Evidence map›Paper›PMID 38992626›Full record

ArticleBMC pulmonary medicine2024

Burden of illness in patients with pulmonary hypertension due to interstitial lung disease: a real-world analysis.

Gustavo Heresi, Bonnie Dean, Benjamin Wu, Henry Lee, Margaret R Sketch, Dana Stafkey-Mailey, Kellie Morland, Peter Classi, Leslie Spikes

Abstract read
In one paragraph

Article in BMC pulmonary medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

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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.

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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

9 authors.

Gustavo HeresiDepartment of Pulmonary and Critical Care Medicine, Respiratory Institute, Cleveland Clinic, 9500 Euclid Avenue A90, 22195, Cleveland, Bonnie Dean, OH, USA.
Bonnie DeanCencora, Inc, 1 West First Ave, 55 T.W. Alexander Drive, Conshohocken, PA, USA.
Benjamin WuUnited Therapeutics Corporation, 55 T.W. Alexander Drive, 27709, Durham, NC, USA. bwu@unither.com.
Henry LeeCencora, Inc, 1 West First Ave, 55 T.W. Alexander Drive, Conshohocken, PA, USA.
Margaret R SketchUnited Therapeutics Corporation, 55 T.W. Alexander Drive, 27709, Durham, NC, USA.
Dana Stafkey-MaileyCencora, Inc, 1 West First Ave, 55 T.W. Alexander Drive, Conshohocken, PA, USA.
Kellie MorlandUnited Therapeutics Corporation, 55 T.W. Alexander Drive, 27709, Durham, NC, USA.
Peter ClassiUnited Therapeutics Corporation, 55 T.W. Alexander Drive, 27709, Durham, NC, USA.
Leslie SpikesUniversity of Kansas Medical Center, 3901 Rainbow Boulevard, Kansas City, KS, 66160, USA.

Funding

United Therapeutics Corporation supported the research and manuscript development grant reference numbers not applicable
6 · The paper itself

Abstract

backgroundPulmonary hypertension due to interstitial lung disease (PH-ILD) is associated with high rates of respiratory failure and death. Healthcare resource utilization (HCRU) and cost data are needed to characterize PH-ILD disease burden.

methodsA retrospective cohort analysis of the Truven Health MarketScan

resultsIn total, 122 patients with PH-ILD were included (mean [SD] age, 63.7 [16.6] years; female, 64.8%). The same medication classes were most frequently used both pre- and post-index (corticosteroids: pre-index 43.4%, post-index 53.5%; calcium channel blockers: 25.4%, 36.9%; oxygen: 12.3%, 25.4%). All-cause hospitalizations increased 2-fold, with 29.5% of patients hospitalized pre-index vs. 59.0% post-index (P < 0.0001). Intensive care unit (ICU) utilization increased from 6.6 to 17.2% (P = 0.0433). Mean inpatient visits increased from 0.5 (SD, 0.9) to 1.1 (1.3) (P < 0.0001); length of stay (days) increased from 5.4 (5.9) to 7.5 (11.6) (P < 0.0001); bed days from 2.5 (6.6) to 8.0 (16.3) (P < 0.0001); ICU days from 3.8 (2.3) to 7.0 (13.2) (P = 0.0362); and outpatient visits from 24.5 (16.8) to 32.9 (21.8) (P < 0.0001). Mean (SD) total all-cause healthcare costs increased from $43,201 ($98,604) pre-index to $108,387 ($190,673) post-index (P < 0.0001); this was largely driven by hospitalizations (which increased from a mean [SD] of $13,133 [$28,752] to $63,218 [$75,639] [P < 0.0001]) and outpatient costs ($16,150 [$75,639] to $25,604 [$93,964] [P < 0.0001]).

conclusionPH-ILD contributes to a high HCRU and cost burden. Timely identification, management, and treatment are needed to mitigate the clinical and economic consequences of PH-ILD development and progression.

Indexed as

Cost of IllnessHealth Care CostsHypertension, PulmonaryLung Diseases, InterstitialAdultAgedAged, 80 and overDatabases, FactualFemaleHospitalizationHumansMaleMiddle AgedPatient Acceptance of Health CareRetrospective StudiesUnited StatesCostDatabase analysisHealthcare resource utilizationInterstitial lung diseaseMedical claimsPulmonary hypertensionTreatment patterns

Identifiers

PMID38992626
PMCPMC11242015

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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.