US Health Resource Utilization and Cost Burden Associated with Choroideremia

Shaobin Dong,1 Nicole Tsao,2 Qiang Hou,1 Duygu Bozkaya,1 Bart P Leroy3– 5 1Value and Access, Biogen, Cambridge, MA, USA; 2Medical Health Outcomes and Research, Biogen, Cambridge, MA, USA; 3Department of Ophthalmology & Center for Medical Genetics, Ghent University Hospital, Ghent, Belgium; 4Depa...

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Autores principales: Dong S, Tsao N, Hou Q, Bozkaya D, Leroy BP
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Publicado: Dove Medical Press 2021
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spelling oai:doaj.org-article:5a224d5ba1ae4d9aa385f41d82c0c6812021-12-02T18:50:45ZUS Health Resource Utilization and Cost Burden Associated with Choroideremia1177-5483https://doaj.org/article/5a224d5ba1ae4d9aa385f41d82c0c6812021-08-01T00:00:00Zhttps://www.dovepress.com/us-health-resource-utilization-and-cost-burden-associated-with-choroid-peer-reviewed-fulltext-article-OPTHhttps://doaj.org/toc/1177-5483Shaobin Dong,1 Nicole Tsao,2 Qiang Hou,1 Duygu Bozkaya,1 Bart P Leroy3– 5 1Value and Access, Biogen, Cambridge, MA, USA; 2Medical Health Outcomes and Research, Biogen, Cambridge, MA, USA; 3Department of Ophthalmology & Center for Medical Genetics, Ghent University Hospital, Ghent, Belgium; 4Department of Head & Skin, Ghent University, Ghent, Belgium; 5Division of Ophthalmology & Center for Cellular & Molecular Therapeutics, The Children’s Hospital of Philadelphia, Philadelphia, PA, USACorrespondence: Shaobin DongValue and Access, Biogen, 225 Binney Street, Cambridge, MA, 02142, USATel +1-857-331-5246Email shaobin.dong@biogen.comPurpose: Choroideremia is a progressive, inherited retinal dystrophy that leads to blindness. This study of choroideremia addresses health resource utilization (HRU) and costs from a US payor perspective using insurance claims data. The retrospective analysis used data between January 2013 and December 2018 from the IBM MarketScan Commercial, Medicare Supplemental, and Multi-State Medicaid Databases.Patients and Methods: Patients having ≥ 1 claim with an International Classification of Diseases, Ninth or Tenth Edition, diagnostic code for choroideremia (363.55/H31.21) were included; a control group was matched 3:1 to the choroideremia group. Patients were followed for ≥ 6 months. All-cause HRU and costs were compared between cohorts using generalized linear models adjusted for Charlson Comorbidity Index.Results: There were 199 and 597 patients in the choroideremia and control groups, respectively; the choroideremia group had a higher mean baseline Charlson Comorbidity Index (0.47 vs 0.26). The choroideremia group had a significantly greater mean number of hospital admissions (0.09 vs 0.06), outpatient visits (22.33 vs 11.22), and emergency department visits (0.41 vs 0.26) per patient per year than the control group. The choroideremia cohort had higher all-cause total annualized costs than the control cohort ($15,372 vs $9285), primarily driven by outpatient visits ($8306 vs $4702). This trend was observed across age categories, particularly among patients aged 20 to 44 years (choroideremia, $14,544 vs control, $5953).Conclusion: The choroideremia group had higher all-cause HRU and total costs versus the control group. These findings provide economic context around HRU associated with choroideremia and help assess the potential impact of novel treatments.Keywords: vision loss, inherited retinal dystrophy, claims data, health economicsDong STsao NHou QBozkaya DLeroy BPDove Medical Pressarticlevision lossinherited retinal dystrophyclaims datahealth economicsOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 15, Pp 3459-3465 (2021)
institution DOAJ
collection DOAJ
language EN
topic vision loss
inherited retinal dystrophy
claims data
health economics
Ophthalmology
RE1-994
spellingShingle vision loss
inherited retinal dystrophy
claims data
health economics
Ophthalmology
RE1-994
Dong S
Tsao N
Hou Q
Bozkaya D
Leroy BP
US Health Resource Utilization and Cost Burden Associated with Choroideremia
description Shaobin Dong,1 Nicole Tsao,2 Qiang Hou,1 Duygu Bozkaya,1 Bart P Leroy3– 5 1Value and Access, Biogen, Cambridge, MA, USA; 2Medical Health Outcomes and Research, Biogen, Cambridge, MA, USA; 3Department of Ophthalmology & Center for Medical Genetics, Ghent University Hospital, Ghent, Belgium; 4Department of Head & Skin, Ghent University, Ghent, Belgium; 5Division of Ophthalmology & Center for Cellular & Molecular Therapeutics, The Children’s Hospital of Philadelphia, Philadelphia, PA, USACorrespondence: Shaobin DongValue and Access, Biogen, 225 Binney Street, Cambridge, MA, 02142, USATel +1-857-331-5246Email shaobin.dong@biogen.comPurpose: Choroideremia is a progressive, inherited retinal dystrophy that leads to blindness. This study of choroideremia addresses health resource utilization (HRU) and costs from a US payor perspective using insurance claims data. The retrospective analysis used data between January 2013 and December 2018 from the IBM MarketScan Commercial, Medicare Supplemental, and Multi-State Medicaid Databases.Patients and Methods: Patients having ≥ 1 claim with an International Classification of Diseases, Ninth or Tenth Edition, diagnostic code for choroideremia (363.55/H31.21) were included; a control group was matched 3:1 to the choroideremia group. Patients were followed for ≥ 6 months. All-cause HRU and costs were compared between cohorts using generalized linear models adjusted for Charlson Comorbidity Index.Results: There were 199 and 597 patients in the choroideremia and control groups, respectively; the choroideremia group had a higher mean baseline Charlson Comorbidity Index (0.47 vs 0.26). The choroideremia group had a significantly greater mean number of hospital admissions (0.09 vs 0.06), outpatient visits (22.33 vs 11.22), and emergency department visits (0.41 vs 0.26) per patient per year than the control group. The choroideremia cohort had higher all-cause total annualized costs than the control cohort ($15,372 vs $9285), primarily driven by outpatient visits ($8306 vs $4702). This trend was observed across age categories, particularly among patients aged 20 to 44 years (choroideremia, $14,544 vs control, $5953).Conclusion: The choroideremia group had higher all-cause HRU and total costs versus the control group. These findings provide economic context around HRU associated with choroideremia and help assess the potential impact of novel treatments.Keywords: vision loss, inherited retinal dystrophy, claims data, health economics
format article
author Dong S
Tsao N
Hou Q
Bozkaya D
Leroy BP
author_facet Dong S
Tsao N
Hou Q
Bozkaya D
Leroy BP
author_sort Dong S
title US Health Resource Utilization and Cost Burden Associated with Choroideremia
title_short US Health Resource Utilization and Cost Burden Associated with Choroideremia
title_full US Health Resource Utilization and Cost Burden Associated with Choroideremia
title_fullStr US Health Resource Utilization and Cost Burden Associated with Choroideremia
title_full_unstemmed US Health Resource Utilization and Cost Burden Associated with Choroideremia
title_sort us health resource utilization and cost burden associated with choroideremia
publisher Dove Medical Press
publishDate 2021
url https://doaj.org/article/5a224d5ba1ae4d9aa385f41d82c0c681
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