TY - JOUR
T1 - Epidemiology and Economic Burden of Atopic Dermatitis
T2 - Real-World Retrospective Data from a Large Nationwide Israeli Healthcare Provider Database
AU - Weil, Clara
AU - Sugerman, Philip B.
AU - Chodick, Gabriel
AU - Liang, Huifang
AU - Wang, Hongwei
AU - Calimlim, Brian M.
AU - Dorfman, Ana
AU - Shalev, Varda
AU - Ben Amitai, Dan
AU - Leshem, Yael A.
N1 - Publisher Copyright:
© 2022, The Author(s), under exclusive licence to Springer Healthcare Ltd., part of Springer Nature.
PY - 2022/6
Y1 - 2022/6
N2 - Introduction: Real-world data on the epidemiology and economic burden of atopic dermatitis (AD) are limited. Here we describe the epidemiology and economic burden of AD using electronic healthcare data from Israel. Methods: A retrospective study was performed using the Maccabi Healthcare Services database. AD incidence in 2008–2017 and point prevalence (ADprev) on 31 December 2017 were described using diagnosis codes for overall patients, and sex and age subgroups. For ADprev, severity was defined using recently dispensed treatments for AD. Annual healthcare resource utilization in AD prevalent patients was compared with non-AD matched controls using generalized linear modelling. Direct annual costs were estimated also. Results: AD incidence was 7.0/1000 person-years; overall prevalence was 4.4% (female patients 4.5%, male patients 4.3%; age 0 to less than 6 months, 0.9%; 6 months to less than 12 years, 11.0%; 12 to less than 18 years, 5.8%; 18 years or older, 2.2%). Among ADprev (n = 94,483), mild, moderate, and severe AD comprised 57.7%, 36.2%, and 6.1% (adults 43.8%, 46.3%, 9.9%), respectively. Dermatologist and allergist visits and hospitalization rates (at least one) were 40.7%, 6.6%, and 3.8% in 2017. Compared with controls, overall and moderate-to-severe AD were associated with 36% and 52% increases in annual per-person costs (incremental costs $126 and $190). Conclusions: AD epidemiology in Israel is comparable with other real-world database studies. AD imposes an economic burden that increases with disease severity.
AB - Introduction: Real-world data on the epidemiology and economic burden of atopic dermatitis (AD) are limited. Here we describe the epidemiology and economic burden of AD using electronic healthcare data from Israel. Methods: A retrospective study was performed using the Maccabi Healthcare Services database. AD incidence in 2008–2017 and point prevalence (ADprev) on 31 December 2017 were described using diagnosis codes for overall patients, and sex and age subgroups. For ADprev, severity was defined using recently dispensed treatments for AD. Annual healthcare resource utilization in AD prevalent patients was compared with non-AD matched controls using generalized linear modelling. Direct annual costs were estimated also. Results: AD incidence was 7.0/1000 person-years; overall prevalence was 4.4% (female patients 4.5%, male patients 4.3%; age 0 to less than 6 months, 0.9%; 6 months to less than 12 years, 11.0%; 12 to less than 18 years, 5.8%; 18 years or older, 2.2%). Among ADprev (n = 94,483), mild, moderate, and severe AD comprised 57.7%, 36.2%, and 6.1% (adults 43.8%, 46.3%, 9.9%), respectively. Dermatologist and allergist visits and hospitalization rates (at least one) were 40.7%, 6.6%, and 3.8% in 2017. Compared with controls, overall and moderate-to-severe AD were associated with 36% and 52% increases in annual per-person costs (incremental costs $126 and $190). Conclusions: AD epidemiology in Israel is comparable with other real-world database studies. AD imposes an economic burden that increases with disease severity.
KW - Atopic eczema
KW - Epidemiology
KW - Health economics
UR - http://www.scopus.com/inward/record.url?scp=85127311601&partnerID=8YFLogxK
U2 - 10.1007/s12325-022-02120-6
DO - 10.1007/s12325-022-02120-6
M3 - ???researchoutput.researchoutputtypes.contributiontojournal.article???
C2 - 35352308
AN - SCOPUS:85127311601
SN - 0741-238X
VL - 39
SP - 2502
EP - 2514
JO - Advances in Therapy
JF - Advances in Therapy
IS - 6
ER -