Une étude de base de données sur la maladie, les schémas de traitement et l'utilisation des soins de santé chez les enfants atteints de maladies inflammatoires chroniques de l'intestin en Corée (Ped IBD Claims)
Épidémiologie, schémas thérapeutiques et utilisation des ressources de santé chez les patients pédiatriques de moins de 18 ans atteints de maladies inflammatoires chroniques de l'intestin en Corée : une étude de base de données de remboursements
The purpose of this study is:
- to find out out the number of children who develop crohn's disease (CD) and ulcerative colitis (UC) each year and are living with the disease and to see how this differs by age groups.
- to understand how children of different age groups are treated over time and how their treatment changes as they grow.
- to assess how often children use healthcare services and how much this costs for different age groups over several years.
CD and UC are long-term diseases that cause inflammation in intestine (part of digestive system) and develop ulcers.
Aperçu de l'étude
Statut
Les conditions
Type d'étude
Inscription (Estimé)
Contacts et emplacements
Lieux d'étude
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Suwon, Corée du Sud, 16419
- Sungkyunkwan University Research and Business Foundation
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Critères de participation
Critère d'éligibilité
Âges éligibles pour étudier
Accepte les volontaires sains
Sexes éligibles pour l'étude
Méthode d'échantillonnage
Population étudiée
The study population will be selected from the health insurance review and assessment (HIRA) database and include pediatric participants, who have been newly diagnosed or previously with either crohn's disease (CD) or ulcerative colitis (UC).
La description
Inclusion Criteria:
- Participants with at least two outpatient or one inpatient diagnosis codes for the same disease type (either CD or UC) using international classification of diseases, tenth revision (ICD-10) codes (K50. X for CD and K51. X for UC) recorded as primary or the first secondary diagnosis, and the codes for rare and intractable disease registration program (V130 for CD, V131 for UC) during the index period
- Participants who received at least one prescription for conventional pediatric inflammatory bowel disease (IBD)-related medications (for example, 5-aminosalicylic acids [5-ASAs], exclusive enteral nutrition [EENs], corticosteroids, immunomodulators, or biologic drugs) during the index period
Exclusion Criteria:
- No specific exclusion criteria are defined in this study
Plan d'étude
Comment l'étude est-elle conçue ?
Détails de conception
- Modèles d'observation: COHORT
- Perspectives temporelles: RETROSPECTIVE
Cohortes et interventions
Groupe / Cohorte |
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Group 1: Newly and Previously Diagnosed Pediatric Inflammatory Bowel Disease (IBD) Participants
Participants, who have been either newly diagnosed or previously diagnosed with Crohn's disease (CD) or Ulcerative colitis (UC) will be enrolled. Data will be analyzed for epidemiology, baseline demographics and clinical characteristics, health care resource utilization profiles, and associated costs. Only newly diagnosed participants will be included in the analysis of longitudinal treatment patterns and incidence estimation. Only data available per routine clinical practice will be used in this study and will be de-identified and extracted from the health insurance review and assessment (HIRA) database. |
Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
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Crude and Age-Adjusted Annual Incidence in Pediatric Crohn's Disease (CD)
Délai: During the index period (2012 to 2023; up to 12 years)
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The crude and age-adjusted annual incidence CD will be calculated in each calendar year. Annual incidence and the prevalence in the year of interest will be estimated using the number of newly diagnosed participants and the number of participants with the diagnosis within the corresponding year, respectively. |
During the index period (2012 to 2023; up to 12 years)
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Crude and Age-Adjusted Annual Incidence in Pediatric Ulcerative Colitis (UC)
Délai: During the index period (2012 to 2023; up to 12 years)
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The crude and age-adjusted annual incidence UC will be calculated in each calendar year. Annual incidence and the prevalence in the year of interest will be estimated using the number of newly diagnosed participants and the number of participants with the diagnosis within the corresponding year, respectively. |
During the index period (2012 to 2023; up to 12 years)
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Crude and Age-Adjusted Annual Prevalence in Pediatric CD
Délai: During the index period (2012 to 2023; up to 12 years)
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The crude and age-adjusted annual prevalence CD will be calculated in each calendar year. Annual incidence and the prevalence in the year of interest will be estimated using the number of newly diagnosed participants and the number of participants with the diagnosis within the corresponding year, respectively. |
During the index period (2012 to 2023; up to 12 years)
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Crude and Age-Adjusted Annual Prevalence in Pediatric UC
Délai: During the index period (2012 to 2023; up to 12 years)
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The crude and age-adjusted annual prevalence UC will be calculated in each calendar year. Annual incidence and the prevalence in the year of interest will be estimated using the number of newly diagnosed participants and the number of participants with the diagnosis within the corresponding year, respectively. |
During the index period (2012 to 2023; up to 12 years)
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Incidence of CD by Age-Stratified Groups
Délai: During the index period (2012 to 2023; up to 12 years)
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Incidence of CD stratified by age-specific subgroups (0 to less than [<] 6 years old, 6 to <10 years old, and 10 to <18 years old) will be reported. |
During the index period (2012 to 2023; up to 12 years)
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Incidence of UC by Age-Stratified Groups
Délai: During the index period (2012 to 2023; up to 12 years)
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Incidence of UC stratified by age-specific subgroups (0 to <6 years old, 6 to <10 years old, and 10 to <18 years old) will be reported. |
During the index period (2012 to 2023; up to 12 years)
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Prevalence of CD by Age-Stratified Groups
