Evidence map›Paper›PMID 31982886›Full record

ArticleRespiration; international review of thoracic diseases

Characterizing Health Outcomes in Idiopathic Pulmonary Fibrosis using US Health Claims Data.

Kathleen M Mortimer, Dorothee B Bartels, Nadine Hartmann, Jorge Capapey, Jing Yang, Robert Gately, Cheryl Enger

Open access · hybridAbstract read
In one paragraph

Article in Respiration; international review of thoracic diseases. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 3 pooled it
1.0field-weighted citation impact, top 21% 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

18 citing papers in PubMed, 3 syntheses or guidelines pooled it, 21 citations in OpenAlex.

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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

7 authors at 5 institutions in 3 countries.

Kathleen M MortimerOptum Epidemiology, Boston, Massachusetts, USA.
Dorothee B BartelsInstitute for Epidemiology, Social Medicine and Health Systems Research, Hannover Medical School, Hannover, Germany.
Nadine HartmannBoehringer Ingelheim International GmbH, Ingelheim, Germany.
Jorge CapapeyAlnylam Pharmaceuticals, Madrid, Spain.
Jing YangOptum Epidemiology, Ann Arbor, Michigan, USA.
Robert GatelyOptum Epidemiology, Boston, Massachusetts, USA.
Cheryl EngerOptum Epidemiology, Ann Arbor, Michigan, USA, cheryl.enger@optum.com.
New England College of Optometry · USOptum (United States) · USALK-Abelló (Spain) · ESBoehringer Ingelheim (Germany) · DEMedizinische Hochschule Hannover · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIdiopathic pulmonary fibrosis (IPF) is a life-threatening interstitial lung disease (ILD). Characterizing health outcomes of IPF patients is challenging due to disease rarity.

objectiveThis study aimed to identify the burden of disease in patients newly diagnosed with IPF.

methodsPatients with ≥1 claim with an IPF diagnosis were identified from a United States healthcare insurer's database (2000-2013). Patients with other known causes of ILD or aged <40 years were excluded. Subgroups were compared based on the 2011 change in International Classification of Diseases, 9th Revision (ICD-9) definition of IPF and occurrence of IPF testing. The prevalence and incidence of preselected health conditions of clinical interest were estimated.

resultsMedian age of newly diagnosed patients (n = 7,298) was 62 years (54.0% male). Restricting to patients with IPF diagnostic testing did not substantially affect cohort characteristics, nor did ICD-9 IPF coding change. Mean follow-up was 1.7 years; 16.8% of patients died; and a substantial proportion of patients were censored due to end of health plan enrollment (50.7%) and other causes of ILD (19.6%). The incidence of pulmonary hypertension, lung cancer, and claims-based algorithm proxy for acute respiratory worsening of unknown cause was 22.5, 17.6, and 12.6 per 1,000 person-years, respectively.

conclusionsPatients with IPF had a high disease burden with a variety of health outcomes observed, including a high rate of mortality. Database censoring due to changes in enrollment or other ILD diagnoses limited follow-up. Altering cohort entry definitions, including IPF testing or ICD-9 IPF coding change, had little impact on cohort baseline characteristics.

Indexed as

Health Care CostsOxygen Inhalation TherapyAdultAgedAged, 80 and overAnticoagulantsBronchoalveolar LavageCohort StudiesDatabases, FactualDisease ProgressionEmergency Service, HospitalFemaleGlucocorticoidsHistamine H2 AntagonistsHospitalizationHumansAnticoagulantsGlucocorticoidsHistamine H2 AntagonistsPlatelet Aggregation InhibitorsProton Pump InhibitorsAlgorithmsDatabaseIdiopathic pulmonary fibrosisIncidenceInsurance, health

Identifiers

PMID31982886
PMCPMC7949201
OpenAlexW3002611783

What OpenQuestion holds

Textmetadata
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.