Healthcare Resource Utilization and Economic Burden of Prurigo Nodularis in the United States.

IF 4.2 3区 医学 Q1 DERMATOLOGY Dermatology and Therapy Pub Date : 2025-02-01 Epub Date: 2025-02-08 DOI:10.1007/s13555-025-01349-7
Shawn G Kwatra, Ashis K Das, Eunice Chang, Caleb Paydar, Donia Bahloul, Chao Chen, Ryan B Thomas
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Abstract

Introduction: The impacts of prurigo nodularis (PN) on healthcare resource utilization (HCRU) and associated costs are unclear.

Methods: This retrospective, cross-sectional claims analysis (IQVIA PharMetrics® Plus) compared HCRU and costs over 1 year in adults with PN versus matched controls (region, payer type, age, sex, year) from 2016 to 2019, and also in patients with PN receiving advanced versus localized/no therapy. For patients with data in multiple calendar years, 1 year was randomly selected. Outcomes were compared by chi-square tests, t tests, or negative binomial tests.

Results: We matched 16,888 patients with PN with 16,888 controls. Most comorbidities (mental health, metabolic conditions, type 2 inflammatory diseases) appeared more frequently in patients with PN versus controls. HCRU was significantly (P < 0.001) higher for patients with PN versus controls, including mean (standard deviation, SD) number of outpatient visits (17.0 [15.5] vs 8.1 [10.7]) and proportion of patients with hospitalizations (9.3% vs 5.9%). Mean (SD) total costs were significantly (P < 0.001) greater for patients with PN versus controls ($18,315 [$66,476] vs $8451 [$30,982]).

Conclusions: Patients with PN receiving advanced therapy had higher HCRU and costs versus localized/no therapy. Patients with PN (particularly those receiving advanced therapies) incurred higher all-cause HCRU burden and associated costs than matched controls. Enhanced feature (slides, video, animation) (MP4 12313 KB).

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美国结节性痒疹的医疗资源利用与经济负担
摘要结节性痒疹(PN)对医疗资源利用(HCRU)和相关费用的影响尚不清楚。方法:这项回顾性、横断面声明分析(IQVIA PharMetrics®Plus)比较了2016年至2019年成人PN患者与匹配对照组(地区、付款人类型、年龄、性别、年份)1年内的HCRU和成本,以及接受晚期治疗与局部治疗/未治疗的PN患者。对于有多个日历年数据的患者,随机选择1年。结果通过卡方检验、t检验或负二项检验进行比较。结果:我们将16,888例PN患者与16,888例对照组进行了配对。大多数合并症(精神健康、代谢状况、2型炎症性疾病)在PN患者中出现的频率高于对照组。结论:与局部治疗/不治疗相比,接受先进治疗的PN患者的HCRU和费用更高。PN患者(特别是接受先进治疗的患者)的全因HCRU负担和相关费用高于对照组。增强功能(幻灯片,视频,动画)(MP4 12313 KB)。
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来源期刊
Dermatology and Therapy
Dermatology and Therapy Medicine-Dermatology
CiteScore
6.00
自引率
8.80%
发文量
187
审稿时长
6 weeks
期刊介绍: Dermatology and Therapy is an international, open access, peer-reviewed, rapid publication journal (peer review in 2 weeks, published 3–4 weeks from acceptance). The journal is dedicated to the publication of high-quality clinical (all phases), observational, real-world, and health outcomes research around the discovery, development, and use of dermatological therapies. Studies relating to diagnosis, pharmacoeconomics, public health and epidemiology, quality of life, and patient care, management, and education are also encouraged. Areas of focus include, but are not limited to all clinical aspects of dermatology, such as skin pharmacology; skin development and aging; prevention, diagnosis, and management of skin disorders and melanomas; research into dermal structures and pathology; and all areas of aesthetic dermatology, including skin maintenance, dermatological surgery, and lasers. The journal is of interest to a broad audience of pharmaceutical and healthcare professionals and publishes original research, reviews, case reports/case series, trial protocols, and short communications. Dermatology and Therapy will consider all scientifically sound research be it positive, confirmatory or negative data. Submissions are welcomed whether they relate to an International and/or a country-specific audience, something that is crucially important when researchers are trying to target more specific patient populations. This inclusive approach allows the journal to assist in the dissemination of quality research, which may be considered of insufficient interest by other journals. The journal appeals to a global audience and receives submissions from all over the world.
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