{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,3]],"date-time":"2025-10-03T00:47:04Z","timestamp":1759452424958,"version":"build-2065373602"},"reference-count":14,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2019,7,11]],"date-time":"2019-07-11T00:00:00Z","timestamp":1562803200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["acrjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Arthritis Care &amp;amp; Research"],"published-print":{"date-parts":[[2019,8]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To assess and compare direct costs between patients with giant cell arteritis (GCA) that is associated or not associated with polymyalgia rheumatic (PMR), and to identify the additional cost drivers due to PMR.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A population\u2010based, retrospective cohort study using the French National Health Insurance System Database was conducted. Cost analysis was performed from the French health insurance perspective and direct medical and nonmedical costs were taken into account (based on 2014 costs [\u20ac]). Costs were analyzed according to different components and divided into 6\u2010month periods to assess care consumption. Longitudinal multivariate analyses, using generalized estimating equations, were used to adjust the effect of PMR on the mean cost over time.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Analyses were performed on 100 incident patients with GCA, 54 of whom had PMR. The cumulative additional cost due to PMR was \u20ac8,801 for 3 years, and \u20ac10,532 for 5 years. The significant additional costs occurred especially during the second and third years of follow\u2010up, amounting to \u20ac1,769 between 12 and 18 months (<jats:italic>P<\/jats:italic> = 0.02), \u20ac1,924 between 18 and 24 months (<jats:italic>P<\/jats:italic> = 0.17), \u20ac1,458 between 24 and 30 months (<jats:italic>P<\/jats:italic> = 0.08), and \u20ac1,307 between 30 and 36 months (<jats:italic>P<\/jats:italic> = 0.07). The most important cost drivers were inpatient stays, paramedic procedures, and medications. Multivariate analyses showed a significant effect of PMR on mean cost during the first 3 years of follow\u2010up (relative risk 1.76 [95% confidence interval 1.03\u20132.99], <jats:italic>P<\/jats:italic> = 0.038).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>To our knowledge, this study is the first to accurately assess the cost of PMR care in patients with GCA and to highlight that PMR is largely responsible for the high cost of GCA.<\/jats:p><\/jats:sec>","DOI":"10.1002\/acr.23736","type":"journal-article","created":{"date-parts":[[2018,8,30]],"date-time":"2018-08-30T04:45:46Z","timestamp":1535604346000},"page":"1127-1131","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Additional Costs of Polymyalgia Rheumatica With Giant Cell Arteritis"],"prefix":"10.1002","volume":"71","author":[{"given":"Michael","family":"Mouni\u00e9","sequence":"first","affiliation":[{"name":"Centre Hospitalier Universitaire de Toulouse UMR 1027 INSERM and Universit\u00e9 de Toulouse  Toulouse France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gr\u00e9gory","family":"Pugnet","sequence":"additional","affiliation":[{"name":"UMR 1027 INSERM Universit\u00e9 de Toulouse and Service de M\u00e9decine Interne CHU Toulouse  Toulouse France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicolas","family":"Savy","sequence":"additional","affiliation":[{"name":"Universit\u00e9 de Toulouse and Institut Math\u00e9matiques de Toulouse UMR 5219 CNRS  Toulouse France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maryse","family":"Lapeyre\u2010Mestre","sequence":"additional","affiliation":[{"name":"UMR 1027 INSERM Universit\u00e9 de Toulouse Laboratoire de Pharmacologie M\u00e9dicale et Clinique Service de Pharmacologie Clinique, CIC 1436, CHU Toulouse  Toulouse France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laurent","family":"Molinier","sequence":"additional","affiliation":[{"name":"Centre Hospitalier Universitaire de Toulouse UMR 1027 INSERM and Universit\u00e9 de Toulouse  Toulouse France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nad\u00e8ge","family":"Costa","sequence":"additional","affiliation":[{"name":"Centre Hospitalier Universitaire de Toulouse UMR 1027 INSERM  Toulouse France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,7,11]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMcp1214825"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2016.5444"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/md.0b013e31803d1764"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/annrheumdis-2013-204652"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.11388"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.7326\/M12-3046"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.3899\/jrheum.151500"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.3109\/03009742.2013.835442"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1136\/annrheumdis-2012-202443"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.3899\/jrheum.161516"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/acr.23429"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.21311"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.3899\/jrheum.140906"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.2307\/2531734"}],"container-title":["Arthritis Care &amp; 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