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Assessing asthma severity based on claims data: a systematic review

Author

Listed:
  • Christian Jacob

    (Xcenda GmbH)

  • Jennifer S. Haas

    (Xcenda GmbH)

  • Benno Bechtel

    (GlaxoSmithKline)

  • Peter Kardos

    (Allergy and Sleep Medicine at Red Cross Maingau Hospital)

  • Sebastian Braun

    (Xcenda GmbH)

Abstract

Introduction Asthma is one of the most common chronic diseases in Germany. Substantial economic evaluation of asthma cost requires knowledge of asthma severity, which is in general not part of claims data. Algorithms need to be defined to use this data source. Aims and objectives The aim of this study was to systematically review the international literature to identify algorithms for the stratification of asthma patients according to disease severity based on available information in claims data. Methods A systematic literature review was conducted in September 2015 using the DIMDI SmartSearch, a meta search engine including several databases with a national and international scope, e.g. BIOSIS, MEDLINE, and EMBASE. Claims data based studies that categorize asthma patients according to their disease severity were identified. Results The systematic research yielded 54 publications assessing asthma severity based on claims data. Thirty-nine studies used a standardized algorithm such as HEDIS, Leidy, the GINA based approach or CACQ. Sixteen publications applied a variety of different criteria for the severity categorisation such as asthma diagnoses, asthma-related drug prescriptions, emergency department visits, and hospitalisations. Conclusion There is no best practice method for the categorisation of asthma severity with claims data. Rather, a combination of algorithms seems to be a pragmatic approach. A transfer to the German context is not entirely possible without considering particular conditions associated with German claims data.

Suggested Citation

  • Christian Jacob & Jennifer S. Haas & Benno Bechtel & Peter Kardos & Sebastian Braun, 2017. "Assessing asthma severity based on claims data: a systematic review," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 18(2), pages 227-241, March.
  • Handle: RePEc:spr:eujhec:v:18:y:2017:i:2:d:10.1007_s10198-016-0769-2
    DOI: 10.1007/s10198-016-0769-2
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    Cited by:

    1. Juan, Tzu-Ling & Chang, Li-Chuan & Lee, Yue-Chune, 2022. "Copayment policy reforms and effective care utilization by patients with persistent asthma in Taiwan," Health Policy, Elsevier, vol. 126(2), pages 143-150.

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