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Funding withdrawn by the funding agency; study could not be performed.
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| Name | Class |
|---|---|
| Birmingham, Alabama VA Medical Center | FED |
| Takeda | INDUSTRY |
| Novartis | INDUSTRY |
| Regeneron Pharmaceuticals |
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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
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
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
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Gout | Patients with ICD-9 for gout | ||
| No Gout | Patients withOUT ICD-9 for gout | ||
| Tophaceous gout | Patients with ICD-9 for tophaceous gout | ||
| non-tophaceous gout | those with ICD-9 for gout other than the codes specific for tophaceous gout |
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| Measure | Description | Time Frame |
|---|---|---|
| Health care costs | Total of outpatient, inpatient and emergent care costs | Up to 5-year post-survey |
| Measure | Description | Time Frame |
|---|---|---|
| Health utility index, SF-6D | at 18-month post-survey | 18-months |
| Health care utilization | Health care utilization as sum of outpatient, inpatient and emergent care utilization |
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Inclusion Criteria:
Exclusion Criteria:
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Patients with and without gout from the Veterans Upper Midwest SF-36 survey database will be included in the analyses for Study questions 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
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| Name | Affiliation | Role |
|---|---|---|
| David Nelson | Minneapolis VAMC | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Minneapolis VA Medical Center | Minneapolis | Minnesota | 55123 | United States |
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| ID | Term |
|---|---|
| D006073 | Gout |
| D010342 | Patient Acceptance of Health Care |
| ID | Term |
|---|---|
| D001168 | Arthritis |
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
| D000070657 | Crystal Arthropathies |
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| INDUSTRY |
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| 1-year post-survey |
| Activity limitation on Katz 6 ADL | Katz 6 ADL questions assess difficulty with doing 6 key activities, bathing, eating, toileting, walking, getting up and climbing stairs | 18-months |
| Mortality | Up to 5-year post-survey | 5-years |
| D012216 |
| Rheumatic Diseases |
| D011686 | Purine-Pyrimidine Metabolism, Inborn Errors |
| D008661 | Metabolism, Inborn Errors |
| D030342 | Genetic Diseases, Inborn |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D000074822 | Treatment Adherence and Compliance |
| D015438 | Health Behavior |
| D001519 | Behavior |