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. 2023 Apr 27;7(5):709–722. doi: 10.1007/s41669-023-00415-0

Table 3.

Study design and baseline characteristics of studies reporting economic burden of immunoglobulin A nephropathy

Author (year) Study design Country Year range for data collection Measures reported Inclusion criteria Study population and patient characteristics
Barbour et al. (2018) [22] Population-level, observational, retrospective, cohort study using administrative health data BC, Canada 2000–2013

Population-level costs in 2016 Canadian dollars, of immunosuppressive medications used to treat IgAN

The primary outcome was the mean cost of immunosuppressive medications per treated patient each year after kidney biopsy

All adult patients in BC (18 years of age or older) with a diagnosis of GN on a native kidney biopsy between 1 January 2000 and 31 December 2012.

Population:

n = 756

Mean age:

44.6 years

Sex:

61.6% male

Mean time from diagnosis:

3.7 years

Stage of disease:

23.7% progressed to ESKD

Carlassara et al., (2021) [23] Assessment of the economic costs of non-assisted home hemodialysis using the case of a single IgAN patient in rural Italy Italy 2013–NR

The total amount of the economic resources reported in euros for hemodialysis (HD) comprising: HD equipment, healthcare workers, and ambulance transportation.

Reported in Euros (cost year not reported)

NR

Population:

n = 1

Age:

50 years

Sex:

100% male

Hiragi et al. (2018) [24]

Cost-effectiveness models

Base-case analysis used previously reported IgAN epidemiology data; survival analysis used the European VALIGA study IgAN cohort

Mortality data obtained complete life tables from Ontario, Canada (2009–2011).

Mortality data for dialysis patients obtained from Japanese Society of Dialysis Therapy (2013)

Models had Japanese perspective

IgAN inputs from European studies

NR

Cost-effectiveness model selection for CKD

Primary outcomes: QALYs, costs, and ICER of no intervention versus intervention in CKD patients in USD

Secondary outcomes: renal survival rate of virtual CKD cohort using VALIGA-derived parameters as well as base-case [31] parameters for both models following immunosuppressant therapy

Cost year, source of costs, and model perspective not reported

Model represented CKD progression using IgAN inputs

Population:

n = 30,000

Initial age:

37 years

Ishida et al. (2022) [25]

Cost analysis using an analytical decision model.

Decision tree compared two clinical scenarios: the intervention strategy as screening with novel biomarkers (group N) and the control strategy as conventional screening (group C).

Japan NR

Cost analysis of biomarker screening for IgA nephropathy in Japanese Yen. Cost year not reported.

Base-case and sensitivity analysis

NA NA
Li et al. (2018) [26] Retrospective cohort study using the national inpatient database China January 2010–December 2015 Costs and HRU in 2015 Chinese Yuan Patients with the presence of nephrotic syndrome or glomerulonephritis were defined as having GN.

Population:

n = 11,569

Mean age:

37.7 years

Sex:

51.1% male

Disease severity:

2% acute kidney injury; 6.4% nephrotic syndrome

NR not reported, ACEi/ARBs angiotensin-converting enzyme inhibitors/angiotensin receptor blockers, GN glomerulonephritis, BC British Columbia, HRU healthcare resource use, ESKD end-stage kidney disease