FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W3134623359> ?p ?o ?g. }

• W3134623359 endingPage "25" @default.
• W3134623359 startingPage "24" @default.
• W3134623359 abstract "Abstract Background Indigenous patients with inflammatory bowel disease (IBD) have expressed concerns about barriers to access IBD care. The limited evidence of IBD among Indigenous people highlights the need for studies evaluating access to IBD care in this population. Aims We aimed to compare health care utilization between First Nations (FNs) and individuals from the general population (GP) diagnosed with IBD in Saskatchewan (SK). Methods A population-based retrospective cohort study was conducted using administrative health databases of SK from 1998 to 2017 fiscal years. As a patient-oriented research initiative, outcomes of interest were chosen in collaboration with Indigenous patients and family advocates. A validated algorithm requiring multiple health care contacts was applied to identify incident IBD cases. The self-declared FN status variable was used to divide IBD cases between FNs and the general population (GP). To balance the groups, 1:5 age and sex matching was applied. Cox-proportional models were used to estimate hazard ratios (HRs) and 95% confidence intervals (95%CI). Stratified analysis was completed for those diagnosed before and after 2008 (pre- and post-biologic eras). Results A matched cohort with 696 IBD incident cases was created (FN=116, GP=580). Comparing health care utilization of FNs and individuals from the GP with IBD, there were no statistically significant differences in outpatient gastroenterology visits (FNs=81.0%, GP=83.6%), colonoscopies (FNs=91.4%, GP=86.9%), and surgeries for IBD (FNs=31.0%, GP=33.5%). We observed differences in prescription claims for any medication for IBD (FNs=79.3%, GP=89.3%) and 5-aminosalicylic acid (5-ASA) claims (FNs=75.9%, GP=81.4%). The HRs adjusted by rural/urban residence and diagnostic type showed differences in prescription claims for any IBD medication (HR=0.52, 95%CI 0.41–0.65) and 5-ASA (HR=0.57, 95%CI 0.45–0.72). In the pre-biologic era, FNs had a lower risk of having a prescription claim for any IBD medication (HR=0.32, 95%CI 0.23–0.45) and 5-ASA (HR=0.33, 95%CI 0.24–0.47), respectively. These differences were not significant in the post-biologic era. Conclusions Our study identified an inverse association between FN status and having prescription medication claims for IBD in SK. We considered multiple confounding variables when evaluating this association but could not control by disease severity. Thus, this association might reflect a barrier to access IBD medications or that FNs with IBD might present a milder disease. Further studies should continue evaluating access to IBD care, medication use, and disease severity among FNs living with IBD. Funding Agencies Saskatchewan Centre for Patient-Oriented Research (SCPOR), Saskatchewan Health Research Foundation (SHRF), and College of Medicine, University of Saskatchewan." @default.
• W3134623359 created "2021-03-15" @default.
• W3134623359 creator A5012616135 @default.
• W3134623359 creator A5012727188 @default.
• W3134623359 creator A5015035071 @default.
• W3134623359 creator A5020493970 @default.
• W3134623359 creator A5048441271 @default.
• W3134623359 creator A5050510048 @default.
• W3134623359 creator A5085384705 @default.
• W3134623359 creator A5088240942 @default.
• W3134623359 date "2021-03-01" @default.
• W3134623359 modified "2023-10-16" @default.
• W3134623359 title "A19 HEALTH CARE UTILIZATION DIFFERENCES BETWEEN FIRST NATIONS AND THE GENERAL POPULATION WITH INFLAMMATORY BOWEL DISEASE IN SASKATCHEWAN" @default.
• W3134623359 doi "https://doi.org/10.1093/jcag/gwab002.018" @default.
• W3134623359 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/7958791" @default.
• W3134623359 hasPublicationYear "2021" @default.
• W3134623359 type Work @default.
• W3134623359 sameAs 3134623359 @default.
• W3134623359 citedByCount "0" @default.
• W3134623359 crossrefType "journal-article" @default.
• W3134623359 hasAuthorship W3134623359A5012616135 @default.
• W3134623359 hasAuthorship W3134623359A5012727188 @default.
• W3134623359 hasAuthorship W3134623359A5015035071 @default.
• W3134623359 hasAuthorship W3134623359A5020493970 @default.
• W3134623359 hasAuthorship W3134623359A5048441271 @default.
• W3134623359 hasAuthorship W3134623359A5050510048 @default.
• W3134623359 hasAuthorship W3134623359A5085384705 @default.
• W3134623359 hasAuthorship W3134623359A5088240942 @default.
• W3134623359 hasBestOaLocation W31346233592 @default.
• W3134623359 hasConcept C126322002 @default.
• W3134623359 hasConcept C160735492 @default.
• W3134623359 hasConcept C162324750 @default.
• W3134623359 hasConcept C167135981 @default.
• W3134623359 hasConcept C201903717 @default.
• W3134623359 hasConcept C207103383 @default.
• W3134623359 hasConcept C2778260677 @default.
• W3134623359 hasConcept C2779134260 @default.
• W3134623359 hasConcept C2908647359 @default.
• W3134623359 hasConcept C44249647 @default.
• W3134623359 hasConcept C50522688 @default.
• W3134623359 hasConcept C512399662 @default.
• W3134623359 hasConcept C71924100 @default.
• W3134623359 hasConcept C72563966 @default.
• W3134623359 hasConcept C99454951 @default.
• W3134623359 hasConceptScore W3134623359C126322002 @default.
• W3134623359 hasConceptScore W3134623359C160735492 @default.
• W3134623359 hasConceptScore W3134623359C162324750 @default.
• W3134623359 hasConceptScore W3134623359C167135981 @default.
• W3134623359 hasConceptScore W3134623359C201903717 @default.
• W3134623359 hasConceptScore W3134623359C207103383 @default.
• W3134623359 hasConceptScore W3134623359C2778260677 @default.
• W3134623359 hasConceptScore W3134623359C2779134260 @default.
• W3134623359 hasConceptScore W3134623359C2908647359 @default.
• W3134623359 hasConceptScore W3134623359C44249647 @default.
• W3134623359 hasConceptScore W3134623359C50522688 @default.
• W3134623359 hasConceptScore W3134623359C512399662 @default.
• W3134623359 hasConceptScore W3134623359C71924100 @default.
• W3134623359 hasConceptScore W3134623359C72563966 @default.
• W3134623359 hasConceptScore W3134623359C99454951 @default.
• W3134623359 hasIssue "Supplement_1" @default.
• W3134623359 hasLocation W31346233591 @default.
• W3134623359 hasLocation W31346233592 @default.
• W3134623359 hasOpenAccess W3134623359 @default.
• W3134623359 hasPrimaryLocation W31346233591 @default.
• W3134623359 hasRelatedWork W1516595110 @default.
• W3134623359 hasRelatedWork W1548660409 @default.
• W3134623359 hasRelatedWork W2076482015 @default.
• W3134623359 hasRelatedWork W2166867133 @default.
• W3134623359 hasRelatedWork W2490521022 @default.
• W3134623359 hasRelatedWork W2515906920 @default.
• W3134623359 hasRelatedWork W2809220925 @default.
• W3134623359 hasRelatedWork W2947904584 @default.
• W3134623359 hasRelatedWork W4213445964 @default.
• W3134623359 hasRelatedWork W4310702849 @default.
• W3134623359 hasVolume "4" @default.
• W3134623359 isParatext "false" @default.
• W3134623359 isRetracted "false" @default.
• W3134623359 magId "3134623359" @default.
• W3134623359 workType "article" @default.