Burden of Idiopathic Pulmonary Fibrosis (IPF) on Quality of Life (QOL), Work Productivity and Healthcare Use

Author(s)

Coteur G1, Inoue Y2, Cottin V3, Small M4, Siddall J4, Langley J1, Bonella F5, Lancaster L6
1Galapagos NV, Mechelen, Belgium, 2National Hospital Organization Kinki-Chuo Chest Medical Center, Osaka, Japan, 3National Coordinating Reference Center for Rare Pulmonary Diseases, Louis Pradel Hospital, University Claude Bernard, Lyon, France, 4Adelphi Real World, Bollington, UK, 5Ruhrlandklinik University Hospital, University Duisburg-Essen, Essen, Germany, 6Vanderbilt University Medical Center, Nashville, TN, USA

OBJECTIVES : Despite recent advances, current IPF therapies fail to halt progression and have limited impact on QoL. Hospitalization due to IPF is common. We studied real-world burden of IPF on QoL (EQ-5D), hospitalization, work impairment and healthcare visits.

METHODS : A large cross-sectional survey was conducted in France, Germany, Japan and the USA; 244 physicians reported data on 1,249 patients with IPF, 739 of whom provided self-reported data.

RESULTS : EQ-5D health utility values in IPF were worse than moderate‑to-severe chronic obstructive pulmonary disease and similar to non-small cell lung cancer, based on comparative real-world data. Those on treatment (84.7%) consulted a healthcare professional more than those untreated (8.5 vs 5.2 visits/year); 33% and 10% made ≥10 visits/year, respectively, largely for routine check-ups and repeat prescriptions. Hospitalization was more common when disease was perceived as severe by physicians, but 5–17% of patients with mild functional impairment were still hospitalized in the last year. Work productivity was impaired by 28%, 45%, 40% and 34% in France, Germany, Japan and USA, respectively.

CONCLUSIONS : Data show the marked burden of IPF on QoL, work productivity and healthcare resource use, highlighting the need for optimization of current management.

ACKNOWLEDGMENTS : This study was funded by Galapagos NV (Mechelen, Belgium). Writing support from Hannah Mace MPharmacol, CMPP (Aspire Scientific Ltd, Bollington, UK) was funded by Galapagos NV.

Conference/Value in Health Info

2020-11, ISPOR Europe 2020, Milan, Italy

Value in Health, Volume 23, Issue S2 (December 2020)

Code

PRS78

Topic

Clinical Outcomes, Patient-Centered Research

Topic Subcategory

Clinician Reported Outcomes, Patient-reported Outcomes & Quality of Life Outcomes

Disease

Respiratory-Related Disorders

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