The Journal of dermatological treatment · 2010
Prescribing patterns for topical retinoids: analyses of 15 years of data from the national ambulatory medical care survey.
Сравнительное исследованиеСтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Balkrishnan Rajesh, Bhosle Monali J, Camacho Fabian, Fleischer Alan B, Feldman Steven R
Аннотация
OBJECTIVE: To examine the prescribing patterns of topical retinoids in the United States.
METHODS: A retrospective, cross-sectional study was employed. Data from the National Ambulatory Medical Care Survey (1990-2004) were used. The impact of patient diagnosis of acne and other covariates on the probability of getting a retinoid prescription was examined using weighted multivariate logistic regression models.
RESULTS: Among the national cohort of patients aged 10 years and older (number of patient visits = 11.7 billion), 41.5 million patients received a topical retinoid prescription. In the retinoid cohort, more than 70% of patients had a diagnosis for acne vulgaris. Diagnosis of acne vulgaris was the strongest predictor of getting a retinoid prescription after controlling for other covariates (OR: 43.39; 95% CI: 32.44, 58.02).
CONCLUSIONS: Requiring prior authorization for topical retinoids for all age groups seems unwarranted and may not be cost-beneficial for the managed care organizations based on these and previous findings.
METHODS: A retrospective, cross-sectional study was employed. Data from the National Ambulatory Medical Care Survey (1990-2004) were used. The impact of patient diagnosis of acne and other covariates on the probability of getting a retinoid prescription was examined using weighted multivariate logistic regression models.
RESULTS: Among the national cohort of patients aged 10 years and older (number of patient visits = 11.7 billion), 41.5 million patients received a topical retinoid prescription. In the retinoid cohort, more than 70% of patients had a diagnosis for acne vulgaris. Diagnosis of acne vulgaris was the strongest predictor of getting a retinoid prescription after controlling for other covariates (OR: 43.39; 95% CI: 32.44, 58.02).
CONCLUSIONS: Requiring prior authorization for topical retinoids for all age groups seems unwarranted and may not be cost-beneficial for the managed care organizations based on these and previous findings.
Предметные рубрики MeSH
Acne VulgarisAdministration, TopicalAdolescentAdultAgedAmbulatory CareConfidence IntervalsCost-Benefit AnalysisCross-Sectional StudiesDrug CostsDrug PrescriptionsDrug UtilizationFemaleFollow-Up StudiesHealth Care SurveysHumansLogistic ModelsMaleMiddle AgedMultivariate AnalysisOdds RatioPractice Patterns, Physicians'RetinoidsRetrospective StudiesSeverity of Illness IndexTime FactorsTreatment OutcomeYoung Adult