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Incidence and prevalence of idiopathic pulmonary fibrosis in US adults 18–64 years old

Ganesh Raghu, Shih-Yin Chen, Qiang Hou, Wei-Shi Yeh, Harold R. Collard
European Respiratory Journal 2016 48: 179-186; DOI: 10.1183/13993003.01653-2015
Ganesh Raghu
1Division of Pulmonary and Critical Care Medicine, Dept of Medicine, University of Washington, Seattle, WA, USA
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  • For correspondence: graghu@uw.edu
Shih-Yin Chen
2Health Economics and Outcomes Research, Biogen, Cambridge, MA, USA
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Qiang Hou
2Health Economics and Outcomes Research, Biogen, Cambridge, MA, USA
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Wei-Shi Yeh
2Health Economics and Outcomes Research, Biogen, Cambridge, MA, USA
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Harold R. Collard
3Division of Pulmonary and Critical Care Medicine, Dept of Medicine, University of California San Francisco, San Francisco, CA, USA
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  • FIGURE 1
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    FIGURE 1

    Sample selection. IPF: idiopathic pulmonary fibrosis; ICD-9-CM: International Classification of Diseases, Ninth Revision, Clinical Modification.

  • FIGURE 2
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    FIGURE 2

    Annual prevalence and incidence rate of idiopathic pulmonary fibrosis in the commercially insured population aged 18–64 years, overall and by subgroup, 2005–2010: a) primary cohort, b) broad case subgroup and c) narrow case subgroup.

  • FIGURE 3
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    FIGURE 3

    Annual incidence rate of idiopathic pulmonary fibrosis in the commercially insured population aged 18–64 years across age groups, overall and by subgroup, 2005–2010: a) primary cohort, b) broad case subgroup and c) narrow case subgroup.

Tables

  • Figures
  • Additional Files
  • TABLE 1

    Demographics of enrolees in 2010 and incident patients with idiopathic pulmonary fibrosis (IPF), overall and by subgroup

    Optum enrolees in 2010IPF cohort
    Primary cohort incident patientsBroad case subgroupNarrow case subgroup
    Subjects n9 375 020420626701685
    Age (mean) at diagnosis years41.753.452.753.6
    Age at diagnosis years
     18–3431.85.36.34.7
     35–4423.111.613.012.1
     45–5425.426.727.025.6
     55–6419.856.453.757.6
    Female51.650.651.752.7
    Census region
     New England17.918.216.917.6
     Middle Atlantic13.715.517.918.2
     South Atlantic20.723.123.924.7
     East South Central2.73.13.33.6
     West South Central14.915.915.714.1
     East North Central11.010.39.19.7
     West North Central8.05.04.64.3
     Mountain6.05.45.24.6
     Pacific5.23.33.53.2
     Other/unknown0.00.20.20.1
    • Data are presented as %, unless otherwise stated.

  • TABLE 2

    Prevalence of comorbidities during the 1 year before idiopathic pulmonary fibrosis (IPF) diagnosis

    IPF cohort
    Primary cohort incident patientsBroad case subgroupNarrow case subgroup
    Subjects n420626701685
    Pulmonary and respiratory diseases
     Chronic obstructive pulmonary disease28.726.130.7
     Pneumonia21.418.924.6
     Acute bronchitis and bronchiolitis18.818.119.8
     Asthma18.618.420.0
     Sleep apnoea8.57.88.6
     Pulmonary embolism2.82.73.4
     Pulmonary hypertension2.72.43.2
     Lung cancer/bronchogenic carcinoma2.72.74.1
     Influenza1.31.31.6
    Cardiovascular diseases
     Coronary artery disease (exclusive of myocardial infarction)15.714.516.4
     Heart failure9.47.99.1
     Cerebrovascular disease5.65.56.0
     Atrial fibrillation4.23.94.1
     Myocardial infarction2.82.82.9
     Acute coronary syndrome2.22.42.4
     Deep vein thrombosis1.10.91.4
    Other diseases
     Diabetes18.217.618.0
     Fatigue17.517.919.6
     Gastro-oesophageal reflux disease16.916.518.5
     Depression10.210.411.3
     Obesity5.35.24.8
     Rib fractures0.60.40.7
    • Data are presented as %, unless otherwise stated.

  • TABLE 3

    Factors associated with incidence of idiopathic pulmonary fibrosis (primary cohort)

    Incidence rate# (95% CI)¶Adjusted incidence rate ratio (95% CI)
    All enrolees6.1 (5.9–6.4)
    Age years+
     18–341.1 (1.0–1.3)0.06§ (0.05–0.06)
     35–442.6 (2.4–2.9)0.15§ (0.14–0.16)
     45–546.4 (6.0–6.9)0.36§ (0.34–0.39)
     55–6419.3 (18.4–20.3)1.00 (Reference)
    Sex
     Male6.4 (6.1–6.7)1.08 (1.02–1.15)
     Female5.9 (5.6–6.2)1.00 (Reference)
    Census region
     New England5.4 (5.0–5.9)0.80§ (0.71–0.90)
     Middle Atlantic6.3 (5.7–6.9)1.00 (0.89–1.12)
     South Atlantic7.9 (7.3–8.5)1.22§ (1.09–1.37)
     East South Central8.2 (6.7–9.8)1.07 (0.88–1.30)
     West South Central6.1 (5.5–6.7)1.22§ (1.08–1.37)
     East North Central6.6 (5.9–7.3)1.00 (Reference)
     West North Central4.5 (3.8–5.2)0.74§ (0.63–0.87)
     Mountain5.4 (4.6–6.2)0.79§ (0.68–0.93)
     Pacific4.0 (3.2–4.9)0.91 (0.76–1.09)
     Other/unknown9.1 (2.8–25.2)1.72 (0.64–4.61)
    • #: incidence rate reported as number of new cases per 100 000 person-years using data from 2005 to 2010; ¶: estimated based on Poisson distribution; +: age at entry into the database; §: statistically significant at p<0.05.

Additional Files

  • Figures
  • Tables
  • Disclosures

    • G. Raghu
    • S-Y. Chen
    • Q. Hou
    • W-S. Yeh
    • H.R. Collard
  • Supplementary material

    Please note: supplementary material is not edited by the Editorial Office, and is uploaded as it has been supplied by the author.

    • Supplementary tables
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Incidence and prevalence of idiopathic pulmonary fibrosis in US adults 18–64 years old
Ganesh Raghu, Shih-Yin Chen, Qiang Hou, Wei-Shi Yeh, Harold R. Collard
European Respiratory Journal Jul 2016, 48 (1) 179-186; DOI: 10.1183/13993003.01653-2015

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Incidence and prevalence of idiopathic pulmonary fibrosis in US adults 18–64 years old
Ganesh Raghu, Shih-Yin Chen, Qiang Hou, Wei-Shi Yeh, Harold R. Collard
European Respiratory Journal Jul 2016, 48 (1) 179-186; DOI: 10.1183/13993003.01653-2015
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