Einzeltreffer — DigiBib

Objective: To estimate adherence to asthma treatment with inhaled corticosteroid in clinical daily practice, and its relationship with exacerbations, as well as its use of resources and costs.

Material and Methods: An observational, retrospective study using the electronic medical records of the Badalona Health Service provider. The study included patients≥15 years old with a confirmed diagnosed of asthma, and who initiated treatment with an inhaled corticosteroid between January 2010 and December 2011. The follow-up period was 24 months. Adherence to treatment was measured using the medication possession ratio. Two groups were established: adherent (ADH; medication possession ratio≥80%) and non-adherent (non-ADH; medication possession ratio<80%) patients. The main demographic and clinical variables, including exacerbations, were collected, along with the healthcare and non-healthcare (days of absence from work) resource use, and costs.

Results: The study included a total of 2,303 patients, with a mean age of 48.6 years, and 64.3% females. Just over half (52.6%) of the patients had moderate persistent asthma, and 51.0% of patients adhered to treatment. In the non-ADH patients, 63.4% suffered at least one exacerbation in the follow-up period, compared with 37.4% of the adherent patients (P<.001). The non-ADH patients also consumed a higher percentage of healthcare resources in Primary Care (22.5 vs. 17.4%), secondary care (3.3 vs. 2.5%), and emergency visits (1.4 vs. 0.2%) during the follow-up period (P<.001 in all cases). No statistical significance differences were observed in the days of absence from work. Mean annual cost of non-ADH patients was 1,431€/patient, compared with 722€/patient (P<.001) of ADH patients.

Conclusion: Lack of adherence was associated with an increase in exacerbation rates, as well as healthcare resource consumption and costs.

Titel:	[Use of resources and costs associated with non-adherence to inhaled corticosteroid treatment in asthma].
Autor/in / Beteiligte Person:	Sicras-Mainar, A ; Huerta, A ; Sánchez, D ; Navarro-Artieda, R
Zeitschrift:	Semergen, Jg. 44 (2018), Heft 1, S. 13-22
Veröffentlichung:	<2000->: Madrid : Elsever España, : Saned, S.A. ; <i>Original Publication</i>: Madrid : Saned, S.A., [1996-, 2018
Medientyp:	academicJournal
ISSN:	1578-8865 (electronic)
DOI:	10.1016/j.semerg.2017.03.005
Schlagwort:	Administration, Inhalation Adolescent Adrenal Cortex Hormones administration & dosage Adult Aged Anti-Asthmatic Agents administration & dosage Female Follow-Up Studies Health Care Costs Health Resources statistics & numerical data Humans Longitudinal Studies Male Middle Aged Primary Health Care economics Primary Health Care statistics & numerical data Retrospective Studies Young Adult Adrenal Cortex Hormones therapeutic use Anti-Asthmatic Agents therapeutic use Asthma drug therapy Medication Adherence
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: Spanish; Castilian Transliterated Title: Uso de recursos y costes asociados a la no adherencia al tratamiento con corticoides inhalados en el asma. Publication Type: Journal Article Language: Spanish; Castilian [Semergen] 2018 Jan - Feb; Vol. 44 (1), pp. 13-22. <i>Date of Electronic Publication: </i>2017 Apr 26. MeSH Terms: Medication Adherence* ; Adrenal Cortex Hormones / therapeutic use ; Anti-Asthmatic Agents / therapeutic use ; Asthma / *drug therapy ; Administration, Inhalation ; Adolescent ; Adrenal Cortex Hormones / administration & dosage ; Adult ; Aged ; Anti-Asthmatic Agents / administration & dosage ; Female ; Follow-Up Studies ; Health Care Costs ; Health Resources / statistics & numerical data ; Humans ; Longitudinal Studies ; Male ; Middle Aged ; Primary Health Care / economics ; Primary Health Care / statistics & numerical data ; Retrospective Studies ; Young Adult Contributed Indexing: Keywords: Adherence; Adherencia; Asma; Asthma; Corticoides inhalados; Costes; Costs; Inhaled corticosteroids Substance Nomenclature: 0 (Adrenal Cortex Hormones) ; 0 (Anti-Asthmatic Agents) Entry Date(s): Date Created: 20170501 Date Completed: 20180905 Latest Revision: 20181202 Update Code: 20240513

Klicken Sie ein Format an und speichern Sie dann die Daten oder geben Sie eine Empfänger-Adresse ein und lassen Sie sich per Email zusenden.

BibTeX Citavi, JabRef, u.a.
(Literaturverwaltung)

PDF kein Volltext!
(Merkzettel, Notizen)

RIS Endnote, Citavi u.a.
(Literaturverwaltung)

MODS
(XML zur Weiterverarbeitung)

oder

Wählen Sie das für Sie passende Zitationsformat und kopieren Sie es dann in die Zwischenablage, lassen es sich per Mail zusenden oder speichern es als PDF-Datei.

Gewünschter Zitations-Stil:

oder

Bitte prüfen Sie, ob die Zitation formal korrekt ist, bevor Sie sie in einer Arbeit verwenden. Benutzen Sie gegebenenfalls den "Exportieren"-Dialog, wenn Sie ein Literaturverwaltungsprogramm verwenden und die Zitat-Angaben selbst formatieren wollen.

[Use of resources and costs associated with non-adherence to inhaled corticosteroid treatment in asthma].