ArticleThe American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry2011
Impact of Medicare Part D on antidepressant treatment, medication choice, and adherence among older adults with depression.
Article in The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
22 citing papers in PubMed, 4 syntheses or guidelines pooled it, 41 citations in OpenAlex.
- Pharmaceutical policies: effects of regulating drug insurance schemes.The Cochrane database of systematic reviews · 2022Pooled it
- Medicare Part D's Effects on Drug Utilization and Out-of-Pocket Costs: A Systematic Review.Health services research · 2017Pooled it
- Prescription drug insurance coverage and patient health outcomes: a systematic review.American journal of public health · 2015Pooled it
- Medicare Part D's effect on the under- and overuse of medications: a systematic review.Journal of the American Geriatrics Society · 2011Pooled it
- Racial differences in antilipemic use and lipid control in high-risk older adults: post-Medicare Part D.American heart journal · 2013Trial
- Definition of treatment-resistant late-life depression: Conclusions from a European Task Force Delphi process.European psychiatry : the journal of the Association of European Psychiatrists · 2026Article
- The Value of Medicare Coverage on Depressive Symptoms Among Older Immigrants.The Gerontologist · 2024Article
- The Impact of Payment Scheme Changes on Medication Adherence and Persistence of Patients Diagnosed with Depression in Korea.International journal of environmental research and public health · 2022Article
- Trends in Serious Psychological Distress and Outpatient Mental Health Care of US Adults.JAMA psychiatry · 2019Article
- Continuing versus New Antidepressant Use in Older Adults: US Prescribing Trends from 2006 to 2015.European geriatric medicine · 2018Article
- National Trends in Antidepressant, Benzodiazepine, and Other Sedative-Hypnotic Treatment of Older Adults in Psychiatric and Primary Care.The Journal of clinical psychiatry · 2017Article
- How payment scheme affects patients' adherence to medications? A systematic review.Patient preference and adherence · 2016Review
- Optimizing the Use of Aripiprazole Augmentation in the Treatment of Major Depressive Disorder: From Clinical Trials to Clinical Practice.Chonnam medical journal · 2015Review
- Perceived symptom targets of antidepressants, anxiolytics, and sedatives: the search for modifiable factors that improve adherence.The journal of behavioral health services & research · 2014Article
- Brand-name prescription drug use among Veterans Affairs and Medicare Part D patients with diabetes: a national cohort comparison.Annals of internal medicine · 2013Article
- Cost sharing and decreased branded oral anti-diabetic medication adherence among elderly Part D Medicare beneficiaries.Journal of general internal medicine · 2013Article
- Medication (re)fill adherence measures derived from pharmacy claims data in older Americans: a review of the literature.Drugs & aging · 2013Review
- The impact of Medicare prescription drug coverage on the use of antidementia drugs.BMC geriatrics · 2013Article
- Effects of Medicare Part D coverage gap on medication and medical treatment among elderly beneficiaries with depression.Archives of general psychiatry · 2012Article
- Medicare part D research and policy highlights, 2012: impact and insights.Clinical therapeutics · 2012Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 2 institutions in 1 country.
Funding
Abstract
objectivesDepression in older adults is often undertreated due, in part, to medication costs. We examined the impact of improved prescription drug coverage under Medicare Part D on use of antidepressants, medication choice, and adherence. DESIGN, SETTING AND
participantsObservational claims-based study of older adults with depression (ICD-9: 296.2, 296.3, 311, 300.4) continuously enrolled in a Medicare managed care plan between 2004 and 2007. Three groups with limited ($150 or $350 quarterly caps) or no drug coverage in 2004-2005 obtained Part D benefits in 2006. A comparison group had stable employer-sponsored coverage throughout. MEASUREMENTS: Any antidepressant prescription fill, antidepressant choice (tricyclics or monoamine oxidase inhibitors versus newer antidepressants), and adherence (80% of days covered) in the first 6 months of treatment.
results: Part D was associated with increased odds of any antidepressant use among those who previously lacked coverage (odds ratio [OR] 1.61, 95% confidence interval [CI] 1.41-1.85) but odds of use did not change among those with limited prior coverage. Use of older antidepressant agents did not change with Part D. All three groups whose coverage improved with Part D had significantly higher odds of 80% of days covered with an antidepressant (OR = 1.86 [95% CI: 1.44-2.39] for no coverage, 1.74 [95% CI: 1.25%3.42] for $150 cap; and 1.19 [95% CI: 1.06-1.34] for the $350 cap groups).
conclusionsMedicare Part D was associated with improvements in antidepressant use and adherence in depressed older adults who previously had no or limited drug coverage but not with changes in use of older agents. use and adherence in depressed older adults who previously had no or limited drug coverage but not with changes in use of older agents.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.