Evidence map›Paper›PMID 32319038›Full record

ArticleAdvances in therapy2020

Healthcare Resource Utilization Among Patients in England with Systemic Sclerosis-Associated Interstitial Lung Disease: A Retrospective Database Analysis.

Alicia Gayle, Nils Schoof, Margarida Alves, Deborah Clarke, Christina Raabe, Prithwiraj Das, Francesco Del Galdo, Toby M Maher

Open access · hybridAbstract read
In one paragraph

Article in Advances in therapy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
1.9field-weighted citation impact, top 14% 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

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 17 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
    Pooled it
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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 4 institutions in 2 countries.

Alicia GayleBoehringer Ingelheim Ltd, Bracknell, UK.
Nils SchoofBoehringer Ingelheim International GmbH, Ingelheim am Rhein, Germany.
Margarida AlvesBoehringer Ingelheim International GmbH, Ingelheim am Rhein, Germany.
Deborah ClarkeBoehringer Ingelheim Ltd, Bracknell, UK.
Christina RaabeBoehringer Ingelheim International GmbH, Ingelheim am Rhein, Germany.
Prithwiraj DasBoehringer Ingelheim Ltd, Bracknell, UK.
Francesco Del GaldoUniversity of Leeds, Leeds, UK.
Toby M MaherFibrosis Research Group, National Heart and Lung Institute, Imperial College London, London, UK. t.maher@rbht.nhs.uk.
Boehringer Ingelheim (Germany) · DEBoehringer Ingelheim (United Kingdom) · GBRoyal Brompton Hospital · GBUniversity of Leeds · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSystemic sclerosis-associated interstitial lung disease (SSc-ILD) places a substantial burden on patients and healthcare systems. The objectives of this study were to describe clinical characteristics and assess healthcare resource utilization and costs of patients with SSc-ILD in England, compared with patients with non-pulmonary organ involvement related to SSc (SSc-OOI).

methodsThis population-based retrospective study used data from the Clinical Practice Research Datalink linked to Hospital Episode Statistics. Data were extracted from medical records dated January 1, 2005 to March 31, 2016. Patients with SSc were identified and placed in subgroups based on organ involvement: SSc-ILD, SSc-OOI, and both (SSc-ILD-OOI). Patients with SSc-ILD-OOI were included in both the SSc-ILD and SSc-OOI subgroups. All-cause healthcare costs, excluding medication costs, were calculated to 2016 British pounds sterling (£).

resultsThis study included 675 patients with SSc: 174 (26%) had neither ILD nor other organ involvement (OOI); 127 (19%) had SSc-ILD; 477 (71%) had SSc-OOI; 103 (15%) had SSc-ILD-OOI. Age-weighted median [interquartile range (IQR)] annual healthcare costs per patient were: £1496 (£664-£2817) in SSc only; £6375 (£3451-£15,041) in SSc-ILD; £4084 (£1454-£10,105) in SSc-OOI; £6632 (£4023-£17,009) in SSc-ILD-OOI. In multivariate analysis, older age at diagnosis, diagnosis of anemia, and number of comorbid diseases were associated with higher yearly healthcare costs.

conclusionThe annual healthcare cost for patients with SSc-ILD is substantial, and higher than that of patients with SSc-OOI or SSc only. These results quantify the economic burden of SSc-ILD in a real-world setting, and highlight the need for treatment of this disease.

Indexed as

AdultAgedAged, 80 and overDatabases, FactualEnglandFemaleHealth ExpendituresHealth ResourcesHumansLung Diseases, InterstitialMaleMiddle AgedPatient Acceptance of Health CareRetrospective StudiesScleroderma, SystemicCPRDElectronic health recordsHealthcare utilizationInterstitial lung diseaseObservational studySSc-ILDSystemic sclerosis

Identifiers

PMID32319038
PMCPMC7467474
OpenAlexW3017349101

What OpenQuestion holds

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Registered trials

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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.