Evidence map›Paper›PMID 27099937›Full record

ArticlePloS one2016

Evolution of Costs of Inflammatory Bowel Disease over Two Years of Follow-Up.

Mirthe E van der Valk, Marie-Josée J Mangen, Mirjam Severs, Mike van der Have, Gerard Dijkstra, Ad A van Bodegraven, Herma H Fidder, Dirk J de Jong, C Janneke van der Woude, Mariëlle J L Romberg-Camps and 12 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed, 3 pooled it
16.2field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

53 citing papers in PubMed, 3 syntheses or guidelines pooled it, 105 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Observational
  6. Article
  7. Article
  8. Review
  9. Article
  10. Identification of spontaneous patient-reported complaints related to perianal fistula in patients with Crohn's disease.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2024
    Article
  11. Article
  12. Out-of-pocket expenses of patients with inflammatory bowel disease: a comparison of patient-reported outcomes across 12 European countries.The European journal of health economics : HEPAC : health economics in prevention and care · 2023
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. International journal of molecular sciences · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

22 authors at 13 institutions in 1 country.

Mirthe E van der ValkDepartment of Gastroenterology and Hepatology, University Medical Centre Utrecht, Utrecht, the Netherlands.
Marie-Josée J MangenJulius Centre for Health Sciences and Primary Care, University Medical Centre Utrecht, Utrecht, the Netherlands.
Mirjam SeversDepartment of Gastroenterology and Hepatology, University Medical Centre Utrecht, Utrecht, the Netherlands.
Mike van der HaveDepartment of Gastroenterology and Hepatology, University Medical Centre Utrecht, Utrecht, the Netherlands.
Gerard DijkstraDepartment of Gastroenterology and Hepatology, University Medical Centre Groningen, Groningen, the Netherlands.
Ad A van BodegravenDepartment of Gastroenterology and Hepatology, VU University Medical Centre, Amsterdam, the Netherlands.
Herma H FidderDepartment of Gastroenterology and Hepatology, University Medical Centre Utrecht, Utrecht, the Netherlands.
Dirk J de JongDepartment of Gastroenterology and Hepatology, Radboud University Medical Centre Nijmegen, Nijmegen, the Netherlands.
C Janneke van der WoudeDepartment of Gastroenterology and Hepatology, Erasmus University Medical Centre, Rotterdam, the Netherlands.
Mariëlle J L Romberg-CampsDepartment of Internal Medicine. Gastroenterology and Geriatrics, Atrium-Orbis Medical Centre, Heerlen-Sittard-Geleen, the Netherlands.
Cees H M ClemensDepartment of Gastroenterology and Hepatology, Diaconessenhuis, Leiden, the Netherlands.
Jeroen M JansenDepartment of Gastroenterology and Hepatology, Onze Lieve Vrouwe Gasthuis, Amsterdam, the Netherlands.
Paul C van de MeebergDepartment of Gastroenterology and Hepatology, Slingeland Hospital, Doetinchem, the Netherlands.
Nofel MahmmodDepartment of Gastroenterology and Hepatology, Antonius Hospital, Nieuwegein, the Netherlands.
Andrea E van der Meulen-de JongDepartment of Gastroenterology and Hepatology, Leiden University Medical Centre, Leiden, the Netherlands.
Cyriel Y PonsioenDepartment of Gastroenterology and Hepatology, Academic Medical Centre Amsterdam, Amsterdam, the Netherlands.
Clemens BolwerkDepartment of Gastroenterology and Hepatology, Reinier de Graaf Groep, Delft, the Netherlands.
J Reinoud VermeijdenDepartment of Gastroenterology and Hepatology, Meander Medical Centre, Amersfoort, the Netherlands.
Peter D SiersemaDepartment of Gastroenterology and Hepatology, University Medical Centre Utrecht, Utrecht, the Netherlands.
Max LeendersDepartment of Gastroenterology and Hepatology, University Medical Centre Utrecht, Utrecht, the Netherlands.
Bas OldenburgDepartment of Gastroenterology and Hepatology, University Medical Centre Utrecht, Utrecht, the Netherlands.
COIN study group and the Dutch Initiative on Crohn and Colitis
University Medical Center Utrecht · NLAcademic Medical Center · NLAmsterdam UMC Location VUmc · NLDiakonessenhuis hospital · NLErasmus University Rotterdam · NLLeiden University · NLMeander Medisch Centrum · NLOLVG · NLRadboud University Nijmegen · NLReinier de Graaf Hospital · NLSlingeland Ziekenhuis · NLSt. Antonius Ziekenhuis · NLUniversity Medical Center Groningen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWith the increasing use of anti-TNF therapy in inflammatory bowel disease (IBD), a shift of costs has been observed with medication costs replacing hospitalization and surgery as major cost driver. We aimed to explore the evolution of IBD-related costs over two years of follow-up. METHODS AND

findingsIn total 1,307 Crohn's disease (CD) patients and 915 ulcerative colitis (UC) patients were prospectively followed for two years by three-monthly web-based questionnaires. Changes of healthcare costs, productivity costs and out-of-pocket costs over time were assessed using mixed model analysis. Multivariable logistic regression analysis was used to identify costs drivers. In total 737 CD patients and 566 UC were included. Total costs were stable over two years of follow-up, with annual total costs of €7,835 in CD and €3,600 in UC. However, within healthcare costs, the proportion of anti-TNF therapy-related costs increased from 64% to 72% in CD (p<0.01) and from 31% to 39% in UC (p < 0.01). In contrast, the proportion of hospitalization costs decreased from 19% to 13% in CD (p<0.01), and 22% to 15% in UC (p < 0.01). Penetrating disease course predicted an increase of healthcare costs (adjusted odds ratio (adj. OR) 1.95 (95% CI 1.02-3.37) in CD and age <40 years in UC (adj. OR 4.72 (95% CI 1.61-13.86)).

conclusionsBD-related costs remained stable over two years. However, the proportion of anti-TNF-related healthcare costs increased, while hospitalization costs decreased. Factors associated with increased costs were penetrating disease course in CD and age <40 in UC.

Indexed as

Delivery of Health CareFemaleFollow-Up StudiesHealth Care CostsHumansInflammatory Bowel DiseasesLogistic ModelsMaleMiddle AgedSurveys and QuestionnairesTumor Necrosis Factor-alphaTumor Necrosis Factor-alpha

Identifiers

PMID27099937
PMCPMC4839678
OpenAlexW2340152881

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.