EPIDEMIOLOGY, THERAPY PATTERNS AND FUNCTIONAL STATUS OF PATIENTS WITH JUVENILE IDIOPATIC ARTHRITIS (JIA) IN RUSSIA
Author(s)
Vorobyev PA1, Alexeeva EI2, Bezmelnitsyna L1, Borisenko O1, Kirdakov FI3, Hájek P41Russian Society for Pharmacoeconomics and Outcomes Research, Moscow, Russia, 2National center for Child Health of Russian Academy of Medical Science, Moscow, Russia, 3Unive
OBJECTIVES: For distribution biologic agents in patients with JIA in Russia, data about epidemiology, used drugs and their impact on functional status are necessary. METHODS: Records were examined for 6 months retrospectively. Data were collected via medical chart review by rheumatologists from 11 regions of Russia. Functional status was assessed with CHAQ questionnaire. Inclusion criteria: age (younger than 18 years), minimum 6 months since diagnosis of JIA and availability of 6 months retrospective data. Recruitment: no more than 30% patients received biologic therapy. Disease-specific criteria: about 50% had oligoarthritis, 30-40% - polyarthritis and 10-20% - systemic form. Analysis was performed with methods of descriptive statistic, parametric and non-parametric criteria. RESULTS: Data on 405 patients were obtained. Ratio (male:female) was 1:1.6. Average duration of disease was 5 years. 72% had a disability status caused by JIA. 43% had mild functional disorders; 32% - moderate; 23% - severe disorders, and only 2% had no functional disorders. Seventy-two percent patients in subgroup without functional disorders got biologic therapy, 30% and 28% got biologic agents in subgroups with mild and moderate disorders respectively. In subgroup with severe disorders 41% received biologic therapy; 18% patients with oligoarthritis got biological agents; 40% - with polyartritis, 54% - with systemic form. CONCLUSIONS: Prescription of biologic therapy increases in case of more severe form of JIA. Direct relationship between biologic therapy prescription and functional status was not revealed.
Conference/Value in Health Info
2011-11, ISPOR Europe 2011, Madrid, Spain
Value in Health, Vol. 14, No. 7 (November 2011)
Code
PMS73
Topic
Economic Evaluation, Health Service Delivery & Process of Care, Study Approaches
Topic Subcategory
Cost/Cost of Illness/Resource Use Studies, Prescribing Behavior, Quality of Care Measurement, Registries, Treatment Patterns and Guidelines
Disease
Musculoskeletal Disorders