Délai: During the index period (2012 to 2023; up to 12 years)
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Prevalence of CD stratified by age-specific subgroups (0 to <6 years old, 6 to <10 years old, and 10 to <18 years old) will be reported. |
During the index period (2012 to 2023; up to 12 years)
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Prevalence of UC by Age-Stratified Groups
Délai: During the index period (2012 to 2023; up to 12 years)
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Prevalence of UC stratified by age-specific subgroups (0 to <6 years old, 6 to <10 years old, and 10 to <18 years old) will be reported. |
During the index period (2012 to 2023; up to 12 years)
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Percentage of Participants Whose Primary Diagnosis Switched Between CD and UC
Délai: During the index period (2012 to 2023; up to 12 years)
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Percentage of participants whose primary diagnosis switched at least once between CD and UC during the follow-up period will be reported. |
During the index period (2012 to 2023; up to 12 years)
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Initial Treatment Types by Age-Stratified Group
Délai: From index date to follow-up (Up to 13 years)
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Initial treatment types by age-stratified groups (0 to <6 years old, 6 to <10 years old, and 10 to <18 years old on the index date) will be reported. |
From index date to follow-up (Up to 13 years)
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Subsequent Treatment Sequences by Age-Stratified Group
Délai: From index date to follow-up (Up to 13 years)
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Subsequent treatment sequences by age-stratified groups (0 to <6 years old, 6 to <10 years old, and 10 to <18 years old on the index date) will be reported. |
From index date to follow-up (Up to 13 years)
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Cumulative Persistence Rates for Biologic Drugs
Délai: From index date to follow-up (Up to 13 years)
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Cumulative persistence rates for biologic drugs is defined as continuous use of the same biologic drug without a pre-defined biologic free interval (that is, 90 days or more) between prescription claims. |
From index date to follow-up (Up to 13 years)
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Time to Discontinuation
Délai: From index date to follow-up (Up to 13 years)
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Discontinuation (non-persistence) will be defined as experiencing one of the following cases: stop: a case where biologic drug was prescribed with a gap of greater than or equal to (>=) 90 days from the discontinuation date of the previous prescription OR no further biologic drug was prescribed until the end of study period from the discontinuation date of the index drug; switch: a case where a different biologic drug was prescribed after the initial drug; re-initiation: a case where the same biologic drug was prescribed again after >=90 days. |
From index date to follow-up (Up to 13 years)
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Number of Hospitalizations
Délai: From index date to follow-up (Up to 13 years)
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Number of hospitalizations both overall and by age groups will be reported. |
From index date to follow-up (Up to 13 years)
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Length of Hospitalization
Délai: From index date to follow-up (Up to 13 years)
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Length of hospitalization both overall and by age groups will be reported. |
From index date to follow-up (Up to 13 years)
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Number of Emergency Department (ED) Visit
Délai: From index date to follow-up (Up to 13 years)
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Number of ED visits both overall and by age groups will be reported. |
From index date to follow-up (Up to 13 years)
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Number of Outpatient Visits
Délai: From index date to follow-up (Up to 13 years)
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Number of outpatient visits both overall and by age groups will be reported. |
From index date to follow-up (Up to 13 years)
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Number of Inflammatory Bowel Disease (IBD) Related Surgeries
Délai: From index date to follow-up (Up to 13 years)
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Number of IBD related surgeries both overall and by age groups will be reported. |
From index date to follow-up (Up to 13 years)
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Number of Inpatient and Outpatient Visits to Non-Gastroenterology (GI) Departments
Délai: From index date to follow-up (Up to 13 years)
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Number of inpatient and outpatient visits to non-GI departments both overall and by age groups will be reported. |
From index date to follow-up (Up to 13 years)
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Medical Costs
Délai: From index date to follow-up (Up to 13 years)
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Medical costs including inpatient, outpatient and pharmacy costs, both overall and by age groups, will be reported. |
From index date to follow-up (Up to 13 years)
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Collaborateurs et enquêteurs
Parrainer
Les enquêteurs
- Directeur d'études: Janssen Korea, Ltd. Clinical Trial, Janssen Korea, Ltd.
Dates d'enregistrement des études
Dates principales de l'étude
Début de l'étude (Réel)
Achèvement primaire (Estimé)
Achèvement de l'étude (Estimé)
Dates d'inscription aux études
Première soumission
Première soumission répondant aux critères de contrôle qualité
Première publication (Réel)
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Réel)
Dernière mise à jour soumise répondant aux critères de contrôle qualité
Dernière vérification
Plus d'information
Termes liés à cette étude
Termes MeSH pertinents supplémentaires
Autres numéros d'identification d'étude
- CNTO1275IBD4014
Plan pour les données individuelles des participants (IPD)
Prévoyez-vous de partager les données individuelles des participants (DPI) ?
Description du régime IPD
The data sharing policy of Johnson & Johnson Innovative Medicine is available at www.innovativemedicine.jnj.com/our-innovation/clinical-trials/transparency. As noted on this site, requests for access to the study data can be submitted through Yale Open Data Access (YODA) Project site at yoda.yale.edu.
Informations sur les médicaments et les dispositifs, documents d'étude
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