Evidence map›Paper›PMID 30381911›Full record

ArticlePediatric pulmonology2018

Healthcare expenditures for privately insured US patients with cystic fibrosis, 2010-2016.

Scott D Grosse, Thuy Quynh N Do, Michelle Vu, Lisa B Feng, Jay G Berry, Gregory S Sawicki

Abstract read
In one paragraph

Article in Pediatric pulmonology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
4.8field-weighted citation impact, top 4% 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

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.

  1. Pooled it
  2. De-escalation of Medications After Initiation of Elexacaftor-Tezacaftor-Ivacaftor in Children 6 to 11 Years of Age With Cystic Fibrosis.The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG · 2026
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  7. Observational
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  14. Association between insurance variability and early lung function in children with cystic fibrosis.Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society · 2022
    Observational
  15. Financial impacts of the COVID-19 pandemic on cystic fibrosis care: lessons for the future.Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society · 2021
    Article
  16. Design and methods for understanding the state of cystic fibrosis care amid the COVID-19 pandemic.Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society · 2021
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  17. Observational
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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.

Scott D GrosseCenters for Disease Control and Prevention, National Center on Birth Defects and Developmental Disabilities, Atlanta, Georgia.
Thuy Quynh N DoCenters for Disease Control and Prevention, National Center on Birth Defects and Developmental Disabilities, Atlanta, Georgia.
Michelle VuMercer University College of Pharmacy and College of Health Professions, Atlanta, Georgia.
Lisa B FengCystic Fibrosis Foundation, Bethesda, Maryland.
Jay G BerryComplex Care Service, Boston Children's Hospital, Boston, Massachusetts.
Gregory S SawickiDepartment of Pediatrics, Harvard Medical School, Boston, Massachusetts.ORCID 0000-0003-3356-709X
Boston Children's Hospital · USCenters for Disease Control and Prevention · USCystic Fibrosis Foundation · USMercer University Health Sciences Center · US

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

objectivesPublished cost estimates for cystic fibrosis (CF) are based on older data and do not reflect increased use of specialty drugs in recent years. We assessed recent trends in healthcare expenditures for CF patients in the United States (US) with employer-sponsored health insurance.

methodsThe study is a retrospective analysis of claims data for privately insured individuals aged 0-64 years who were continuously enrolled in non-capitated plans for at least 1 calendar year during 2010-2016. Mean annual expenditures during a calendar year were calculated for individuals who met a claims-based CF case definition. Average annual growth rates were calculated through linear regression of the natural logarithm of annual expenditures.

resultsThe annual CF prevalence was 1.1-1.4 per 10 000 adults and 2.9-3.0 per 10 000 children. Average spending adjusted for inflation nearly doubled from roughly $67 000 per patient in 2010 and 2011 to approximately $131 000 per patient in 2016. Inflation-adjusted spending on outpatient and inpatient care increased by 0.5% and 2.5% per year, respectively, whereas pharmaceutical spending increased by 20.2% per year. Virtually all of the growth in pharmaceutical spending was accounted for by spending on specialty drugs; inflation-adjusted spending on other medications increased by 1.3% per year. The annual growth rate in pharmaceutical spending rose by 33.1% during 2014-2016, the years during which lumacaftor/ivacaftor was introduced.

conclusionsPer-patient expenditures for privately-insured patients with CF almost doubled during 2010-2016; specialty drugs were largely responsible for this increase, with a major contribution from new, genotype-targeted CFTR modulator medications.

Indexed as

Health Benefit Plans, EmployeeHealth ExpendituresAdolescentAdultChildChild, PreschoolCost of IllnessCystic FibrosisFees, PharmaceuticalFemaleHumansInfantInfant, NewbornMaleMiddle AgedRetrospective Studiescystic fibrosisdrugshealth expendituresprecision medicinerare diseases

Identifiers

PMID30381911
PMCPMC6688469
OpenAlexW2898737763

What OpenQuestion holds

Textmetadata
LicenceTDM
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.