| How well does patient self-report predict asthma medication possession? Implications for medication reconciliation and adherence assessment. | |
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MedLine Citation:
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PMID: 20831462 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Self-report is the most commonly used method for collecting information regarding asthma medication possession and adherence in clinical practice. OBJECTIVE: To determine the agreement between self-report and pharmacy claims data for asthma medication possession. METHODS: This is a retrospective study that examined pharmacy claims data 12 months before and after participants completed a structured asthma survey. This study was performed in a sample of health care workers and dependents >17 years old in a large, self-insured Midwestern United States health care center. The main outcome measure was agreement (kappa calculation) between self-report and pharmacy claims data of asthma medication possession. RESULTS: Self-report of asthma medication use agreed moderately with pharmacy claims data for short-acting albuterol (κ=0.47 ± 0.03), salmeterol (κ=0.79 ± 0.04), and montelukast (κ=0.69 ± 0.03) but only slightly for inhaled corticosteroids (κ=0.18 ± 0.03) and prednisone (κ=0.10 ± 0.03) (n=1050 respondents). Both under self-reporting and over self-reporting were common with inhaled corticosteroids (14.4% and 23.1%, respectively) and varied significantly by specific drug type. CONCLUSIONS: Self-report moderately agrees with asthma medication possession for most adult asthma patients, though the agreement differs considerably between and within asthma medication classes. |
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Authors:
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Kaiser G Lim; Matthew A Rank; James T C Li; Ashok Patel; Gerald W Volcheck; Megan E Branda; Rosa Cabanela; James M Naessens; Nilay D Shah; Amy Wagie; Timothy Beebe |
Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: The Journal of asthma : official journal of the Association for the Care of Asthma Volume: 47 ISSN: 1532-4303 ISO Abbreviation: J Asthma Publication Date: 2010 Oct |
Date Detail:
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Created Date: 2010-10-05 Completed Date: 2010-11-04 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8106454 Medline TA: J Asthma Country: England |
Other Details:
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Languages: eng Pagination: 878-82 Citation Subset: IM |
Affiliation:
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Division of Pulmonary Medicine, Mayo Clinic, Rochester, Minnesota 55905, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Anti-Asthmatic Agents / therapeutic use* Asthma / diagnosis*, drug therapy*, psychology Female Health Personnel Humans Insurance Claim Review Male Medication Adherence* Middle Aged Midwestern United States Predictive Value of Tests Questionnaires Retrospective Studies Sensitivity and Specificity |
| Chemical | |
Reg. No./Substance:
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0/Anti-Asthmatic Agents |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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