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Characteristics, treatment patterns, health care resource utilization and costs in patients with bullous pemphigoid: A retrospective analysis of US health insurance claims data.


ABSTRACT:

Background

Real-world data describing the impact of incident bullous pemphigoid (BP) on patients and health care resource utilization (HCRU) are limited.

Objective

To examine characteristics, treatment patterns, HCRU, and costs for incident BP.

Methods

Retrospective analysis of 2015 to 2019 US health insurance claims for patients ≥18 years with an incident BP diagnosis. Patients with BP were matched to those without on demographic and clinical characteristics. Statistics were descriptive.

Results

The mean Charlson Comorbidity Index score was higher for patients with BP (n = 1108) than without (n = 4621) at baseline (mean [SD]: 3.3 [2.7] vs 2.8 [2.4]) and during follow-up (5.0 [4.9] vs 3.7 [3.0]). Hypertension, diabetes, skin ulcers, chronic pulmonary disease, dyslipidemia, sleep disorders, and congestive heart failure were higher with BP. Most patients with BP received antibiotics (>80%) and/or corticosteroids (>90%). Hospitalizations were more common (44.0% vs 17.1%) and monthly all-cause health care costs more than double ($3214 vs $1353) in patients with BP than without.

Limitations

Diagnoses were based on billing codes. HCRU claims data may not reflect the true number of encounters.

Conclusion

Incident BP is associated with considerable morbidity, HCRU, and costs. More effective, targeted treatments are needed to improve quality of life, while minimizing exposure to systemic corticosteroids.

SUBMITTER: Stirnadel-Farrant HA 

PROVIDER: S-EPMC10550796 | biostudies-literature | 2023 Dec

REPOSITORIES: biostudies-literature

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Publications

Characteristics, treatment patterns, health care resource utilization and costs in patients with bullous pemphigoid: A retrospective analysis of US health insurance claims data.

Stirnadel-Farrant Heide A HA   Xu Xiao X   Kwiatek Justin J   Jain Priya P   Meyers Juliana J   Candrilli Sean S   Mines Daniel D   Datto Catherine J CJ  

JAAD international 20230609


<h4>Background</h4>Real-world data describing the impact of incident bullous pemphigoid (BP) on patients and health care resource utilization (HCRU) are limited.<h4>Objective</h4>To examine characteristics, treatment patterns, HCRU, and costs for incident BP.<h4>Methods</h4>Retrospective analysis of 2015 to 2019 US health insurance claims for patients ≥18 years with an incident BP diagnosis. Patients with BP were matched to those without on demographic and clinical characteristics. Statistics we  ...[more]

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