MedPath

CLinical Prediction Rule Score in Veterans

Withdrawn
Conditions
Gout
Registration Number
NCT01418781
Lead Sponsor
jasvinder singh
Brief Summary

We will study whether the health care costs and health utilities differ in patients with gout and those without gout and whether they differ between those with more severe versus less severe gout

Detailed Description

The purpose of this project is to study the out-patient and inpatient utilization and costs associated with tophaceous gout (a classic form of treatment-failure gout), compare these costs to patients with non-tophaceous gout and evaluate health utilities associated with these gout states. The analyses will be conducted in a manner to support a burden of illness type of presentation / manuscript.

Study Questions

1. What are the VA health care costs (inpatient and outpatient) for patients with gout compared to those without gout?

2. Does health utility, as calculated by SF-6D, differ in patients with gout compared to patients without gout and between tophaceous and non-tophaceous gout?

3. What are the relationships between costs and health utility?

4. How does the burden of illness differ by subgroups of gout patients (costs and utilities)?

5. What are the VA health care costs for patients with tophaceous gout and are they higher than patients with non-tophaceous gout?

Inclusion criteria Patients with and without gout from the Veterans database described above will be included in the analyses for Study aims 1 and 5. This is approximately 3000 gout patients and 67,000 non-gout patients

Patients with SF-36 data from the above cohort will be included in the analyses for Study aims 2-4. This is approximately 1500 gout patients and 38,000 non-gout patients

Recruitment & Eligibility

Status
WITHDRAWN
Sex
All
Target Recruitment
Not specified
Inclusion Criteria
  • participated in the survey
  • Have SF-36 adn utilization data
Exclusion Criteria
  • Absence of utilization and/or cost data

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Health care costsUp to 5-year post-survey

Total of outpatient, inpatient and emergent care costs

Secondary Outcome Measures
NameTimeMethod
Health utility index, SF-6D18-months

at 18-month post-survey

Activity limitation on Katz 6 ADL18-months

Katz 6 ADL questions assess difficulty with doing 6 key activities, bathing, eating, toileting, walking, getting up and climbing stairs

Mortality5-years

Up to 5-year post-survey

Health care utilization1-year post-survey

Health care utilization as sum of outpatient, inpatient and emergent care utilization

Trial Locations

Locations (1)

Minneapolis VA Medical Center

🇺🇸

Minneapolis, Minnesota, United States

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