Analysis of MarketScan Data for Immunosuppressive Conditions and Hospitalizations for Acute Respiratory Illness, United States
Increasing use of immunosuppressive biologic therapies poses a challenge for infectious diseases. Immunosuppressed patients have a high risk for influenza complications and an impaired immune response to vaccines. The total burden of immunosuppressive conditions in the United States, including those...
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2020-08-01
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doaj-05c19f0e10fe4c62aaf916b3d848b6552020-11-25T03:34:39ZengCenters for Disease Control and PreventionEmerging Infectious Diseases1080-60401080-60592020-08-012681720173010.3201/eid2608.191493Analysis of MarketScan Data for Immunosuppressive Conditions and Hospitalizations for Acute Respiratory Illness, United StatesManish PatelJufu ChenSara KimShikha GargBrendan FlanneryZaid HaddadinDanielle RankinNatasha HalasaH. Keipp TalbotCarrie ReedIncreasing use of immunosuppressive biologic therapies poses a challenge for infectious diseases. Immunosuppressed patients have a high risk for influenza complications and an impaired immune response to vaccines. The total burden of immunosuppressive conditions in the United States, including those receiving emerging biologic therapies, remains unknown. We used the national claims database MarketScan to estimate the prevalence of immunosuppressive conditions and risk for acute respiratory illnesses (ARIs). We studied 47.2 million unique enrollees, representing 115 million person-years of observation during 2012–2017, and identified immunosuppressive conditions in 6.2% adults 18–64 years of age and 2.6% of children <18 years of age. Among 542,105 ARI hospitalizations, 32% of patients had immunosuppressive conditions. The risk for ARI hospitalizations was higher among enrollees with immunosuppression than among nonimmunosuppressed enrollees. Future efforts should focus on developing improved strategies, including vaccines, for preventing influenza in immunosuppressed patients, who are an increasing population in the United States.https://wwwnc.cdc.gov/eid/article/26/8/19-1493_articleimmunosuppressive conditionsbiologicscancerinfluenzarespiratory infectionsacute respiratory illness |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Manish Patel Jufu Chen Sara Kim Shikha Garg Brendan Flannery Zaid Haddadin Danielle Rankin Natasha Halasa H. Keipp Talbot Carrie Reed |
spellingShingle |
Manish Patel Jufu Chen Sara Kim Shikha Garg Brendan Flannery Zaid Haddadin Danielle Rankin Natasha Halasa H. Keipp Talbot Carrie Reed Analysis of MarketScan Data for Immunosuppressive Conditions and Hospitalizations for Acute Respiratory Illness, United States Emerging Infectious Diseases immunosuppressive conditions biologics cancer influenza respiratory infections acute respiratory illness |
author_facet |
Manish Patel Jufu Chen Sara Kim Shikha Garg Brendan Flannery Zaid Haddadin Danielle Rankin Natasha Halasa H. Keipp Talbot Carrie Reed |
author_sort |
Manish Patel |
title |
Analysis of MarketScan Data for Immunosuppressive Conditions and Hospitalizations for Acute Respiratory Illness, United States |
title_short |
Analysis of MarketScan Data for Immunosuppressive Conditions and Hospitalizations for Acute Respiratory Illness, United States |
title_full |
Analysis of MarketScan Data for Immunosuppressive Conditions and Hospitalizations for Acute Respiratory Illness, United States |
title_fullStr |
Analysis of MarketScan Data for Immunosuppressive Conditions and Hospitalizations for Acute Respiratory Illness, United States |
title_full_unstemmed |
Analysis of MarketScan Data for Immunosuppressive Conditions and Hospitalizations for Acute Respiratory Illness, United States |
title_sort |
analysis of marketscan data for immunosuppressive conditions and hospitalizations for acute respiratory illness, united states |
publisher |
Centers for Disease Control and Prevention |
series |
Emerging Infectious Diseases |
issn |
1080-6040 1080-6059 |
publishDate |
2020-08-01 |
description |
Increasing use of immunosuppressive biologic therapies poses a challenge for infectious diseases. Immunosuppressed patients have a high risk for influenza complications and an impaired immune response to vaccines. The total burden of immunosuppressive conditions in the United States, including those receiving emerging biologic therapies, remains unknown. We used the national claims database MarketScan to estimate the prevalence of immunosuppressive conditions and risk for acute respiratory illnesses (ARIs). We studied 47.2 million unique enrollees, representing 115 million person-years of observation during 2012–2017, and identified immunosuppressive conditions in 6.2% adults 18–64 years of age and 2.6% of children <18 years of age. Among 542,105 ARI hospitalizations, 32% of patients had immunosuppressive conditions. The risk for ARI hospitalizations was higher among enrollees with immunosuppression than among nonimmunosuppressed enrollees. Future efforts should focus on developing improved strategies, including vaccines, for preventing influenza in immunosuppressed patients, who are an increasing population in the United States. |
topic |
immunosuppressive conditions biologics cancer influenza respiratory infections acute respiratory illness |
url |
https://wwwnc.cdc.gov/eid/article/26/8/19-1493_article |
work_keys_str_mv |
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