TABLE 3.
Health Care Resource Utilization During Last 12 Months of Continuous Enrollment
| Health Care Resource Category | Overall Cohorta (N = 189) | Prophylaxis Subgroup 1 ≥ 4 Claims (n = 118) | Prophylaxis Subgroup 2 ≥ 6 Claims (n = 94) | Prophylaxis Subgroup 3 No Gaps > 60 Days (n = 61) | ||||
|---|---|---|---|---|---|---|---|---|
| Proportion with evidence of utilization, n (%) | ||||||||
| Inpatient admission | 35 | (18.5) | 21 | (17.8) | 19 | (20.2) | 13 | (21.3) |
| Emergency department visit | 56 | (29.6) | 36 | (30.5) | 28 | (29.8) | 18 | (29.5) |
| Outpatient visit | 171 | (90.5) | 106 | (89.8) | 87 | (92.6) | 58 | (95.1) |
| Home health visit | 63 | (33.3) | 36 | (30.5) | 31 | (33.0) | 17 | (27.9) |
| Other visit | 27 | (14.3) | 17 | (14.4) | 14 | (14.9) | 12 | (19.7) |
| FVIII concentrate claims | ||||||||
| Pharmacy claim | 127 | (67.2) | 83 | (70.3) | 67 | (71.3) | 48 | (78.7) |
| Medical claim | 73 | (38.6) | 43 | (36.4) | 35 | (37.2) | 18 | (29.5) |
| Per patient utilization, mean (SD) | ||||||||
| Inpatient admission | 0.3 | (0.6) | 0.3 | (0.6) | 0.3 | (0.7) | 0.2 | (0.5) |
| Emergency department visit | 0.7 | (2.0) | 0.7 | (2.1) | 0.7 | (2.2) | 0.8 | (2.6) |
| Outpatient visit | 8.1 | (12.5) | 8.0 | (13.1) | 8.9 | (14.3) | 8.6 | (11.1) |
| Home health visit | 2.4 | (6.5) | 3.2 | (7.7) | 3.8 | (8.5) | 3.1 | (6.8) |
| Other visit | 0.2 | (0.8) | 0.3 | (0.9) | 0.3 | (1.0) | 0.4 | (1.2) |
| FVIII concentrate claims | 7.8 | (9.5) | 11.3 | (10.5) | 13.1 | (11.1) | 14.4 | (11.8) |
| FVIII concentrate claims (noninpatient/nonemergency) | 7.6 | (9.4) | 11.2 | (10.4) | 12.9 | (11.0) | 14.2 | (11.7) |
aPatients in the overall cohort may be included in more than 1 prophylaxis subgroup.
FVIII = factor VIII; SD = standard deviation.