PMID: 8595534Feb 1, 1996Paper

Drug utilization evaluation identifies costs associated with high use of beta-adrenergic agonists

Annals of Allergy, Asthma & Immunology : Official Publication of the American College of Allergy, Asthma, & Immunology
D A StempelA B Stempl

Abstract

Drug utilization evaluation is an effective mechanism to identify individual variability in drug use and to promote interventions that will improve patient outcomes. The present analysis is a novel approach incorporating medical claims information with pharmacy data. This analysis was conducted during the 12 months of 1993 in four health maintenance organizations with approximately 673,000 members. Health care costs were identified in asthmatic patients, age 7 years and over, who used high doses of inhaled beta-adrenergic agonists, defined as more than 8 puffs per day. A total of 20,512 asthmatic patients were identified. From these patients, 1093 members or 5.3% received high doses of an inhaled bronchodilator. This second group was then stratified by concurrent use of inhaled anti-inflammatory therapy. Group A, 32% of the members, received > or = 4 puffs per day of an anti-inflammatory medicine; group B, 31% of the members, received <4 puffs per day of these medicines; and group C, 37% of the members, received no anti-inflammatory therapy. Examination of the linked medical claims and pharmacy database demonstrated that members using high doses of inhaled bronchodilators had annual charges for treatment related to their asthma...Continue Reading

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Citations

Feb 16, 2006·Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz·T Behrens, W Ahrens
Feb 6, 2004·Annals of Allergy, Asthma & Immunology : Official Publication of the American College of Allergy, Asthma, & Immunology·Michael James SmithBennie Coleman McWilliams
May 25, 2002·Annals of Allergy, Asthma & Immunology : Official Publication of the American College of Allergy, Asthma, & Immunology·James H Glauber, Anne L Fuhlbrigge
Jan 20, 1998·Annals of Allergy, Asthma & Immunology : Official Publication of the American College of Allergy, Asthma, & Immunology·D A StempelD A Buchner
Feb 1, 1996·Annals of Allergy, Asthma & Immunology : Official Publication of the American College of Allergy, Asthma, & Immunology·D S Pearlman
Sep 2, 1999·Journal of Evaluation in Clinical Practice·Y Y MengA P Legorreta
May 5, 2007·Journal of Medical Internet Research·Christine W HartmannAnthony Pietropaoli
Dec 1, 2001·Expert Review of Pharmacoeconomics & Outcomes Research·D C Malone, E P Armstrong
Nov 20, 2001·Chest·J H GlauberS T Weiss
Jul 28, 2006·Pediatric Pulmonology·Dorothy B Wakefield, Michelle M Cloutier
Nov 19, 2005·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Sandhya SapraBradley C Martin
Jun 21, 2001·The Annals of Pharmacotherapy·P ReddyK J Welter
Sep 6, 2011·Clinical Pediatrics·Nir MenachemiMeredith L Kilgore
Jul 5, 2003·The Annals of Pharmacotherapy·Craig I ColemanC Michael White
Jul 4, 2002·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Stipe OreskovicRami Ben-Joseph

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