Dataset Information

Characterizing idiopathic pulmonary fibrosis patients using US Medicare-advantage health plan claims data.

ABSTRACT:

Background

Idiopathic pulmonary fibrosis (IPF) is a rare life-threating interstitial lung disease (ILD). This study characterizes demographics, health care utilization, and comorbidities among elderly IPF patients and estimates prevalence and incidence rates for selected outcomes.

Methods

Cohort study using a large US health insurance database (Optum's Medicare Advantage plan).

Inclusion criteria

? 1 diagnosis code for IPF (2008 - 2014), age ?65 years, no diagnosis of IPF or other ILD in prior 12 months. Demographics, health care utilization, comorbidities and incidence rates for various outcomes were estimated. Follow-up continued until the earliest of: health plan disenrollment, death, a claim for another known cause of ILD, or end of the study period.

Results

4,716 patients were eligible; 53.4% had IPF diagnostic testing. Median age was 77.5 years, 50.3% were male, median follow-up time was 0.8 years. Incidence rates ranged from 1.0/1,000 person-years (lung transplantation) to 374.3/1,000 person-years (arterial hypertension). Baseline characteristics and incidence rates were similar for cohorts of patients with and without IPF diagnostic testing.

Conclusions

Elderly IPF patients experience a variety of comorbidities before and after IPF diagnosis. Therapies for IPF and for the associated comorbidities may reduce morbidity and associated health care utilization of these patients.

SUBMITTER: Mortimer K

PROVIDER: S-EPMC6327584 | biostudies-literature | 2019 Jan

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Characterizing idiopathic pulmonary fibrosis patients using US Medicare-advantage health plan claims data.

Mortimer Kathleen K Hartmann Nadine N Chan Christine C Norman Heather H Wallace Laura L Enger Cheryl C

BMC pulmonary medicine 20190110 1

<h4>Background</h4>Idiopathic pulmonary fibrosis (IPF) is a rare life-threating interstitial lung disease (ILD). This study characterizes demographics, health care utilization, and comorbidities among elderly IPF patients and estimates prevalence and incidence rates for selected outcomes.<h4>Methods</h4>Cohort study using a large US health insurance database (Optum's Medicare Advantage plan).<h4>Inclusion criteria</h4>≥ 1 diagnosis code for IPF (2008 - 2014), age ≥65 years, no diagnosis of IPF o ...[more]

PMID: 30630460

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Dataset Information

Characterizing idiopathic pulmonary fibrosis patients using US Medicare-advantage health plan claims data.

Background

Methods

Inclusion criteria

Results

Conclusions

Publications

Characterizing idiopathic pulmonary fibrosis patients using US Medicare-advantage health plan claims data.

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