ArticleThe Journal of asthma : official journal of the Association for the Care of Asthma2013
Inhaled corticosteroid adherence and emergency department utilization among Medicaid-enrolled children with asthma.
Article in The Journal of asthma : official journal of the Association for the Care of Asthma, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 3 of them syntheses that pooled it.
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The trial behind it
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Who cites it
27 citing papers in PubMed, 3 syntheses or guidelines pooled it, 48 citations in OpenAlex.
- Refill Adherence Measures and Its Association with Economic, Clinical, and Humanistic Outcomes Among Pediatric Patients: A Systematic Review.International journal of environmental research and public health · 2020Pooled it
- Pooled it
- Assessing asthma severity based on claims data: a systematic review.The European journal of health economics : HEPAC : health economics in prevention and care · 2017Pooled it
- Home Medication Readiness for Preschool Children With Asthma.Pediatrics · 2018Trial
- Asthma routinization, family asthma management, caregiver depressive symptoms, and medication adherence in Head Start preschool children.Frontiers in allergy · 2023Article
- Mental health, long-term medication adherence, and the control of asthma symptoms among persons exposed to the WTC 9/11 disaster.The Journal of asthma : official journal of the Association for the Care of Asthma · 2020Article
- Social Risk Factors for Medication Nonadherence: Findings from the CARDIA Study.American journal of health behavior · 2020Article
- They just don't take their medicines: Reframing medication adherence in asthma from frustration to opportunity.Pediatric pulmonology · 2020Review
- The REal Life EVidence AssessmeNt Tool (RELEVANT): development of a novel quality assurance asset to rate observational comparative effectiveness research studies.Clinical and translational allergy · 2019Article
- Quality standards in respiratory real-life effectiveness research: the REal Life EVidence AssessmeNt Tool (RELEVANT): report from the Respiratory Effectiveness Group-European Academy of Allergy and Clinical Immunology Task Force.Clinical and translational allergy · 2019Article
- Risk factors of asthma exacerbation based on asthma severity: a nationwide population-based observational study in South Korea.BMJ open · 2018Observational
- Seventy-two-hour emergency department revisits among adults with chronic diseases: a Saudi Arabian study.Therapeutics and clinical risk management · 2018Article
- Using medication utilization information to develop an asthma severity classification model.BMC medical informatics and decision making · 2017Article
- Individual and county level predictors of asthma related emergency department visits among children on Medicaid: A multilevel approach.The Journal of asthma : official journal of the Association for the Care of Asthma · 2017Article
- Factors Associated with Asthma ED Visit Rates among Medicaid-enrolled Children: A Structural Equation Modeling Approach.AIMS medical science · 2017Article
- Non-adherence to inhaled corticosteroids and the risk of asthma exacerbations in children.Patient preference and adherence · 2016Article
- Article
- Is ketamine a lifesaving agent in childhood acute severe asthma?Therapeutics and clinical risk management · 2016Review
- Adherence to airway clearance therapy in pediatric cystic fibrosis: Socioeconomic factors and respiratory outcomes.Pediatric pulmonology · 2015Observational
- Patients' perspective of barriers and facilitators to taking long-term controller medication for asthma: a novel taxonomy.BMC pulmonary medicine · 2015Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
Abstract
objectivesAsthma is the most prevalent chronic disease among children enrolled in Medicaid. This study measured real-world adherence and outcomes after an initial prescription for inhaled corticosteroid therapy in a multi-state Medicaid population.
methodsWe conducted a retrospective study among Medicaid-enrolled children aged 5-12 years with asthma in 14 southern states using 2007 Medicaid Analytic eXtract file claims data to assess adherence and outcomes over the 3 months following an initial prescription drug claim for inhaled corticosteroids (ICS-Rx). Adherence was measured by the long-term controller-to-total asthma drug claims ratio.
resultsOnly one-third of children (33.4%) with an initial ICS-Rx achieved a controller-to-total drug ratio >0.5 over the next 90 days. Children for whom long-term control drugs represented less than half of their total asthma drug claims had a 21% higher risk of emergency department (ED) visit (adjusted odds ratio (AOR) 1.21 [95% CI 1.14, 1.27]), and a 70% higher risk of hospital admission (AOR 1.70 [95% CI 1.45, 1.98]) than those with a controller-to-total asthma drug ratio >0.5.
conclusionReal-world adherence to long-term controller medications is quite low in this racially diverse, low-income segment of the population, despite Medicaid coverage of medications. Adherence to long-term controller therapy had a measurable impact on real-world outcomes. Medicaid programs are a potential surveillance system for both medication adherence and ED utilization.
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