Evidence map›Paper›PMID 37249823›Full record

Observational studyPharmacoEconomics2023

Economic Burden of Idiopathic Pulmonary Fibrosis in Spain: A Prospective Real-World Data Study (OASIS Study).

Maria Jesus Rodríguez-Nieto, Esteban Cano-Jiménez, Ana D Romero Ortiz, Ana Villar, Marta Morros, Alba Ramon, Silvia Armengol

Open access · hybridAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in PharmacoEconomics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 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

5 citing papers in PubMed, 2 syntheses or guidelines pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. 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
  3. Review
  4. Article
  5. Observational
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 1 country.

Maria Jesus Rodríguez-NietoServicio de Neumología, IIS-Hospital Universitario Fundación Jiménez Díaz, CIBERES, Av. Reyes Católicos, 2, 28040, Madrid, Spain. mjrodriguezn@fjd.es.ORCID 0000-0003-4195-9528
Esteban Cano-JiménezServicio de Neumología, Hospital Universitario Lucus Augusti, Lugo, Spain.
Ana D Romero OrtizServicio de Neumología, Hospital Universitario Virgen de las Nieves, Granada, Spain.
Ana VillarServei de Pneumologia, Hospital Universitari Vall d'Hebron, Barcelona, Spain.
Marta MorrosAdelphi Targis SL, Barcelona, Spain.
Alba RamonBoehringer Ingelheim España, Sant Cugat del Vallès, Spain.
Silvia ArmengolBoehringer Ingelheim España, Sant Cugat del Vallès, Spain.
Boehringer Ingelheim (Spain) · ESHospital Universitario Fundación Jiménez Díaz · ESHospital Universitario Lucus Augusti · ESHospital Universitario Virgen de las Nieves · ESVall d'Hebron Hospital Universitari · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIdiopathic pulmonary fibrosis (IPF) is a progressive and fatal lung disease associated with dyspnoea, cough and impaired quality of life affecting around 7500 patients in Spain.

objectiveOur aim was to estimate the economic impact of IPF according to forced vital capacity (FVC) % predicted level in adult patients.

methodsWe conducted a prospective, observational, multicentric study of patients with confirmed IPF in Spain. Total annual IPF-related costs were estimated per patient, and categorised according to the FVC% predicted value (FVC < 50%, FVC 50-80%, FVC > 80%) and total sample. Incurred direct health- and non-health-related costs and indirect costs were calculated considering the IPF-related healthcare resource use and the corresponding unitarian costs. Results were updated to 2023 euros.

resultsTwo hundred and four consecutive patients with IPF were included: 77% male, average age (standard deviation) 70.8 (7.6) years. At baseline, FVC% was < 50%, 50-80% and > 80% of predicted value in 10.8%, 74.5% and 14.7% of patients, respectively. The final cost-evaluable population included 180 subjects. The mean (standard deviation) total annual IPF-related cost was €26,997 (17,555), with statistically significant differences (p = 0.0002) between groups: €44,412 (33,389) for the FVC < 50%, €25,803 (14,688) for the FVC 50-80% and €23,242 (13,642) for the FVC > 80%. Annual direct health costs had the greatest weight and included pharmacological treatments [€22,324 (13,773)] and hospitalisation days [€1659 (7362)]. 14 patients had ≥ 1 acute exacerbation of IPF during the study; mean total cost of an acute exacerbation of IPF was €10,372. According to the multivariate analysis, an impaired lung function (FVC < 50%) and use of antifibrotic treatment were determinants of cost (p < 0.0001 both).

conclusionsWe observed a significantly higher annual IPF-related cost at a lower level of predicted FVC%, the direct cost having the greatest weight to the total costs. Maintaining patients at early disease stages by slowing IPF progression is relevant to reduce the economic impact of IPF. CLINICAL

trial registrationEU PAS register number EUPAS19387 (1 June, 2017).

Indexed as

Financial StressIdiopathic Pulmonary FibrosisAgedFemaleHumansMaleProspective StudiesQuality of LifeSpain

Identifiers

PMID37249823
PMCPMC10322761
OpenAlexW4378745383

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.