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Canadian Respiratory Journal
Volume 2016 (2016), Article ID 6279250, 7 pages
http://dx.doi.org/10.1155/2016/6279250
Research Article

The Characteristics of Treated Pulmonary Arterial Hypertension Patients in Ontario

1School of Medicine, Queen’s University, 15 Arch Street, Kingston, ON, Canada K7L 3N6
2The Institute for Clinical Evaluative Sciences, 2075 Bayview Avenue G1 06, Toronto, ON, Canada M4N 3M5
3Toronto General Hospital, 200 Elizabeth Street, Toronto, ON, Canada M5G 2C4
4University Health Network, 399 Bathurst Street, Toronto, ON, Canada M5T 2S8
5Department of Medicine, The University of Toronto, 1 King’s College Circle No. 3172, Toronto, ON, Canada M5S 1A8
6The Department of Medicine, St. Michael’s Hospital, 30 Bond Street, Toronto, ON, Canada M5B 1W8
7Department of Health Policy, Management, and Evaluation, The University of Toronto, 155 College Street, Toronto, ON, Canada M5T 3M6
8The Leslie Dan Faculty of Pharmacy, The University of Toronto, 144 College Street, Toronto, ON, Canada M5S 3M2
9Keenan Research Centre, The Li Ka Shing Knowledge Institute, St. Michael’s Hospital, 209 Victoria Street, Toronto, ON, Canada M5B 1T8
10The Sunnybrook Research Institute, 2075 Bayview Avenue, Toronto, ON, Canada M4N 3M5
11Department of Pediatrics, The University of Toronto, 555 University Avenue Black Wing, 1436 Toronto, ON, Canada M5G 1X8

Received 6 April 2015; Accepted 22 November 2015

Copyright © 2016 Haris M. Vaid et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. There are no Canadian prevalence studies on pulmonary arterial hypertension (PAH) to date. We described the characteristics of treated PAH patients and the healthcare utilization and costs associated with PAH in a population of public drug plan beneficiaries in Ontario, Canada. Methods. A retrospective cross-sectional analysis was conducted between April 2010 and March 2011 to identify treated PAH patients using population-based health administrative databases. We investigated demographic and clinical characteristics of treated PAH patients and conducted a cohort study to determine treatment patterns, healthcare utilization, and associated costs, over a one-year follow-up period (March 2012). Results. We identified 326 treated PAH cases in Ontario’s publicly funded drug plan. Overall mean age was 59.4 years (±20.3 years) and over 77% of cases were women (). Combination therapy was used to treat 22.9% () of cases, costing an average of $4,569 (SD $1,544) per month. Median monthly healthcare costs were $264 (IQR $96–$747) for those who survived and $2,021 (IQR $993–$6,399) for those who died over a one-year period, respectively (). Conclusions. PAH care in Ontario is complex and has high healthcare costs. This data may help guide towards improved patient management.