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Table 1 Pre-biologic health care experience among patients with ulcerative colitis, n = 1891

From: Understanding patient journey in ulcerative colitis prior to biologic initiation: a 5-year exploration

 

Time window prior to biologic exposure index datea

(calendar date range, pre-index days covered)

Year-5

(− 1825 to − 1461)

Year-4

(− 1460 to − 1081)

Year-3

(− 1080 to − 721)

Year-2

(− 720 to − 366)

Year-1

(− 365 to − 1)

All 5 years

(− 1825 to − 1)

Oral corticosteroids exposure

 ≥ 1 prescription, n (% of 1891)

603 (32)

663 (35)

752 (40)

874 (46)

1571 (83)

1781 (94)

 Duration of exposure, days

  Mean (SD)

70.8 (87.9)

69.0 (86.1)

70.4 (89.7)

79.5 (86.6)

108.4 (88.9)

214.0

(257.9)

  Median (IQR)

34

(12–90)

34

(12–90)

36

(12–90)

52

(21–106)

88

(49–146)

145

(71–254)

 Prednisone equivalent milligrams

  Mean (SD)

743.8 (987.4)

824.5 (1343.2)

932.7 (1608.1)

1132.9 (1733.8)

1659.2 (1906.7)

2972.0 (4160.5)

  Median (IQR)

360 (120–920)

360 (114–950)

384 (120–1050)

570 (190–1298)

1080 (510–2130)

1758 (824–3540)

5-Aminosalisylates (5-ASA)

 ≥ 1 prescription, n (% of 1891)

1119 (59)

1176 (62)

1211 (64)

1304 (69)

1608 (85)

1768 (93)

 # of different products/formulations

  Mean (SD)

1.5 (0.7)

1.5 (0.7)

1.5 (0.8)

1.5 (0.7)

1.8 (0.9)

2.8 (1.4)

  Median (IQR)

1

(1–2)

1

(1–2)

1 (1–2)

1

(1–2)

2

(1–2)

3

(2–4)

 ≥ 1 prescription of oral 5-ASA, n (% of 1891)

1077 (57)

1135 (60)

1162 (61)

1244 (66)

1557 (82)

1731 (92)

 Duration of oral 5-ASA, days

  Mean (SD)

246.1 (117.2)

237.4 (118.6)

245.1 (121.3)

243.2 (119.7)

232.1 (123.7)

856.8 (613.6)

  Median (IQR)

270 (150–345)

270 (150–330)

270 (150–360)

270 (150–360)

240 (120–330)

796 (270–1380)

Other immunomodulators (IMM)b

 ≥ 1 oral prescription, n (% of 1891)

343 (18)

357 (19)

376 (20)

440 (23)

700 (37)

879 (46)

 Duration of other oral IMM, days

  Mean (SD)

234.5 (125.9)

239.3 (123.1)

238.7 (125.4)

231.1 (125.8)

198.2 (132.3)

564.4 (570.3)

  Median (IQR)

270 (120–360)

270 (150–360)

270 (120–360)

252 (112–360)

180

(70–324)

300 (90–960)

All-Cause Health care utilization

 ≥ 1 outpatient visit, n (% of 1891)

1833 (97)

1834 (97)

1849 (98)

1845 (98)

1889 (100)

1891 (100)

 Outpatient visits, # of times

  Mean (SD)

14.4 (14.3)

14.8 (13.8)

15.8 (16.2)

17.0 (15.8)

22.8 (15.4)

83.0 (59.8)

  Median (IQR)

10 (5–18)

11 (6–19)

12 (6–20)

12 (7–22)

19 (2–29)

4 (1–103)

  ≥ 1 Emergency department visits, n (% of 1891)

354 (19)

401 (21)

381 (20)

416 (22)

692 (37)

1241 (66)

 Emergency department visit, # of times

  Total

554

668

594

667

1295

3778

  Mean

1.6

1.7

1.6

1.6

1.9

3.0

  ≥ 1 inpatient stay, n (% of 1891)

153 (8)

152 (8)

168 (9)

183 (10)

475 (25)

824 (44)

 In-patient stays, # of times

  Total

208

201

239

238

672

1558

  Mean

1.4

1.3

1.4

1.3

1.4

1.9

  ≥ 1 inpatient stay with an infection, n (% of 1891)

20 (1)

33 (2)

29 (2)

48 (3)

125 (7)

230 (12)

 Hospitalized infections, # of times

  Total

31

60

74

115

234

514

  Mean

1.6

1.8

2.6

2.4

1.9

2.2

  1. SD, standard deviation; IQR, interquartile range
  2. aYear-5 pre-index included all days between (index date − 5 × 365 days) and (index date − 4 × 365 − 1 days); year-4 pre-index included all days between (index date − 4 × 365 days) and (index date − 3 × 365 − 1), and so on, and year-1 pre-index included all days between (index date − 365 days) and (index date -1)
  3. bOther immunomodulators included thiopurines, methotrexate and cyclosporine, tacrolimus, thalidomide and mycophenolate mofetil