Evidence map›Paper›PMID 39058702›Full record

SynthesisPloS one2024

Direct and indirect costs of idiopathic inflammatory myopathies in adults: A systematic review.

Eden Daniel, Ian C Smith, Valentina Ly, Pierre R Bourque, Ari Breiner, Hanns Lochmuller, Nancy Maltez, Kednapa Thavorn, Jodi Warman-Chardon

Abstract readSystematic Review
In one paragraph

Synthesis in PloS one, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Eden DanielOttawa Hospital Research Institute, Ottawa, Ontario, Canada.
Ian C SmithOttawa Hospital Research Institute, Ottawa, Ontario, Canada.ORCID 0000-0001-5269-1710
Valentina LyLibrary, University of Ottawa, Ottawa, Ontario, Canada.
Pierre R BourqueFaculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada.
Ari BreinerOttawa Hospital Research Institute, Ottawa, Ontario, Canada.
Hanns LochmullerOttawa Hospital Research Institute, Ottawa, Ontario, Canada.
Nancy MaltezOttawa Hospital Research Institute, Ottawa, Ontario, Canada.
Kednapa ThavornOttawa Hospital Research Institute, Ottawa, Ontario, Canada.
Jodi Warman-ChardonOttawa Hospital Research Institute, Ottawa, Ontario, Canada.ORCID 0000-0002-0187-2199

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Idiopathic inflammatory myopathies (IIMs) are rare disorders characterized by inflammation of skeletal muscle, which can result in fatty replacement of muscle, muscle atrophy, and subsequent weakness. Therapeutic advancements have improved clinical outcomes but impose an economic impact on healthcare systems. We aimed to summarize the direct and indirect costs associated with IIMs in a systematic review (PROSPERO Registration #CRD42023443143). Electronic databases (MEDLINE, Embase, CINAHL, and Scopus) were systematically searched for full-length articles (excluding case reports) reporting costs specific to patients diagnosed with an IIM, published between database inception and April 19, 2023. Direct cost categories included inpatient, outpatient, medication, home/long-term care, and durable medical equipment such as mobility and respiratory aids. Indirect costs included lost productivity. Eligibility criteria were met by 21 of the 3,193 unique titles identified. Costs are expressed in 2023 United States of America dollars, with adjustments for differences in purchasing power applied to currency conversions. As no study reported on all cost categories, annualized cost of IIM per patient was estimated by calculating the mean cost per category, and then adding the means of the different cost categories. By this method, IIM was estimated to cost $52,210 per patient per year. Proportional contributions by category were lost productivity (0.278), outpatient care (0.214), medications (0.171), inpatient care (0.161), home/long-term care (0.122), and durable medical equipment (0.053). Newer findings with intravenous immunoglobulin considered first line therapy for IIM demonstrated markedly higher annual medication costs per patient, upwards of $33,900 compared to an average of $3,908 ± $1,042 in older studies. Future cost-effectiveness studies require updated cost-of-illness studies reflecting the evolving sub-classification and treatment options for IIM, and should consider the impact of IIM on patients and their families.

Indexed as

Health Care CostsMyositisAdultCost of IllnessHumans

Identifiers

PMID39058702
PMCPMC11280229

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.