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2015 ; 10
(ä): 2127-36
Nephropedia Template TP
gab.com Text
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English Wikipedia
A longitudinal, retrospective cohort study on the impact of roflumilast on
exacerbations and economic burden among chronic obstructive pulmonary disease
patients in the real world
#MMPMID26504378
Wan Y
; Sun SX
; Corman S
; Huang X
; Gao X
; Shorr AF
Int J Chron Obstruct Pulmon Dis
2015[]; 10
(ä): 2127-36
PMID26504378
show ga
BACKGROUND: Roflumilast is approved in the United States to reduce the risk of
COPD exacerbations in patients with severe COPD. Exacerbation rates, health care
resource utilization (HCRU), and costs were compared between roflumilast patients
and those receiving other COPD maintenance drugs. METHODS: LifeLink? Health Plan
Claims Database was used to identify patients diagnosed with COPD who initiated
roflumilast (roflumilast group) or ?3 other COPD maintenance drugs
(non-roflumilast group) from May 1, 2011 to December 31, 2012. Patients must have
been enrolled for 12 months before (baseline) and 3 months after (postindex) the
initiation date, ?40 years old, not systemic corticosteroid dependent, and
without asthma diagnosis at baseline. Difference-in-difference models compared
change from baseline in exacerbations, HCRU (office, emergency visits, and
hospitalizations), and total costs between groups, adjusting for baseline
differences. RESULTS: A total of 14,211 patients (roflumilast, n=710;
non-roflumilast, n=13,501) were included. During follow-up, the rate of overall
exacerbations per patient per month decreased by 11.1% in the roflumilast group
and increased by 15.9% in the non-roflumilast group (P<0.001). After controlling
for baseline differences, roflumilast-treated patients experienced a greater
reduction in exacerbations (0.0160 fewer exacerbations per month, P=0.01),
numerically greater reductions in hospital admissions (0.003 fewer per month,
P=0.57), office visits (0.46 fewer per month, P=0.26), and total costs from
baseline compared with non-roflumilast patients ($116 less per month, P=0.62).
CONCLUSION: In a real-world setting, patients initiating roflumilast experienced
reductions in exacerbations versus patients treated with other COPD medications.
|*Ambulatory Care/economics/statistics & numerical data
[MESH]
|*Aminopyridines/economics/therapeutic use
[MESH]
|*Benzamides/economics/therapeutic use
[MESH]
|*Cost of Illness
[MESH]
|*Hospitalization/economics/statistics & numerical data
[MESH]