Systemic Corticosteroid-Related Complications and Costs in Adults with Persistent Asthma.

The Journal of Allergy and Clinical Immunology. in Practice
Robert S ZeigerJoseph Tkacz

Abstract

Systemic corticosteroids (SCS) may cause complications for patients with asthma. We sought to better understand the burden of SCS use in persistent asthma, including health care costs. Adult patients with persistent asthma were identified in the IBM MarketScan Databases from January 2003 to July 2016. The index date was set as the first SCS prescription for SCS users or an algorithm-matched date for non-SCS users. Patients were required to have ≥1 year of data before and after the index date. Based on the number of SCS claims in the first year after index, patients were categorized into 3 SCS groups: 0 SCS claims, 1 to 3 claims, and 4+ claims. Inverse probability of treatment weights were applied to adjust for differences between SCS and non-SCS users. Analyses included weighted and multivariate modeling to assess SCS-related complications and costs during a 3-year follow-up. A total of 86,786 SCS users (1-3 claims: 76,690; 4+ claims: 10,096) and 91,409 non-SCS users were included; 45% remained 3 years after index. In multivariate analysis, the 3-year risk of developing any chronic complication was 6% greater for those with 1 to 3 claims and 26% greater for those with 4+ claims compared with non-SCS users (P < .001). Multivaria...Continue Reading

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Citations

Dec 9, 2020·The Journal of Allergy and Clinical Immunology. in Practice·Patrick W SullivanRobert S Zeiger
Feb 21, 2021·Asthma Research and Practice·A CorlateanuN Siafakas
Feb 20, 2021·Current Opinion in Ophthalmology·Alon Kahana
Jul 12, 2021·The Journal of Allergy and Clinical Immunology. in Practice·James E Gern, Elliot Israel
Nov 12, 2021·Expert Review of Clinical Immunology·Francesco MenzellaNicola Facciolongo

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