| Racial differences in switching, augmentation, and titration of lipid-lowering agents by Medicare/Medicaid dual-eligible patients. | |
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MedLine Citation:
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PMID: 17596115 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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RESEARCH OBJECTIVE: The goal of this study was to examine prescription fill patterns of lipid-lowering agents among Medicare/ Medicaid dual-eligible patients by ethnicity. DATA AND METHODS: Study data were obtained from the Thomson Medstat MarketScan Medicaid claims database. Medicare/Medicaid beneficiaries who filled prescriptions for lipid-lowering agents during 2003 were included in the study. Logistic regression models estimated the probability that beneficiaries, by ethnicity, switched to a different lipid-lowering medication, augmented therapy with another lipid-lowering agent, or titrated the dosage of the drug upward over the course of the year. RESULTS: The models revealed that African Americans were less likely to switch lipid-lowering agents (odds ratio [OR], 0.68; 95% confidence interval [CI], 0.60-0.78), augment lipid-lowering agents (OR, 0.53; 95% CI, 0.43-0.66), or titrate upward (OR, 0.75; 95% CI, 0.67-0.84) than whites. CONCLUSION: These results suggest that African Americans may be receiving less aggressive treatment than other patients, which in turn may explain why many studies find that African Americans are less likely to reach lipid goals. These treatment disparities merit further study, because they may impact dual-eligible patients moving into Medicare Part D plans. |
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Authors:
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Tami L Mark; Kristen J Axelsen; Lisa Mucha; Yelena Sadkova |
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Publication Detail:
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Type: Comparative Study; Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: The American journal of managed care Volume: 13 Suppl 3 ISSN: 1936-2692 ISO Abbreviation: Am J Manag Care Publication Date: 2007 Jun |
Date Detail:
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Created Date: 2007-06-28 Completed Date: 2007-08-13 Revised Date: 2008-11-21 |
Medline Journal Info:
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Nlm Unique ID: 9613960 Medline TA: Am J Manag Care Country: United States |
Other Details:
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Languages: eng Pagination: S72-9 Citation Subset: H |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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African Americans*
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statistics & numerical data Aged Antilipemic Agents / therapeutic use* Drug Prescriptions / statistics & numerical data Drug Utilization European Continental Ancestry Group / statistics & numerical data Female Humans Hyperlipidemias / drug therapy, ethnology* Logistic Models Male Medicaid Medicare Middle Aged Multivariate Analysis Patient Compliance / ethnology Physician's Practice Patterns Quality of Health Care* United States |
| Chemical | |
Reg. No./Substance:
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0/Antilipemic Agents |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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