Analyses de parcours de soins

L'Assurance Maladie réalise des études sur les parcours de soins des personnes atteintes de différentes pathologies pour améliorer la qualité des soins et l'efficience du système de santé. Plusieurs de ces études ont été publiées dans des revues à comité de lecture dont les liens sont disponibles ci-dessous.

Des études publiées entre 2013 et 2015 ont été réalisées en collaboration avec le conseil scientifique de la Caisse nationale de l'Assurance Maladie (Cnam) et sont disponibles ci-dessous. Certaines de ces analyses ont fait l'objet d'une publication dans une revue scientifique (les liens sont présents sur les publications concernées). Instance pluridisplinaire et indépendante, le conseil scientifique est force de propositions pour aider la Cnam dans sa stratégie d’amélioration de la qualité et de l’efficience du système de santé. Pour plus d'informations, consulter l'article La Cnam, tête de réseau.

Les articles suivants ont fait l'objet d'une publication dans une revue scientifique à comité de lecture.

2024 (en cours)

Blacher J, Olié V, Gabet A, Cinaud A, Tuppin P, Iliou MC, Grave C. Two-year prognosis and cardiovascular disease prevention after acute coronary syndrome; the role of cardiac rehabilitation: a French nationwide study. Eur J Prev Cardiol. 4 juin 2024.

Grave C, Gabet A, Iliou MC, Cinaud A, Tuppin P, Blacher J, Olié J. Temporal trends in admission for cardiac rehabilitation after an acute coronary syndrome in France from 2009 to 2021: Persistent sex, age and social disparities. Arch Cardiovasc Dis. Février 2024.

Mette C, Verboux D, Rachas A, Debeugny G. Predicting the risk of becoming eligible for the disability pension: Machine learning methods applied to French health data. Santé Publique. Février 2024.

Pergeline J, Lesuffleur T, Fresson J, Vilain A, Rachas A, Tuppin P. One-year emergency department visits for children < 18 years of age, associated factors and frequency of primary general practitioner or pediatrician visits before: a French observational study (2018-19). Observational Study. BMC Prim Care. Mars 2024..

2023

Artignan J, Capmas P, Panjo H, Constantinou P et Pelletier‑Fleury N. Are breast cancer patients with suboptimal adherence to cardiovascular treatment more likely to discontinue adjuvant endocrine therapy? Competing risk survival analysis in a nationwide cohort of postmenopausal women. BMC Med. 21, 463. 2023, Nov.

Champeaux-Depond C, Jecko V, Weller J, Constantinou P, Tuppin P, Metellus P. Recurrent high grade glioma surgery with carmustine wafers implantation: a long-term nationwide retrospective study. J Neurooncol. 2023 Apr.

Fosse-Edorh S, Lavalette C, Piffaretti C, Saboni L, Bessonneau P, Mandereau Bruno L, Bénézet L, Assogba F, Devos F, Thouillot F, Léon L, Kandel M, Race JM, Rachas A pour le groupe Entred – DROM. Caractéristiques, état de santé et recours aux soins des personnes présentant un diabète de type 2 résidant en outre-mer : résultats de l’étude Entred 3. Bull Épidémiol Hebd. 2023 Nov.

Mroué A, Roueff S, Vanorio-Vega I, Lazareth H, Kovalska O, Flahault A, Tuppin A, Thervet E, MC Iliou. Benefits of Cardiac Rehabilitation in Cardio-Renal Patients With Heart Failure With Reduced Ejection Fraction. J Cardiopulm Rehabil Prev. 2023 Mar 10.

Pergeline J, Lesuffleur T, Rey S, Fresson J , Rachas A, Tuppin P. Long-term chronic diseases and 1-year use of healthcare services by children under 18 years of age during 2018-2019: A French nationwide observational study. Observational Study. Arch Pediatr. 2023 Jan.

Pergeline J, Rey S, Fresson J, Debeugny G, Rachas A, Tuppin P. Factors associated with hospital admission and 30-day readmission for children less than 18 years of age in 2018 in France: a one-year nationwide observational study. BMC Health Serv Res. 2023 Aug.

