Impact of Spa Treatments on the Consumption of Care in Children

Study Overview
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Brief Summary
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Children represent 1.2% of the spa population in France. Spa treatments, including climatic stays, are mainly prescribed for children in the context of respiratory, otorhinolaryngology and dermatological conditions. The benefits after spa treatments are the improvement of the symptoms of the pathology, the quality of life and in particular the reduction of drug exposures. Few authors have recently investigated the impact of spa treatments on the health of children and society, while care has changed significantly in recent years. Moreover, no real-life study of a large sample of children seems to have been conducted in this area. The present study plan to conduct a pharmacoepidemiology study on medico-administrative databases of the observational study type, in real life.

Official Title
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Impact of Spa Treatments on the Consumption of Care in Children

Conditions
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Respiratory Disease, Otorhinolaryngologic Diseases, Dermatologic Disease

Intervention / Treatment
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* Drug: Drug consumption


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Children living in France at the time of the study 'POMME' cohort : children included at birth and 'EGB' cohort : children from birth to 15 years-old Exclusion Criteria:

Ages Eligible for Study
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Minimum Age: 1 Year
Maximum Age: 15 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Departmental cohort<br>Department level of the Haute-Garonne through the use of the 'POMME' cohort (PrescriptiOns Medicines Mother Children) | Drug: Drug consumption<br>* number of Daily Defined Doses (DDDs) of medications prescribed and given to children in connection with the indication of the spa treatment<br>|
| National cohort<br>National level through the use of the EGB database (General Sample of Beneficiaries) | Drug: Drug consumption<br>* number of Daily Defined Doses (DDDs) of medications prescribed and given to children in connection with the indication of the spa treatment<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Drug consumption | number of Daily Defined Doses (DDDs) | until 7 years-old of children | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Description of spa treatment | Number and type of spa treatment | until 7 years-old of children | 
| Population of children | population of children in terms of age, weight and weight characteristics and health through compulsory health certificates at 8 days, 9 months and 2 years, but also use of care and medication | until 7 years-old of children | 
| Compare 2 data sources | Compare the population of children from the 2 data sources used for this project (departmental level with the cohort 'POMME' and national level with the 'EGB') to determine if the geographical situation of the department of Haute-Garonne influences the management of this type of diseases | until 7 years-old of children | 
| impact of SPA treatment on the pathology | Study the impact of spa treatments on the consumption of care in connection with the pathology that motivated the spa treatment, before and after the SPA | until 7 years-old of children | 
| Medical costs | impact of spa treatments on the consumption of medicines and care in terms of cost to society. | until 7 years-old of children | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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drug consumption