The LUCID study: living with ulcerative colitis; identifying the socioeconomic burden in Europe
Authors
Ruiz-Casas, LeonardoEvans, Jonathan; orcid: 0000-0002-3490-7191; email: jonathan.evans@hcdeconomics.com
Rose, Alison
Pedra, Gabriel Ghizzi
Lobo, Alan
Finnegan, Alan
Hayee, Bu
Peyrin-Biroulet, Laurent
Sturm, Andreas
Burisch, Johan
Terry, Helen
Avendano, Luisa
Tucknott, Seb
Fiorino, Gionata
Limdi, Jimmy
Publication Date
2021-12-04Submitted date
2020-08-21
Metadata
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Abstract: Background: Ulcerative colitis (UC) is an inflammatory bowel disease with increasing prevalence worldwide. Current treatment strategies place considerable economic and humanistic burdens on patients. The aim of this study was to determine the socioeconomic burden of UC in adult patients in European countries in a real-world setting. Methods: In this retrospective, cross-sectional and observational pan-European study, patients with moderate or severe UC were assigned to ARM 1 and patients who had moderate or severe UC but achieved mild or remission status 12 months before index date (or clinical consultation date), were assigned to ARM 2. Clinical and medical resource use data were collected via electronic case report forms, and data on non-medical and indirect costs, and health-related quality of life (HRQoL) were collected via patient and public involvement and engagement (PPIE) questionnaires. Per-patient annual total costs per ARM and per country were calculated using the collated resource use in the last 12 months (between the start of the documentation period and patient consultation or index date) and country specific unit costs. Quality of life was described by arm and by country. Results: In the physician-reported eCRF population (n = 2966), the mean annual direct medical cost was €4065 in ARM 1 (n = 1835) and €2935 in ARM 2 (n = 1131). In the PPIE population (ARM 1, n = 1001; ARM 2, n = 647), mean annual direct cost was €4526 in ARM 1 and €3057 in ARM 2, mean annual direct non-medical cost was €1162 in ARM 1 and €1002 in ARM 2, mean annual indirect cost was €3098 in ARM 1 and €2309 ARM 2, and mean annual total cost was in €8787 in ARM 1 and €6368 in ARM 2. HRQoL scores showed moderate to high burden of UC in both groups. Conclusions: The cost and HRQoL burden were high in patients in both ARM 1 and ARM 2 indicating unmet needs in the UC active population.Citation
BMC Gastroenterology, volume 21, issue 1, page 456Publisher
BioMed CentralType
articleDescription
From Springer Nature via Jisc Publications RouterHistory: received 2020-08-21, accepted 2021-11-15, registration 2021-11-16, collection 2021-12, pub-electronic 2021-12-04, online 2021-12-04
Publication status: Published
Funder: Pfizer UK; doi: http://dx.doi.org/10.13039/100009032
Funder: Eli Lilly and Company; doi: http://dx.doi.org/10.13039/100004312
Funder: Celgene; doi: http://dx.doi.org/10.13039/100006436