Pergeline J, Rivière S, Rey S, Fresson J, Rachas A, Tuppin P. Social deprivation and the use of healthcare services over one year by children less than 18 years of age in 2018: A French nationwide observational study. PLoS One. 2023 May.

Torres MJ, Coste J, Canouï-Poitrine F, Pouchot J, Rachas A, Carcaillon-Bentata L. Impact of the first COVID-19 pandemic wave on hospitalizations and deaths caused by geriatric syndromes in France: a nationwide study. J Gerontol A Biol Sci Med Sci. 2023 Jan.

Tuppin P, Barthelemy P, Debeugny G, Rachas A. A French nationwide study compared various conditions and healthcare use of individuals < 65 years with a Down's syndrome to those without. Sci Rep. 2023 Dec.

Vanorio-Vega I, Constantinou P, Bret V, Gentile S, Finne P, Sautenet B, Tuppin P, Couchou. Effect of comorbidities on healthcare expenditures for patients on kidney replacement therapy considering the treatment modality and duration in a French cohort. Eur J Health Econ. 2023 Apr 1.

2022

Gabet A, Grave C, Tuppin P, Lesuffleur T, Guenancia C, Nguyen-Thanh V, Guignard R, Blacher J, Olié V. Nationwide Initiation of Cardiovascular Risk Treatments During the COVID-19 Pandemic in France: Women on a Slippery Slope? Front Cardiovasc Med. 2022 Apr 25.

Grave C, Gabet A, Empana JP, Puymirat E, Tuppin P, Danchin N, Olié V. Care management and 90-day post discharge mortality in patients hospitalized for myocardial infarction and COVID-19: A French nationwide observational study. Observational Study Arch Cardiovasc Dis. 2022 Jan.

Olié V, Grave C, Tuppin P, Duloquin G, Béjot Y, Gabet A. Patients Hospitalized for Ischemic Stroke and Intracerebral Hemorrhage in France: Time Trends (2008-2019), In-Hospital Outcomes, Age and Sex Differences. J Clin Med. 2022 Mar 17.

Ouazana-Vedrines C, Lesuffleur T, Cuerq A, Fagot-Campagna A, Rachas A, Gastaldi-Ménager C, Hoertel N, Limosin F, Lemogne C, Tuppin P. Outcomes associated with antidepressant treatment according to the number of prescriptions and treatment changes: 5-year follow-up of a nation-wide cohort study. Front Psychiatry. 2022 Sep 8.

Tuppin P, Lesuffleur T, Constantinou P, Atramont A, Coatsaliou C, Ferrat E, Canouï-Poitrine F, Debeugny G, Rachas A. Underuse of primary healthcare in France during the COVID-19 epidemic in 2020 according to individual characteristics: a national observational study. Observational Study BMC Prim Care. 2022 Aug 9.

Verboux D, Thomas M, Colinot N, Espagnacq M, Pichetti S, Chevalier S, Landais C, Fouard A, Gastaldi-Menager C, Rachas A. Allocation aux adultes handicapés : pathologies et recours aux soins des bénéficiaires en 2017 [Article in French]. Sante Publique. 2022.

2021

Constantinou P, Pelletier-Fleury N, Olié V, Gastaldi-Ménager C, Juillère Y, Tuppin P. Patient stratification for risk of readmission due to heart failure by using nationwide administrative data. J Card Fail. 2021 Mar.

Devianne J, Legris N, Crassard I, Bellesme C, Bejot Y, Guidoux C, Pico F, Germanaud D, Obadia M, Rodriguez D, Tuppin P, Kossorotoff M, Denier C. Epidemiology, Clinical Features, and Outcome in a Cohort of Adolescents With Cerebral Venous Thrombosis. Neurology. 2021 Nov 9.

Feldman SF, Lesuffleur T, Olié V, Gastaldi-Ménager C, Juillière Y, Tuppin P. French annual national observational study of 2015 outpatient and inpatient healthcare utilization by approximately half a million patients with previous heart failure diagnosis. Arch Cardiovasc Dis. 2021 Jan.

