibited greater psychological stress than those without AD or with mild AD symptoms. Moreover, medication diversity may represent an efficient and low-cost method by which to identify a vulnerable population.",
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Psychiatry outpatient visits by atopic dermatitis patients varying in the complexity of their prescriptions A nationwide cohort study conducted from 2005 to 2013. / Shin, Jaeyong; Choi, Young; Park, Eun Cheol; Lee, Kwang Hoon; Hwang, Seo Young; Oh, Sang Ho; Lee, Sang Gyu.

In: Medicine (United States), Vol. 95, No. 49, 01.01.2016, p. e5411.

Research output: Contribution to journalArticle

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