Autoinflammatory & rare systemic diseases

The clinical outcomes and healthcare resource utilization in IgG4-related disease: a claims-based analysis of commercially insured adults in the United States

Rheumatology (Oxford)Published Retrospective cohort study

Authors' conclusion

Patients with IgG4-RD are disproportionately affected by adverse outcomes, some of which may be preventable or modifiable with vigilant clinician monitoring.

Study context

Population
Commercially insured adults in a US managed care organization claims database
Participants
524 vs 5,240
Exposure
Incident igG4-related disease (IgG4-RD) cases vs matched general population comparators
  • Casesn = 524
  • Comparatorsn = 5,240reference
Outcome
Frequency of 21 expert-defined clinical outcomes associated with IgG4-RD or its treatment, and healthcare-associated visits and costs
Follow-up
12 months before and 36 months after the index date
Methodological detailsclaims-based, matched by age, sex, race/ethnicity and index date
  • Claims-based
  • Matched by age, sex, race/ethnicity and index date

Main finding

As reported in the abstract

Clinical outcomes, prevalence difference cases vs comparators · follow-up
Clinical outcomes, prevalence difference cases vs comparators
prevalence difference (gastroesophageal reflux disease) +31.2%; P < 0.001
Clinical outcomes, prevalence difference cases vs comparators
prevalence difference (infections) +17.3%; P < 0.001
Clinical outcomes, prevalence difference cases vs comparators
prevalence difference (hypertension) +15.5%; P < 0.01
Clinical outcomes, prevalence difference cases vs comparators
prevalence difference (diabetes mellitus) +15.0%; P < 0.001
Increased from +8.8%
prevalence difference (malignancy, end of follow-up) +12.5%; P < 0.001

Observational data: associations, not effects.

Further findings

Hospitalization · over follow-up

P < 0.01

ED visit · over follow-up

P < 0.01

GC use in cases
64.0%
Pancreatic enzyme replacement therapy use in cases · during follow-up
17.4%
  • GC use in cases: 64.0% prior to index date

Healthcare costs · over follow-up

All costs were greater in cases than comparators

Original publication

The clinical outcomes and healthcare resource utilization in IgG4-related disease: a claims-based analysis of commercially insured adults in the United States. Rheumatology (Oxford). Published 19 April 2024. doi:10.1093/rheumatology/keae230

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.