Evidence map›Paper›PMID 30929184›Full record

ArticleAdvances in therapy2019

Economic Burden of Illness Among Commercially Insured Patients with Systemic Sclerosis with Interstitial Lung Disease in the USA: A Claims Data Analysis.

Zhou Zhou, Yanni Fan, Darren Thomason, Wenxi Tang, Xinyue Liu, Zheng-Yi Zhou, Dendy Macaulay, Aryeh Fischer

Open access · hybridAbstract read
In one paragraph

Article in Advances in therapy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
3.1field-weighted citation impact, top 8% 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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 29 citations in OpenAlex.

  1. Economic burden and cost drivers of interstitial lung disease: a systematic review.The European journal of health economics : HEPAC : health economics in prevention and care · 2026
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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

8 authors at 3 institutions in 1 country.

Zhou ZhouAnalysis Group, Inc., New York, NY, USA.
Yanni FanBoehringer Ingelheim Pharmaceuticals, Inc, Ridgefield, CT, USA.
Darren ThomasonAnalysis Group, Inc., New York, NY, USA. Darren.Thomason@analysisgroup.com.
Wenxi TangAnalysis Group, Inc., New York, NY, USA.
Xinyue LiuAnalysis Group, Inc., New York, NY, USA.
Zheng-Yi ZhouAnalysis Group, Inc., New York, NY, USA.
Dendy MacaulayAnalysis Group, Inc., New York, NY, USA.
Aryeh FischerUniversity of Colorado School of Medicine, Denver, CO, USA.
Analysis Group (United States) · USBoehringer Ingelheim (United States) · USUniversity of Colorado Denver · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionInterstitial lung disease (ILD) is a common manifestation of scleroderma/systemic sclerosis (SSc). However, the direct and indirect economic burdens of SSc-ILD remain unclear. This study assessed and compared healthcare resource utilization (HRU), direct healthcare costs, work loss, and indirect costs between patients with SSc-ILD and matched controls with neither SSc nor ILD in the USA.

methodsData were obtained from a large US commercial claims database (2005-2015). Patients (at least 18 years old) had at least one SSc diagnosis in the inpatient (IP) or emergency room (ER) setting or at least two SSc diagnoses in another setting, and at least one diagnosis of ILD in the IP or ER setting or at least two diagnoses of ILD in another setting. Controls with neither SSc nor ILD were matched 5:1 to patients with SSc-ILD. Comparisons were conducted using Wilcoxon signed-rank and McNemar's tests and adjusted odds ratios (ORs) and incidence rate ratios (IRRs).

resultsA total of 479 SSc-ILD patients and 2395 matched controls were included (52 SSc-ILD patients and 260 matched controls for work loss and indirect cost analyses). Patients with SSc-ILD had significantly higher HRU and costs, IP admissions (adjusted IRR = 5.6), IP hospitalization days (adjusted IRR = 12.0), ER visits (adjusted IRR = 2.8), OP visits (adjusted IRR = 3.1), and days of work loss (adjusted IRR = 4.5). The adjusted difference in annual direct healthcare costs was $28,632 (SSc-ILD, $33,195; controls, $4562) and that in indirect costs was $4735 (SSc-ILD, $5640; controls, $906) (all p < 0.0001).

conclusionSSc-ILD patients had significantly higher HRU, work loss, and direct and indirect costs compared to matched controls with neither SSc nor ILD.

fundingBoehringer Ingelheim Pharmaceuticals, Inc.

Indexed as

AdultComorbidityCost of IllnessData AnalysisDatabases, FactualFemaleHealth Care CostsHealth ResourcesHospitalizationHumansInsurance, HealthLung Diseases, InterstitialMaleMiddle AgedRetrospective StudiesScleroderma, SystemicDirect healthcare costsHealthcare resource utilizationIndirect costsInterstitial lung diseaseRespiratoryScleroderma/systemic sclerosisWork loss

Identifiers

PMID30929184
PMCPMC6824377
OpenAlexW2928405953

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.