Gabet A, Grave C, Chatignoux E, Tuppin P, Béjot Y, Olié V. Characteristics, Management, and Case-Fatality of Patients Hospitalized for Stroke with a Diagnosis of Covid-19 in France. Neuroepidemiology. 2021.

Gabet A, Grave C, Tuppin P, Chatignoux E, Béjot Y, Olié V. Impact of the Covid-19 pandemic and a national lockdown on hospitalizations for stroke and related 30-day mortality in France: A nationwide observational study. Eur J Neurol. 2021 Oct.

Meunier L, Aguadé AS, Videau Y, Verboux D, Fagot-Campagna A, Gastaldi-Menager C, Amadou C. Age, Male Gender, and Social Deprivation Are Associated with a Lower Rate of Insulin Pump Therapy Initiation in Adults with Type 1 Diabetes: A Population-Based Study. Diabetes Technol Ther. 2021 Jan.

Tanguy-Melac A, Verboux D, Pestel L, Fagot-Campagna A, Tuppin P, Gastaldi-Ménager C. Evolution of health care utilization and expenditure during the year before death in 2015 among people with cancer: French SNDS-based cohort study. Eur J Health Econ. 2021 Sep.

Touat M, Brun-Buisson C, Opatowski M, Salomon J, Guillemot D, Tuppin P, de Lagasnerie G, Watier L. Costs and Outcomes of 1-year post-discharge care trajectories of patients admitted with infection due to antibiotic-resistant bacteria. J Infect. 2021 Mar.

Tuppin P, Aguadé AS, Guillo S, Gastaldi C, Taillé C. Evaluation of drug deliveries and refunds for obstructive airway diseases in France between 2012 and 2017. Respir Med Res. 2021 Nov.

Tuppin P, Denis P, Gastaldi C, Olié V, Blacher J. Characteristics of people with severe hypertension in France and determinants of medication persistence after 6 years. J Hypertens. 2021 Oct 1.

2020

Aguadé AS, Gastaldi-Ménager C, Fontaine P, Karsenty D, Fagot-Campagna A, Amadou C. Time trends in diabetes medication prescription and factors associated with metformin discontinuation in people with newly diagnosed type 2 diabetes: a national population-based study. Diabet Med. 2020 Nov 11.

Amadou C, Denis P, Cosker K, Fagot-Campagna A (2020). Less amputations for diabetic foot ulcer from 2008 to 2014, hospital management improved but substantial progress is still possible: A French nationwide study. PLoS One. 2020 Nov 30.

Brouard C, Pillonel J, Boussac M, de Lédinghen V, Rachas A, Silvain C, Lydié N, Chevaliez S, Pioche C, Durand J, Lot F, Delarocque-Astagneau E. French hepatitis C care cascade: substantial impact of direct-acting antivirals, but the road to elimination is still long. BMC Infect Dis. 2020 Oct 15.

Constantinou P, Pelletier-Fleury N, Olié V, Gastaldi-Ménager C, Juillère Y, Tuppin P. Patient stratification for risk of readmission due to heart failure by using nationwide administrative data. J Card Fail. 2020 Aug 12.

Feldman SF, Lesuffleur T, Olié V, Gastaldi-Ménager C, Juillière Y, Tuppin P. French annual national observational study of 2015 outpatient and inpatient healthcare utilization by approximately half a million patients with previous heart failure diagnosis. Arch Cardiovasc Dis. 2021 Jan.

Feldman SF, Lesuffleur T, Olié V, Gastaldi-Ménager C, Juillière Y, Tuppin P. Outpatient healthcare utilization 30 days before and after hospitalization for heart failure in France: contribution of the national healthcare database (Système national des données de santé). Arch Cardiovasc Dis. 2020 Jun-Ju.

Gombault-Datzenko E, Gallini A, Carcaillon-Bentata L, Fabre D, Nourhashemi F, Andrieu S, Rachas A, Gardette V. Alzheimer's disease and related syndromes and hospitalization: a nationwide 5-year longitudinal study. Eur J Neurol. 2020 Aug 27.

