Evidence map›Paper›PMID 27747567›Full record

ArticleDrugs - real world outcomes2015

Analysis and Breakdown of Overall 1-Year Costs Relative to Inpatient and Outpatient Care Among Rheumatoid Arthritis Patients Treated with Biotherapies Using Health Insurance Claims Database in Alsace.

Morgane Beck, Michel Velten, Marie-Christine Rybarczyk-Vigouret, José Covassin, Christelle Sordet, Bruno Michel

Open access · goldAbstract read
In one paragraph

Article in Drugs - real world outcomes, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.5field-weighted citation impact, top 32% 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

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. 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

6 authors at 4 institutions in 1 country.

Morgane BeckLaboratoire d'épidémiologie et de santé publique-EA 3430, Faculté de Médecine, Université de Strasbourg, 67085, Strasbourg Cedex, France. morganebeck68@gmail.com.
Michel VeltenLaboratoire d'épidémiologie et de santé publique-EA 3430, Faculté de Médecine, Université de Strasbourg, 67085, Strasbourg Cedex, France.
Marie-Christine Rybarczyk-VigouretOMEDIT Alsace, Agence Régionale de Santé d'Alsace, 14, rue du Maréchal Juin, 67084, Strasbourg Cedex, France.
José CovassinDirection Régionale du Service Médical d'Alsace-Moselle, 67003, Strasbourg Cedex, France.
Christelle SordetService de rhumatologie, Hôpital de Hautepierre, Hôpitaux Universitaires de Strasbourg, 67098, Strasbourg Cedex, France.
Bruno MichelOMEDIT Alsace, Agence Régionale de Santé d'Alsace, 14, rue du Maréchal Juin, 67084, Strasbourg Cedex, France.
Observatoire Régional de la Santé d’Alsace · FRUniversité de Strasbourg · FRHôpital Civil, Strasbourg · FRHôpitaux Universitaires de Strasbourg · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe economic burden linked to rheumatoid arthritis (RA) has greatly increased since the inclusion of biotherapies in the therapeutic arsenal.

objectivesThis study aimed first to look at the breakdown of the rheumatoid arthritis patients on biotherapy in Alsace, France, in 2012, then to evaluate the annual cost per treated patient for each management pathway: inpatient care with intravenous biotherapies and/or outpatient care through the use of subcutaneous drugs, and finally to conduct a cost comparison with a focus on infliximab, adalimumab and etanercept.

methodsThis observational study was conducted in Alsace using 2012 health claims data from the DCIR (Données de Consommation Inter Régime) and PMSI (Programme de Médicalisation des Systèmes d'Information) databases, taking into account direct medical and non-medical costs in a real-life setting and from a National Health Insurance perspective.

resultsThere were 5702 RA patients, i.e. 0.31 % of the Alsace population in 2012, including 1075 subjects (18.85 %) receiving biotherapy treatment. The most frequently prescribed biotherapies were etanercept and adalimumab. The estimated overall cost of care of these 5702 patients was €30.3 million, with about 50 % for the care of the 18.85 % patients on biotherapy. Average costs for inpatient, outpatient and mixed care ranged from €14,197 to €16,873 per patient per year. Annual average cost for management of a single RA patient with infliximab was significantly higher than with adalimumab and etanercept: €16,480 versus €14,116 and €14,338, respectively.

conclusionThese findings confirm the trends of initial modelling approaches and quantify the cost difference between various biotherapy management pathways.

Identifiers

PMID27747567
PMCPMC4883212
OpenAlexW990700033

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.