Analysis of the German DRG data for livedoid vasculopathy and calciphylaxis

Renner R, Dissemond J, Goerge T, Hoff N, Kroeger K, Erfurt-Berge C (2017)


Publication Type: Journal article

Publication year: 2017

Journal

Book Volume: 31

Pages Range: 1884-1889

Journal Issue: 11

DOI: 10.1111/jdv.14190

Abstract

BACKGROUND: Livedoid vasculopathy and calciphylaxis are rare skin disorders. Large cohorts of patients have been missing so far for detailed analysis. PATIENTS AND METHODS: Data from diagnosis-related groups (DRGs) of hospitalized cases of livedoid vasculopathy (ntotal = 1357) and calciphylaxis (ntotal = 699) were analysed for the years 2008-2013 concerning sex, age and frequency of diagnosis. To avoid deviations to non-relevant secondary diagnosis and due to changes in ICD-10 indices, we selected the two most recent available years 2013 and 2014 for evaluation of the accompanying diagnoses for both, livedoid vasculopathy (n = 519) and calciphylaxis (n = 324). Those were additionally evaluated as possible comorbidity. RESULTS: The male-female ratio for livedoid vasculopathy was 2.1:1. Patients older than 45 years comprehended 74.7% of all patients with peaks between the ages of 45-50 and 70-75. Livedoid vasculopathy patients suffered from cardiovascular and renal diseases. Coding of coagulation disorders was found rarely in our analysis. For calciphylaxis, we calculated a male-female ratio of 1.7:1. Most of the patients were at an age between 65 and 80 years. Diagnosis at an age under 35 years was rare. In general, most calciphylaxis patients showed end-stage renal disease with need of dialysis and presented with the resulting complications. CONCLUSIONS: Our data analysis shows relevant comorbidity and cofactors of these rare diseases like livedoid vasculopathy and calciphylaxis in Germany by a large number of cases.

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APA:

Renner, R., Dissemond, J., Goerge, T., Hoff, N., Kroeger, K., & Erfurt-Berge, C. (2017). Analysis of the German DRG data for livedoid vasculopathy and calciphylaxis. Journal of the European Academy of Dermatology and Venereology, 31(11), 1884-1889. https://doi.org/10.1111/jdv.14190

MLA:

Renner, R., et al. "Analysis of the German DRG data for livedoid vasculopathy and calciphylaxis." Journal of the European Academy of Dermatology and Venereology 31.11 (2017): 1884-1889.

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