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

Kolovos, Spyros and Nador, Guido and Kishore, Bhuvan and Streetly, Matthew and Rabin, Neil K and Chantry, Andrew D and Yong, Kwee and Ashcroft, John and Bowcock, Stella and Drayson, Mark T and Ramasamy, Karthik and Prieto-Alhambra, Daniel and Cooper, Cyrus and 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, 17. p. 100243. ISSN 2212-1366. This article is available to all UHB staff and students via ASK Discovery tool http://tinyurl.com/z795c8c by using their UHB Athens login IDs

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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.

Item Type: Article
Additional Information: This article is available to all UHB staff and students via ASK Discovery tool http://tinyurl.com/z795c8c by using their UHB Athens login IDs
Subjects: QZ Pathology. Oncology
Divisions: Clinical Support > Pathology
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Depositing User: Miss Emily Johnson
Date Deposited: 28 Jun 2019 13:33
Last Modified: 28 Jun 2019 13:33
URI: http://www.repository.heartofengland.nhs.uk/id/eprint/2191

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