Lupus & antiphospholipid syndrome

Real-world treatment patterns, healthcare resource utilisation and costs in patients with SLE in the USA

Lupus Sci MedPublished Retrospective cohort study

Study context

Population
Adults with incident SLE in the USA, MarketScan claims 2011–2019; 24-month pre-index and ≥24-month post-index periodreceived SLE treatment
Participants
2,476 adults
Outcome
Treatment patterns, medication adherence, concomitant corticosteroid use, factors influencing sequence of therapies (SOTs), healthcare resource utilisation (HCRU) and associated costs
Methodological detailsclaims database (Merative MarketScan Commercial and Medicare Supplemental), descriptive statistics, multivariable-adjusted logistic regression, Mean (SD) age 46.9 (14.1) years; mean (SD) follow-up 47.8 (15.7) months
  • Claims database (Merative MarketScan Commercial and Medicare Supplemental)
  • Descriptive statistics
  • Multivariable-adjusted logistic regression
  • Mean (SD) age 46.9 (14.1) years; mean (SD) follow-up 47.8 (15.7) months

Main finding

As reported in the abstract

Treatment patterns across SOTs
Corticosteroid use (≥1 corticosteroid) in all sequence of therapies (SOTs), % patients
50%-60%
Corticosteroid average dose
16.8-19.3 mg/day
Antimalarials in SOT 1
85.7%
Immunosuppressants in SOT 2
85.4%
Immunosuppressants in SOT 3
77.5%
Transition SOT 1-2
38.4%
Transition SOT 2-3
16.9%

Observational data: associations, not effects.

Further findings

SLE-related HCRU costs (increased with SOT progression)

Original publication

Real-world treatment patterns, healthcare resource utilisation and costs in patients with SLE in the USA. Lupus Sci Med. Published 23 December 2024. doi:10.1136/lupus-2024-001290

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