{"id":1996,"date":"2022-06-07T00:00:00","date_gmt":"2022-06-07T04:00:00","guid":{"rendered":"https:\/\/icesontario.wpengine.com\/journal-articles\/sociodemographic-characteristics-and-emergency-department-visits-and-inpatient-hospitalizations-for-atopic-dermatitis-in-ontario-a-cross-sectional-study\/"},"modified":"2023-06-14T19:21:39","modified_gmt":"2023-06-14T23:21:39","slug":"sociodemographic-characteristics-and-emergency-department-visits-and-inpatient-hospitalizations-for-atopic-dermatitis-in-ontario-a-cross-sectional-study","status":"publish","type":"journal_article","link":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/sociodemographic-characteristics-and-emergency-department-visits-and-inpatient-hospitalizations-for-atopic-dermatitis-in-ontario-a-cross-sectional-study\/","title":{"rendered":"Sociodemographic characteristics and emergency department visits and inpatient hospitalizations for atopic dermatitis in Ontario: a cross-sectional study"},"content":{"rendered":"<p><strong>Background<\/strong> &#x2014; Some jurisdictions experience sociodemographic disparities in atopic dermatitis care, including emergency department visits, but data from Canada are limited. Our objectives were to estimate the prevalence of atopic dermatitis in Ontario and to identify sociodemographic factors associated with emergency department visits and hospitalizations for this condition.<\/p>\n<p><strong>Methods<\/strong> &#x2014; We conducted a cross-sectional analysis of patients in the Electronic Medical Record Primary Care database linked with administrative health data for Ontario, Canada. We estimated period prevalence and health service utilization for atopic dermatitis from 2005 to 2015. We used multivariable log-binomial regression to calculate adjusted risk ratios (RRs) and 95% confidence intervals (CIs) for associations between local dermatologist density and the proportion of emergency department visits and hospitalizations for atopic dermatitis.<\/p>\n<p><strong>Results<\/strong> &#x2014; Among 249 984 patients, we identified 7812 with atopic dermatitis (period prevalence 2005&#x2013;2015: 3.1%). Almost all physician visits for atopic dermatitis were to primary care physicians (&gt; 99%). For every additional dermatologist per 100 000 population, the proportions of emergency department visits and hospitalizations for atopic dermatitis increased by 29% (RR 1.29, 95% CI 1.05&#x2013;1.57). This relationship occurred in and around Toronto but was not consistent across the province.<\/p>\n<p><strong>Interpretation<\/strong> &#x2014; In Ontario, higher dermatologist density was not associated with lower emergency department utilization and hospitalization for atopic dermatitis; the association varied in different locales with similar dermatologist densities. Strategies to improve access to care for atopic dermatitis should be tailored to local contexts.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Background &#x2014; Some jurisdictions experience sociodemographic disparities in atopic dermatitis care, including emergency department visits, but data from Canada are limited. Our objectives were to estimate the prevalence of atopic dermatitis in Ontario and to identify sociodemographic factors associated with emergency department visits and hospitalizations for this condition. Methods &#x2014; We conducted a cross-sectional analysis [&hellip;]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[],"migration-helper-qa-sample-set":[],"class_list":["post-1996","journal_article","type-journal_article","status-publish","hentry"],"acf":{"citation":"Drucker AM, Bai L, Eder L, Chan A, Pope E, Tu K, Jaakkimainen L. <em>CMAJ Open<\/em>. 2022; 10(2):E491-9.","source_url":"https:\/\/www.cmajopen.ca\/content\/10\/2\/E491","ices_scientist":[1218,1196,1283],"site":[6733],"research_program":[],"news_release":[],"journal_article":[],"atlas":[],"research_report":[],"infographic":[],"video":[],"downloads":null,"links":null,"sitecore_item_id":"7D719CF5-7336-479B-B858-0F37B0F8FE75","sitecore_item_name":"Sociodemographic-characteristics-and-emergency-department-visits-and-inpatient-hospitalizations","sitecore_field_values":"{\n  \"Title\": \"Sociodemographic characteristics and emergency department visits and inpatient hospitalizations for atopic dermatitis in Ontario: a cross-sectional study\",\n  \"Short title\": \"Sociodemographic characteristics and\",\n  \"Summary\": \"The study  objectives were to estimate the prevalence of atopic dermatitis and to identify sociodemographic factors associated with emergency department visits and hospitalizations for this condition.\",\n  \"Citation\": \"<p>Drucker AM, Bai L, Eder L, Chan A, Pope E, Tu K, Jaakkimainen L. <em>CMAJ Open<\/em>. 