ASSESSING THE ECONOMIC AND HUMANISTIC BURDEN OF PSORIATIC ARTHRITIS IN BRAZIL
Author(s)
Lopes N1, Romiti R2, Pietri G3, Howe T3, Gilloteau I4, Tian H5, Barbeau M6, MacPherson A7
1Novartis Biociências SA, Sao Paulo, Brazil, 2Hospital das Clínicas University of São Paulo (USP), São Paulo, Brazil, 3GfK UK, London, UK, 4Novartis Pharma AG, Basel, Switzerland, 5Novartis Pharmaceuticals Corporation, East Hanover, NJ, USA, 6Novartis Pharmaceuticals Canada Inc., Dorval, QC, Canada, 7Dalhousie University, Halifax, NS, Canada
OBJECTIVES:: To assess the economic and humanistic burden of psoriatic arthritis (PsA) among psoriasis (PsO) patients in Brazil, and draw descriptive analyses between the two cohorts. METHODS:: This analysis used data from the GfK Disease Atlas multinational real-world evidence program. The sample included dermatologists (n=50) and their systemic therapy eligible PsO patients (n=497); data was captured into a retrospective database through surveys. RESULTS:: Among PsO patients, 18% (n=90) had PsA; of which, 52% were male. Patients with PsA were older than those without PsA (53.7 vs. 43.6 years), and had a greater disease duration (11.9 vs. 6.6 years). Patients with PsA reported a higher number of exacerbations in the last 12 months; 33% (n=30) reported currently exacerbating, compared to 14% (n=16) of those without PsA. The most bothersome symptom for patients with PsA was joint pain (27% vs. 0% for non-PsA patients), while those without PsA reported scaling as the most bothersome (30% vs. 27% for PsA patients). Nearly 20% of PsO patients (n=88) reported suffering from anxiety or depression, while nearly 30% (n=25) of PsA patients did. The overall SF-12 physical and mental health composite scores for patients with PsA were 43.7 and 41.9 respectively, versus 52.2 and 46.8 respectively for those without. Work productivity loss was 31.9% for patients with PsA, versus 19.5% for those without. Absenteeism and presenteeism were 10% and 25.6% respectively for patients with PsA, versus 5.1% and 16.3% respectively for those without. The number of PsO consultations with a dermatologist was higher for patients with PsA, specifically 16% (n=14) versus 8% (n=31) for those without PsA. Further, 36% (n=32) of PsA patients sought care from a rheumatologist, while only 3% (n=11) of patients without PsA did. CONCLUSIONS:: Results from this real world survey showed that the economic and humanistic burden in psoriasis patients with concomitant PsA is substantial.
Conference/Value in Health Info
2017-09, ISPOR Latin America 2017, Sao Paulo, Brazil
Value in Health, Vol. 20, No. 9 (October 2017)
Code
PMS30
Topic
Patient-Centered Research
Topic Subcategory
Patient-reported Outcomes & Quality of Life Outcomes
Disease
Musculoskeletal Disorders, Sensory System Disorders