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Prevalence and healthcare utilization of patients with Eosinophilic granulomatosis with polyangiitis (EGPA) in the Clinical Practice Research Datalink database

Safe People

Organisation name

GlaxoSmithKline

Organisation sector

Commercial

Applicant name(s)

Rupert Jakes - Chief Investigator - GlaxoSmithKline - UKJeremiah Hwee - Corresponding Applicant - GSKGeorge Mu - Collaborator - GSKKrishnarajah Nirantharakumar - Collaborator - University of Birminghamlorraine harper - Collaborator - University of BirminghamQinggong Fu - Collaborator - GSK

Safe Projects

Project ID

CPRD690

Lay summary

Eosinophilic granulomatosis with polyangiitis (EGPA), formerly known as “Churg-Strauss syndrome,” is an inflammatory disease of small and medium sized blood vessels. People with EGPA often have their lungs and skin affected by the disease, but other organs such as the heart, kidneys, nerves and bowels are also affected by the disease. Eosinophils are a type of white blood cell that usually fights infections and is related to allergies. People with EGPA often have high levels of EGPA in blood tests and in affected body parts. The prevalence of EGPA has been reported to range from 10.7 to 14 cases per million people in European populations, and the annual incidence ranges from 0.5 to 4.2 cases per million. Incidence and prevalence estimates vary by country, population, time period, and diagnostic criteria. Given the rarity of EGPA, limited data exist on the burden of illness in the United Kingdom (UK) population. Results from a United States (US) study reported that EGPA patients treated with oral corticosteroids experienced high burden and healthcare use despite already being on standard treatment. The proposed study will describe the prevalence, incidence, patient characteristics, and healthcare use among EGPA patients in order to describe EGPA burden and identify potential areas of unmet need.

Technical summary

The primary objectives are to estimate the prevalence of EGPA for each calendar year between 2005 and 2019 inclusive and to estimate the annual incidence rate of EGPA between 2006 and 2019 inclusive. The secondary objectives are to describe demographics at time of first recorded EGPA diagnosis (index) and clinical characteristics in the 12 months prior to the index date (baseline), and to describe health care resource use, including the number of hospitalizations, Accident & Emergency (A&E) visits, outpatient visits, procedures undertaken, and imaging tests among EGPA patients during the 12 months following index date. CPRD-AURUM will be used to find patients diagnosed with EGPA (the numerator). The denominator for the prevalence of EGPA will be patients registered within CPRD-AURUM within the respective calendar year. The denominator for EGPA incidence will be patients with at least 365 days after the first registration in the prior to contributing to time at risk.

Latest approval date

16/03/2021

Safe Data

Dataset(s) name

HES Accident and Emergency

HES Admitted Patient Care

HES Outpatient

Safe Setting

Access type

Release