1. Study identification
EU PAS Register NumberEUPAS5309
Official titleStudy of the impact of non-compliance with GINA recommendations on the care consumption of adult asthmatic patient
Study title acronym
Study typeObservational study
Brief description of the studyAsthma is a chronic disease that has major implications not only in terms of morbidity and mortality or of deterioration in the quality of life for patients, but also in terms of costs associated with the disease.
The management of persistent asthma (GINA 2, 3 and 4) is mainly based on the trigger eviction and on drug therapy. In current medical practice, asthma remains generally under-diagnosed, under-treated and poorly controlled yet.
Based on the French national health insurance database (EGB), which contains healthcare reimbursement data of 1/97 of the French population, this study aims to better understand the impact of non-compliance with GINA therapeutic recommendations on healthcare use and on absenteeism of persistent asthmatic patients. It also identifies the characteristics of patients whose care is not in accordance with these recommendations and tests the economic impact of medical nomadism on the management of asthma in 2007 and 2008.
Was this study requested by a regulator?No
Is the study required by a Risk Management Plan (RMP)?
Not applicable
Regulatory procedure number (RMP Category 1 and 2 studies only)
Other study registration identification numbers and URLs as applicable
2. Research centres and Investigator details
Coordinating study entity
Centre to which the investigator belongsPELyon
Department/Research groupUnité de Pharmacoépidémiologie
Organisation/affiliationUniversité Claude Bernard Lyon 1
Details of (Primary) lead investigator
Title Dr
Last name VAN GANSE
First name Eric
Is this study being carried out with the collaboration of a research network?
No
Other centres where this study is being conducted
Not applicable (single centre)
Countries in which this study is being conducted
National study
France
3. Study timelines: initial administrative steps, progress reports and final report
PlannedActual
Date when funding contract was signed30/06/2009
Start date of data collection30/10/2009
Start date of data analysis
Date of interim report, if expected
Date of final study report31/03/2011
4. Sources of funding
Please provide estimates of the percentage of funding by source for this study
Names(s)Approximate % funding
Pharmaceutical companies
Charities
Government bodyCNAMTS100
Research councils
EU funding scheme
5. Contact details for enquiries
Scientific Enquiries
Title Dr
Last name VAN GANSE
First name Eric
Address line 1Unité de Pharmacoépidémiologie
Address line 2Faculte d'Odontologie Universite Lyon 1
Address line 311 rue Guillaume Paradin
CityLyon cedex 08
PostcodeF-69372
CountryFrance
Phone number (incl. country code)33-478778610
Alternative phone number
Fax number (incl. country code)33-478778660
Public Enquiries
Title Dr
Last name VAN GANSE
First name Eric
Address line 1Unité de Pharmacoépidémiologie
Address line 2Faculte d'Odontologie Universite Lyon 1
Address line 311 rue Guillaume Paradin
CityLyon cedex 08
PostcodeF-69372
CountryFrance
Phone number (incl. country code)33-478778610
Alternative phone number
Fax number (incl. country code)33-478778660
6. Study drug(s) information
Not applicable (disease/epidemiology study)
7. Medical conditions to be studied
Medical condition(s)Yes
Asthma
8. Population under study
Age
Adolescents (12 - 17 years)
Adults (18 - 44 years)
Sex
Male
Female
9. Number of subjects
Estimated total number of subjects2000
10. Source of data
Is this study being carried out with an established data source?Yes
Data sources not registered with ENCePP
EGB, France
Sources of data
Administrative database, e.g. claims database
11. Scope of the study
What is the scope of the study?
Drug utilisation study
HEALTHCARE COST
Primary scope : Drug utilisation study
12. Main objective(s)
What is the main objective of the study?
This study aims to better understand the impact of non-compliance with GINA therapeutic recommendations on healthcare use and on absenteeism of persistent asthmatic patients. It also identifies the characteristics of patients whose care is not in accordance with these recommendations and tests the economic impact of medical nomadism on the management of asthma in 2007 and 2008.
Are there primary outcomes?Yes
To study the frequency of non-compliance with GINA recommendations and its potential impact on health care consumption and absenteeism in asthmatic patients.
Are there secondary outcomes?Yes
To study and compare the characteristics of patients, their health care consumption and nomadism in 2007 and 2008.
13. Study design
What is the design of the study?
Cohort study
Drug utilisation study
14. Follow-up of patients
Will patients be followed up?Not applicable/no follow-up
15. Data analysis plan
Please provide a brief summary of the analysis method
A / Description of the general characteristics of the study population on 01/01/2007.
B / Description of the components of the healthcare consumption and absenteeism in 2007 and 2008 for the entire population included.
C / Study of the characteristics of the healthcare consumption and absenteeism of patients in 2007 and 2008 depending on the frequency of rescues CI in 2007.
D / Study of the characteristics of the healthcare consumption and absenteeism in 2007 and 2008 patients who received BAILDA without CI in 2007.
E / Study of the characteristics of the healthcare consumption and absenteeism in 2007 and in 2008 patients with high BAICDA rescues in 2007.
16. ENCePP seal
Are you requesting the ENCePP seal for this study?
No
17. Full protocol
Not submitted
18. Study Results
Not submitted
Please list the 5 most relevant publications using data from your study
ReferenceLink to web-publication
None
19. Other relevant documents
Conflict(s) of interest of
investigator(s)Not submitted
Composition of Steering Group and
ObserversNot submitted
Other documentsNot
submitted
Signed Code of
Conduct Checklist
Not submitted
Signed Code of Conduct Declaration
Not submitted
Signed Checklist for Study
Protocols
Not submitted