Rheumatoid arthritis patients fulfilling Korean National Health Insurance reimbursement guidelines for anti-tumor necrosis factor-α treatment and comparison to other guidelines

Rheumatology International
Jin-Wuk HurDae Hyun Yoo

Abstract

The aim of this study was to compare anti-tumor necrosis factor-α (TNFα) treatment status in rheumatoid arthritis (RA) patients with the Korean National Health Insurance (KNHI) reimbursement eligibility criteria and with American College of Rheumatology (ACR) recommendations, Japan College of Rheumatology (JCR) guidelines and British Society for Rheumatology (BSR) guidelines. Between December 2011 and August 2012, outpatients from 17 South Korean general hospitals diagnosed with RA according to the 1987 ACR criteria were enrolled into a noninterventional, cross-sectional, observational study. Of 1700 patients (1414 female (83.2 %), mean age of 56.6 ± 12.0, mean disease duration 97.9 ± 91.8 months), 306 (18.0 %) had used anti-TNFα agents, and 224 (13.2 %) were currently using an anti-TNFα agent. Of 1394 anti-TNFα-naive patients, 32 (2.3 %) met KNHI reimbursement guidelines, 148 (10.6 %) met ACR recommendations, and 127 (9.1 %) and 126 (9.0 %) were considered eligible for anti-TNFα agents according to JCR and BSR guidelines, respectively. The main discrepancy was the higher active joint count required by the KNHI eligibility criteria. In the opinion of treating rheumatologists, the KNHI reimbursement criteria ineligibility accoun...Continue Reading

References

Jan 8, 2005·Rheumatology·J LedinghamUNKNOWN British Society for Rheumatology Standards, Guidelines and Audit Working Group
Feb 9, 2006·Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research·M M WardE H Yelin
Nov 21, 2007·Annals of the Rheumatic Diseases·D E FurstM E Weinblatt
Dec 18, 2007·Modern Rheumatology·Ryuji KoikeUNKNOWN Japan College of Rheumatology
Jan 23, 2009·Lancet·Lars KlareskogStephen Paget
Mar 8, 2013·Annals of the Rheumatic Diseases·Polina PutrikUNKNOWN Working Group ‘Equity in access to treatment of rheumatoid arthritis in Europe’

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