2022; 10(2):E491-9. DOI: <a href=\"https:\/\/doi.org\/10.9778\/cmajo.20210194\" title=\"opens external link\">https:\/\/doi.org\/10.9778\/cmajo.20210194<\/a><\/p>\",\n  \"Abstract\": \"<p><strong>Background<\/strong> &mdash; Some jurisdictions experience sociodemographic disparities in atopic dermatitis care, including emergency department visits, but data from Canada are limited. Our objectives were to estimate the prevalence of atopic dermatitis in Ontario and to identify sociodemographic factors associated with emergency department visits and hospitalizations for this condition.<\/p>n<p><strong>Methods<\/strong> &mdash; We conducted a cross-sectional analysis of patients in the Electronic Medical Record Primary Care database linked with administrative health data for Ontario, Canada. We estimated period prevalence and health service utilization for atopic dermatitis from 2005 to 2015. We used multivariable log-binomial regression to calculate adjusted risk ratios (RRs) and 95% confidence intervals (CIs) for associations between local dermatologist density and the proportion of emergency department visits and hospitalizations for atopic dermatitis.<\/p>n<p><strong>Results<\/strong> &mdash; Among 249 984 patients, we identified 7812 with atopic dermatitis (period prevalence 2005&ndash;2015: 3.1%). Almost all physician visits for atopic dermatitis were to primary care physicians (&gt; 99%). For every additional dermatologist per 100 000 population, the proportions of emergency department visits and hospitalizations for atopic dermatitis increased by 29% (RR 1.29, 95% CI 1.05&ndash;1.57). This relationship occurred in and around Toronto but was not consistent across the province.<\/p>n<p><strong>Interpretation<\/strong> &mdash; In Ontario, higher dermatologist density was not associated with lower emergency department utilization and hospitalization for atopic dermatitis; the association varied in different locales with similar dermatologist densities. Strategies to improve access to care for atopic dermatitis should be tailored to local contexts.<\/p>n<p><a href=\"https:\/\/www.cmajopen.ca\/content\/10\/2\/E491\" title=\"opens external link\">View full text<\/a><\/p>\",\n  \"Research Programs\": \"{5B1AF319-EC9B-4BF0-A9CD-D066ABE49D71}\",\n  \"ICES Locations\": \"{4FCAABBA-14A5-42E6-8F33-BC6C2F1D9908}\",\n  \"ICES Scientists\": \"{01D66788-93CC-4AD2-B68E-F9D98D560F30}|{A8EA74FF-4975-4A0A-953D-EC1881EBD1B4}|{D4F4F5B9-0B0A-48C9-A2E9-761818E1B404}\",\n  \"Posted Date\": \"20220607T000000\",\n  \"Show on Publications Landing Page\": \"1\"\n}","previous_url":"https:\/\/www.ices.on.ca\/Publications\/Journal-Articles\/2022\/June\/Sociodemographic-characteristics-and-emergency-department-visits-and-inpatient-hospitalizations"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.0 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ICES | Sociodemographic characteristics and emergency department visits and inpatient hospitalizations for atopic dermatitis in Ontario: a cross-sectional study<\/title>\n<meta name=\"description\" content=\"Background &#x2014; Some jurisdictions experience sociodemographic disparities in atopic dermatitis care, including emergency department visits, but data\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/sociodemographic-characteristics-and-emergency-department-visits-and-inpatient-hospitalizations-for-atopic-dermatitis-in-ontario-a-cross-sectional-study\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"ICES | Sociodemographic characteristics and emergency department visits and inpatient hospitalizations for atopic dermatitis in Ontario: a cross-sectional study\" \/>\n<meta property=\"og:description\" content=\"Background &#x2014; Some jurisdictions experience sociodemographic disparities in atopic dermatitis care, including emergency department visits, but data\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/sociodemographic-characteristics-and-emergency-department-visits-and-inpatient-hospitalizations-for-atopic-dermatitis-in-ontario-a-cross-sectional-study\/\" \/>\n<meta property=\"og:site_name\" content=\"ICES\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/ICESOntario\/\" \/>\n<meta property=\"article:modified_time\" content=\"2023-06-14T23:21:39+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.ices.on.ca\/wp-content\/uploads\/2024\/11\/ic-es-data-discovery-better-health-logo.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"675\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/sociodemographic-characteristics-and-emergency-department-visits-and-inpatient-hospitalizations-for-atopic-dermatitis-in-ontario-a-cross-sectional-study\\\/\",\"url\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/sociodemographic-characteristics-and-emergency-department-visits-and-inpatient-hospitalizations-for-atopic-dermatitis-in-ontario-a-cross-sectional-study\\\/\",\"name\":\"ICES | Sociodemographic characteristics and emergency department visits and inpatient hospitalizations for atopic dermatitis in Ontario: a cross-sectional study\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/#website\"},\"datePublished\":\"2022-06-07T04:00:00+00:00\",\"dateModified\":\"2023-06-14T23:21:39+00:00\",\"description\":\"Background &#x2014; 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