Evidence map›Paper›PMID 37414904›Full record

ArticleAdvances in therapy2023

Botulinum Toxin Utilization, Treatment Patterns, and Healthcare Costs Among Patients with Spasticity or Cervical Dystonia in the US.

Michael Hull, Vamshi Ruthwik Anupindi, Mitchell DeKoven, Jing He, Jonathan Bouchard

Open access · hybridAbstract read
In one paragraph

Article in Advances in therapy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.2field-weighted citation impact, top 20% 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

13 citing papers in PubMed, 6 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

5 authors at 3 institutions in 2 countries.

Michael HullIQVIA, Falls Church, VA, USA.
Vamshi Ruthwik AnupindiIQVIA, Falls Church, VA, USA.ORCID http://orcid.org/0000-0002-0385-8657
Mitchell DeKovenIQVIA, Falls Church, VA, USA.ORCID http://orcid.org/0000-0001-9346-6202
Jing He, Plymouth Meeting, PA, USA.
Jonathan BouchardHealth Economics and Outcomes Research-Neuroscience, Ipsen, 1 Main St, Suite 700, Cambridge, MA, 02142, USA. jonathan.bouchard@Ipsen.com.ORCID http://orcid.org/0000-0002-8976-1847
IQVIA (United States) · USECRI Institute · USIpsen (France) · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSpasticity and cervical dystonia (CD) are movement disorders with considerable direct and indirect healthcare cost implications. Although several studies have discussed their clinical impact, few have calculated the economic burden of these disorders. This study aimed to understand treatment/injection patterns of botulinum toxins type A (BoNT-As) and the characteristics, healthcare resource utilization (HCRU), and costs among patients with spasticity or CD.

methodsRetrospective analyses were conducted using administrative healthcare claims from the IQVIA PharMetrics

resultsOverall, 2452 adults with spasticity, 1364 pediatric patients with spasticity, and 1529 adults with CD were included. Total mean all-cause healthcare costs were US$42,562 (adult spasticity), $54,167 (pediatric spasticity), and $25,318 (CD). Differences were observed in the cost of BoNT-A injection visits between toxins, with abobotulinumtoxinA (aboBoNT-A) having the lowest injection cost across all indications.

conclusionsAboBoNT-A had the lowest injection visit costs across indications. These results are suggestive of real-world resource utilization patterns and costs, and, while helpful in informing insurers' BoNT-A management strategies, further research into cost differences is warranted.

Indexed as

Botulinum Toxins, Type ANeuromuscular AgentsTorticollisAdultChildHealth Care CostsHumansMuscle SpasticityRetrospective StudiesTreatment OutcomeBotulinum Toxins, Type ANeuromuscular AgentsBotulinum toxin ACervical dystoniaHealthcare resource utilizationSpasticityTreatment patterns

Identifiers

PMID37414904
PMCPMC10427537
OpenAlexW4383312475

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.