Vasculitis & polymyalgia rheumatica

Phase-Specific Healthcare Costs Associated With Giant Cell Arteritis in Ontario, Canada

J RheumatolPublished Population-based matched cohort study

Authors' conclusion

A diagnosis of GCA was associated with increased healthcare costs during all 3 phases of care.

Study context

Population
Newly diagnosed giant cell arteritis (GCA) aged ≥ 66 years, Ontario, Canada, 2002–2017; median age 77 (IQR 72–82) years, 68.2% femalematched cohort
Participants
6,730 vs 40,380
Exposure
Newly diagnosed GCA vs matched non-GCA comparators
  • GCAn = 6,730
  • Non-GCA comparatorsn = 40,380reference
Outcome
Additional healthcare system costs associated with GCA (2021 Canadian dollars (CAD)) in the 1-year prediagnosis, 1-year postdiagnosis and ongoing phases
Methodological detailshealth administrative data, propensity-score matched 1:6, Follow-up until death, outmigration, or March 31, 2020
  • Health administrative data
  • Propensity-score matched 1:6
  • Follow-up until death, outmigration, or March 31, 2020

Main finding

As reported in the abstract

Increased healthcare cost per patient, GCA vs comparators (2021 CAD)

Increased cost, 1-year prediagnostic period

6619.4 CAD $ per patient

95% CI 5964.9–7274.0

GCA

Increased cost, 1-year postdiagnostic phase

12,150.3 CAD $ per patient (95% CI 11,233.1–13,067.6)

GCA

Increased cost, ongoing care for year 3 onward

20,886.2 CAD $ per patient (95% CI 17,195.2–24,577.2)

GCA

Observational data: associations, not effects.

Original publication

Phase-Specific Healthcare Costs Associated With Giant Cell Arteritis in Ontario, Canada. J Rheumatol. Published 1 April 2024. doi:10.3899/jrheum.2023-1245

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