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Economic Burden of Sporadic Inclusion Body Myositis Patients in the United States (P1.135)

Neurology(2016)

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摘要
Objective:To assess the economic burden of patients with Sporadic Inclusion Body Myositis (sIBM) in the United States.Background: sIBM is a rare and debilitating muscle disease and may impose substantial economic burden on patients and healthcare systems. To date, there have been no assessments of the economic burden of sIBM.Methods:Two different data sources were utilized to assess healthcare and patient economic burden. Truven MarketScan Commercial u0026 Medicare supplemental administrative claims database provided direct healthcare costs of sIBM patients over a one year period. The sIBM cohort included patients (≥50 years) with ≥2 outpatient diagnoses of sIBM ≥7 days apart or with ≥ 1 inpatient sIBM diagnosis identified between January 1, 2010 u0026 December 31, 2012. Indirect costs (non-reimbursed costs) borne by patients and caregivers included home modifications, specialized equipment and payment to professional paid help. Costs were assessed using patient self-reported data collected at The Myositis Conference (TMA) in 2013 and 2014. All costs were adjusted to 2014 prices.Results:333 sIBM patients (66[percnt] male) with a mean age of 69 years (SD: 9.6) were included in the Truven Marketscan analysis. Over a one year period, mean healthcare costs for sIBM patients were $34,738 (SD: $53,517; median: $13,048), driven by outpatient costs (mean: $21,051; SD: $38,664; median: $8,092). 102 sIBM patients (62[percnt] male) were included in TMA with a mean age of 67 years (SD: 8.0), mean time since disease onset of 11.3 years and mean time since diagnosis of 5.3 years. Mean cost since diagnosis of specialized equipment was $9,975 (SD: $39,417; median: $1,000) and of home modifications was $148,348 (SD: $912,795; median: $4,000). Mean annual cost of professional paid help at home was $12,138 (SD: $44,360; median $1,200).Conclusion: sIBM imposes substantial economic burden in terms of both direct healthcare costs u0026 indirect costs. Disclosure: Dr. Gorana Capkun has nothing to disclose. Dr. Tian has received personal compensation for activities with Novartis Pharmaceuticals Corporation. Dr. Zhao has received personal compensation for activities with Novartis. Dr. Barghout has nothing to disclose. Dr. Aoife Callan has received personal compensation for activities with Novartis for business services. Dr. Agashivala has received personal compensation for activities with Novartis Pharmaceuticals Corporation as an employee. Dr. Wei has received personal compensation for activities with Novartis Pharmaceuticals Corporation. Dr. Price has received personal compensation for activities with RTI Health Solutions. Dr. Lewis has received personal compensation for activities with RTI Health Solutions as an employee. Dr. Tseng has received personal compensation for activities with Novartis as an employee. Dr. Demuro has received personal compensation for activities with RTI Health Solutions.
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关键词
inclusion,patients,economic burden
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