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N/A N=3,032

Perianal Fistula (PAF) Validation and Burden of Illness Study

Inflammatory Bowel Disease · Perianal Fistula · Crohns Disease

Enrolled (actual)
3,032
Serious AEs
Results posted
Apr 2021
Primary outcome: Primary: Objective 1: Number of CD Participants Who Have CPAF Using Various Codes in an TOH Database — 120; 120; 127; 127 Participants

Study Design & Population

Study type
Observational
Phase
N/A
Interventions
No intervention (Other)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Takeda
Primary completion
Dec 2019

Outcome Measures

OutcomeResultp-value
PRIMARY
Objective 1: Number of CD Participants Who Have CPAF Using Various Codes in an TOH Database
120; 120; 127; 127; 88; 97
PRIMARY
Objective 2: Mean Costs for Crohn's Disease Participants With and Without CPAF in ICES Database CPAF
32781.12; 62375.54; 22866.85; 36486.07; 1192.63; 1275.58
PRIMARY
Objective 2: Number of Visits for Healthcare Resource Utilization for Crohn's Disease Participants With and Without CPAF in ICES Database
4.26; 5.57; 0.95; 1.38; 8.57; 15.18
PRIMARY
Objective 3: Mean Costs Based on Three Procedures for Crohn's Disease Participants With CPAF by Sector in ICES Database
45982.45; 65430.16; 142034.86; 26799.65; 36992.93; 94326
PRIMARY
Objective 3: Number of Visits for Healthcare Resource Utilization Based on Three Procedures for Crohn's Disease Participants With CPAF
5.29; 5.11; 11.22; 1.06; 1.37; 3.57

Summary

The purpose of this study is to gain a better understanding of the disease burden and unmet need of perianal fistulas within Crohn's disease (CD) in Ontario.

Eligibility Criteria

Inclusion Criteria for Objective 1:

  • Inclusion in the TOH "reference" database.
  • Aged 18-105 inclusive at date of index.
  • Participant can be linked between TOH "reference" database to the Institute for Clinical Evaluative Sciences (ICES) databases based on health card number.
  • Incident inclusion in the Ontario Crohn's and Colitis Cohort (OCCC) between April 1, 2002 to July 1, 2013.
  • Incident diagnosis of CPAF in TOH database between April 1, 2004 to July 1, 2015.

Inclusion Criteria for Objective 2:

  • Participants were incident in the OCCC from April 1, 2002 to March 31, 2012.
  • The case meets the PAF case definition identified in Objective 1 in the selection period (April 1, 2005 to March 31, 2012).
  • Aged 18-105 inclusive at date of index.

Inclusion Criteria for Objective 3:

  • Inclusion in the OCCC at or prior to index visit with a diagnosis of Crohn's disease.
  • The case meets the CPAF case definition identified in Objective 1 in the selection period.
  • Have to have 5 years of follow-up.
  • Aged 18-105 inclusive at date of index.

Exclusion Criteria for Objective 1:

  • Missing demographics at index date (sex, age, Local Health Integration Network (LHIN), income quintile) in all databases.
  • Death date in the ICES data prior to TOH CPAF incidence date.

Exclusion Criteria for Objective 2:

  • Missing demographics at index date (sex, age, neighbourhood income quintile, LHIN).
  • Death during 5-year analysis period.
  • Ontario Health Insurance Plan (OHIP) coverage is terminated during the follow-up example if the participant moves to another province.
  • Meeting the case definition during the lookback period.
  • Cases for whom a matched control cannot be found.

Exclusion Criteria for Objective 3:

  • Missing demographics at index date (sex, age, neighbourhood income quintile, LHIN).
  • Death during 5-year analysis period.
  • OHIP coverage is terminated during the 5-year analysis period example if the participant moves to another province.
  • Meeting the case definition during the lookback period.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT03981939). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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