Grave C, Juillière Y, Tuppin P, Weill A, Gabet A, Tribouilloy C, Olié V. Epidemiological features of aortic stenosis in a French nationwide study: 10-year trends and new challenges. J Am Heart Assoc. 2020 Dec 9.

Laanani M, Imbaud C, Tuppin P, Poulalhon C, Jollant F, Coste J, Rey G. Contacts with health services during the year prior to suicide death and prevalent conditions a nationwide study. J Affect Disord. 2020 Sep 1.

Tanguy-Melac A, Denis P, Fagot-Campagna A, Gastaldi-Ménager C, Laurent M, Tuppin P. Intensity of care, expenditure, and place of death in French women in the year before their death from breast cancer: a population-based study. Cancer Control. 2020 Jan-Dec.

Tanguy-Melac A, Denis P, Pestel L, Fagot-Campagna A, Gastaldi-Ménager C, Tuppin P. Intensity of care, expenditure, place and cause of death people with lung cancer in the year before their death: a French population based study. Bull Cancer. 2020 Mar. Epub 2020 Feb 5.

Tanguy Melac A, Lesuffleur T, Bousquet PJ, Fagot-Campagna A, Gastaldi-Ménager C, Tuppin P. Cancer and end of life: the management provided during the year and the month preceding death in 2015 and causes of death in France. Support Care Cancer. 2020 Aug 28. Epub 2019 Dec 16.

2019

Sabaté JM, Rivière S, Jouet P, Gastaldi-Menager C, Fagot-Campagna A, Tuppin P. Healthcare use by 30,000 patients with irritable bowel syndrome (IBS) in France: a 5-year retrospective and one-year prospective national observational study. BMC Gastroenterol. 2019 Jun 27;19(1):111.

Tanguy Melac A, Lesuffleur T, Bousquet PJ, Fagot-Campagna A, Gastaldi-Ménager C, Tuppin C. Cancer and end of life: the management provided during the year and the month preceding death in 2015 and causes of death in France. Support Care Cancer. 2020 Aug;28(8):3877-3887.

Tuppin P, Paita M, Gastaldi-Menager C, Le Bihan-Benjamin C, Jean Bousquet P, Fagot Campagna A. Patient characteristics and treatments one year after diagnosis of renal cancer in 2015 according to the presence or absence of metastasis and a history of another tumour: a national observational study. Bull Cancer. 2019 Jun;106(6):538-549.

Tuppin P, Rivière S, Deutsch D, Gastaldi-Menager C, Sabaté JM. Burden of drug use for gastrointestinal symptoms and functional gastrointestinal disorders in France: a national study using reimbursement data for 57 million inhabitants. Therap Adv Gastroenterol. 2019 Jul 12;12:1756284819853790.

Tuppin P, Tanguy-Melac A, Lesuffleur T, Janah A, Gastaldi-Ménager C, Fagot-Campagna A. Intensity of care for cancer patients treated mainly at home during the month before their death: an observational study. Presse Med, 48 (11 Pt 1), e293-e306 Nov 2019.

2018

Atramont A, Bonnet-Zamponi D, Bourdel-Marchasson I, Tangre I, Fagot-Campagna A, Tuppin P. Health status and drug use 1 year before and 1 year after skilled nursing home admission during the first quarter of 2013 in France: a study based on the French National Health Insurance Information System. Eur J Clin Pharmacol. 2018 Jan;74(1):109-118.

Piffaretti C, Looten V, Rey S, Fresson J, Fagot-Campagna A, Tuppin P. Management of pregnancy based on healthcare consumption of women who delivered in France in 2015: contribution of the national health data system (SNDS). J Gynecol Obstet Hum Reprod. 2018 Sep;47(7):299-307.

Poulalhon C, Rotelli-Bihet L, Raso C, Aubry R, Fagot-Campagna A, Tuppin P. Deaths in France: characteristics, place of death, hospitalisations and use of palliative care during the year before death. Rev Epidemiol Sante Publique. 2018 Feb;66(1):33-42.

Tuppin P, Bessou A, Legeai C, Vigneau C, Couchoud C. Two-year management after renal transplantation in 2013 in France: input from the French national health system database. Nephrol Ther. 2018 Jun;14(4):207-216.