Optum Research Database Proportion of asthma patients with prescription fills for rescue and controller medications by year,
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1 ASTHMA CHART 1 Optum Research Database Proportion of asthma patients with prescription fills for rescue and controller medications by year, Controller medication 1 Rescue medication No controller or rescue medication In 215, 44.4% of asthma patients had a controller medication prescription fill and 65.9% had a fill for a rescue medication. Results were similar in 216. More than a quarter of patients diagnosed with asthma did not have any asthma-related medication fills in each year. 1. At least one asthma diagnosis in any position; and A total of 65,751 and 91,214 enrollees met the above criteria in 215 and 216, respectively. The increase in patient counts from 215 to 216 is due in part to the change from ICD-9 to ICD-1. The percentages in the graph do not sum to 1% because some patients filled prescriptions for multiple rescue medication classes.
2 ASTHMA CHART 2 Optum Research Database Proportion of asthma patients with prescription fills for controller medications classes by year, ICS ICS/LABA LABA LAMA LM MAST METH MONOC No controller medication The most commonly filled controller medications were fixed dose ICS/ LABA followed by LM, ICS and LAMA. More than half of asthma patients did not have any asthma-related controller medication fills in each year. ICS inhaled corticosteroid; LABA long-acting beta agonist; LAMA long-acting muscarinic antagonist; LM leukotriene modifiers; MAST mast cell stabilizers; METH methylxanthines MONOC monoclonal antibodies (IL-5 inhibitors, anti-ige) 1. At least one asthma diagnosis in any position; and A total of 65,751 and 91,214 enrollees met the above criteria in 215 and 216, respectively. The increase in patient counts from 215 to 216 is due in part to the change from ICD-9 to ICD-1. The percentages in the graph do not sum to 1% because some patients filled prescriptions for multiple controller medication classes.
3 ASTHMA CHART 3 Optum Research Database Proportion of asthma patients with prescription fills for rescue medications classes by year, OCS SABA SAMA SAMA/SABA No rescue medication Among patients diagnosed with asthma, 52.5% and 48.1% had at least one pharmacy fill for a SABA medication in 215 and 216, respectively. More than one-third of asthma patients had at least one pharmacy fill for an OCS in each year, and more than one-third did not have any pharmacy fills for rescue medications. OCS systemic corticosteroids; SABA short-acting beta agonist SAMA short-acting muscarinic antagonist 1. At least one asthma diagnosis in any position; and A total of 65,751 and 91,214 enrollees met the above criteria in 215 and 216, respectively. The increase in patient counts from 215 to 216 is due in part to the change from ICD-9 to ICD-1. The percentages in the graph do not sum to 1% because some patients filled prescriptions for multiple rescue medication classes.
4 COPD CHART 4 Optum Research Database Proportion of COPD patients with prescription fills for rescue and controller medications by year, Controller medication 1 Rescue medication No controller or rescue medication In 215, 34.3% of COPD patients had a controller medication prescription fill and 54.6% had a fill for a rescue medication. Results were similar in 216. More than a third of patients diagnosed with COPD did not have any COPD-related medication fills in each year. 1. At least one COPD diagnosis in any position; and A total of 354,2 and 446,85 enrollees met the above criteria in 215 and 216, respectively. The increase in patient counts from 215 to 216 is due in part to the change from ICD-9 to ICD-1. The percentages in the graph do not sum to 1% because some patients filled prescriptions for controller and rescue medications.
5 COPD CHART 5 Optum Research Database Proportion of COPD patients with prescription fills for controller medication classes by year, ICS ICS/LABA LABA LAMA LAMA/LABA METH PDE No controller medication Among enrollees diagnosed with COPD, the most commonly filled class of controller medication was an ICS/LABA followed by LAMA. In each year, nearly one quarter of COPD patients had pharmacy fills for an ICS/LABA and roughly 15% of COPD patients had at least one pharmacy fill for a LAMA. ICS inhaled corticosteroid; LABA long-acting beta agonist LAMA long-acting muscarinic antagonist; METH methylxanthines; PDE phosphodiesterase-4 inhibitors Approximately 65% of COPD patients did not have any pharmacy fills for controller medications in 215 or At least one COPD diagnosis in any position; and A total of 354,2 and 446,85 enrollees met the above criteria in 215 and 216, respectively. The increase in patient counts from 215 to 216 is due in part to the change from ICD-9 to ICD-1. The percentages in the graph do not sum to 1% because some patients filled prescriptions for multiple controller medication classes.
6 COPD CHART 6 Optum Research Database Proportion of COPD patients with prescription fills for rescue medication classes by year, OCS SABA SAMA SAMA/SABA No rescue medication Among enrollees diagnosed with COPD, 36.8% and 38.4% had at least one pharmacy fill for a SABA medication in 215 and 216, respectively. Approximately 35% of COPD patients had at least one pharmacy fill for an OCS in each year. In 215 and 216, respectively, 45.4% and 43.4% of COPD patients did not have any pharmacy fills for rescue medications. OCS systemic corticosteroids; SABA short-acting beta agonist; SAMA short-acting muscarinic antagonist 1. At least one COPD diagnosis in any position; and A total of 354,2 and 446,85 enrollees met the above criteria in 215 and 216, respectively. The increase in patient counts from 215 to 216 is due in part to the change from ICD-9 to ICD-1. The percentages in the graph do not sum to 1% because some patients filled prescriptions for multiple rescue medication classes. WF51132
Disclosure Statement. Epidemiological Data
EVALUATION OF THE MEDICATION UTILIZATION OF COPD PATIENTS AT THE MIAMI VA HEALTHCARE SYSTEM Simone Edgerton, PharmD. PGY 1 Pharmacy Resident Miami VA Healthcare System Miami, Florida Simone.edgerton2@va.gov
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