From: Clinical, economic, and humanistic burden of asthma in Canada: a systematic review
Reference/Study period | Data source | Study objective | Inclusion criteria | Asthma definition |
---|---|---|---|---|
Retrospective cohort studies | ||||
Sadatsafavi et al. 2010 [10] 1996 - 2000 | Administrative healthcare data | Determine direct medical costs of asthma-related healthcare in British Columbia | Aged 5 to 55 years | Narrow definition: ICD-9 code 493.x Broad definition: visits for an asthma-related diagnosis; hospitalizations with asthma among the discharge diagnoses |
≥4 asthma prescriptions in 1 year | ||||
≥1 asthma hospitalization | ||||
≥ 2 physician visits for asthma | ||||
Malo et al. 2008 [46] 1988 - 2002 | Administrative healthcare data, | Assess direct costs of CLI and CFI for OA and their association with selected variables | Subjects receiving compensation for OA | NR |
To et al. 2008 [24] 1994 - 1998 | DAD database from CIHI, OHIP records, RPDB database | Describe prevalence of asthma, all-cause mortality, physician visits, and hospitalizations for asthma and all causes; seasonal and geographical variation of healthcare utilization in children | Children aged 0–9 years | ≥1 asthma hospitalization or 2 asthma OHIP claims within 3 years |
Prospective cohort studies | ||||
Ungar et al. 2001 [33] May - Oct 1995 | Telephone interviews at 1, 3, and 6 months | Assess cost of asthma care at the patient level in children from the perspectives of society, the Ontario Ministry of Health, and the patient | Patients or caregivers filling prescriptions for bronchial inhalers | Probable asthma - a prescription for a bronchial inhaler medication in the last month (bronchodilator or corticosteroid) and reported experiencing shortness of breath, wheeze, or recurrent cough in the past |
Anis et al. 2000 [34] Sept 1, 1994 - Aug 31 1995 | 2 hospital EDs in Saint John, NB; telephone interview for follow-up | Estimate average direct cost of illness for 4 cardiorespiratory conditions | ED visitors who completed follow-up interviews | ED visit records |
Cross-sectional studies | ||||
Kohen et al. 2010 [47] Fall 1998 and Spring 1999 | NLSCY | Examine associations between asthma and school functioning | Individuals aged 7–15 years with complete data on the measures of interest | Past-year wheezing or whistling in the chest and regular use of inhalers |
Boulet et al. 2008 [35] April - August 2004, | Telephone survey | Assess influence of current and former smoking on self-reported asthma control and healthcare use | Adults aged 18–54 years with physician-diagnosed asthma for ≥6 months | Patient report of physician-diagnosed asthma |
Iron et al. 2003 [37] 1994/1995 | CNPHS data linked with OHIP | Determine the association between demographics, access to care, SES, and need (comorbidities) with actual family physician costs | Survey respondents aged ≥25 years consenting to share HC number and responses with MOHLTC | Self-reported |
Thanh et al. 2009 [48] 2005 | CCHS | To estimate the cost of asthma-related productivity loss days due to absenteeism and presenteeism* in Alberta | Survey respondents aged 18–64 years | Patient report of an asthma diagnosis |
Health economic analysis | ||||
Seung et al. 2005 [42] 2004 | NACRS at CIHI, OCCI, MOHLTC billing | Determine the use of urgent care resources and the annual costs of the uncontrolled asthmatic population in Canada | NR | ICD-9 code 493 |