Evidence map›Paper›PMID 27895506›Full record

ArticleClinicoEconomics and outcomes research : CEOR2016

Patient-reported financial barriers to adherence to treatment in neurology.

Lidia Mvr Moura, Eli L Schwamm, Valdery Moura Junior, Michael P Seitz, Daniel B Hoch, John Hsu, Lee H Schwamm

Open access · goldAbstract read
In one paragraph

Article in ClinicoEconomics and outcomes research : CEOR, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.3field-weighted citation impact, top 31% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Article
  3. Access to Telepharmacy Services May Reduce Hospital Admissions in Outpatient Populations During the COVID-19 Pandemic.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2022
    Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Lidia Mvr MouraDepartment of Neurology.
Eli L SchwammDepartment of Neurology.
Valdery Moura JuniorDepartment of Neurology.
Michael P SeitzDepartment of Neurology.
Daniel B HochDepartment of Neurology.
John HsuMongan Institute for Health Policy, Massachusetts General Hospital; Department of Medicine and Department of Health Care Policy, Harvard Medical School, Boston, MA, USA.
Lee H SchwammDepartment of Neurology.
Harvard University · US

Funding

Natural Experiment of Value-Based Incentives for Preventive ServicesR01HD075121 · NICHD · MASSACHUSETTS GENERAL HOSPITAL · PI HSU, JOHN · 2012 to 2016
$3.3M
Screening for Free: A Value-Based Insurance Design Natural ExperimentR01CA164023 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI HSU, JOHN · 2012 to 2015
$2.4M
NCI NIH HHS R01 CA164023NICHD NIH HHS R01 HD075121
6 · The paper itself

Abstract

objectiveMany effective medical therapies are available for treating neurological diseases, but these therapies tend to be expensive and adherence is critical to their effectiveness. We used patient-reported data to examine the frequency and determinants of financial barriers to medication adherence among individuals treated for neurological disorders. PATIENTS AND

methodsPatients completed cross-sectional surveys on iPads as part of routine outpatient care in a neurology clinic. Survey responses from a 3-month period were collected and merged with administrative sources of demographic and clinical information (eg, insurance type). We explored the association between patient characteristics and patient-reported failure to refill prescription medication due to cost in the previous 12 months, termed here as "nonadherence".

resultsThe population studied comprised 6075 adults who were presented between July and September 2015 for outpatient neurology appointments. The mean age of participants was 56 (standard deviation: 18) years, and 1613 (54%) were females. The patients who participated in the surveys (2992, 49%) were comparable to nonparticipants with respect to gender and ethnicity but more often identified English as their preferred language (94% vs 6%,

conclusionOverall, the magnitude of financial barriers to medication adherence appears to vary across neurological conditions and demographic characteristics.

Indexed as

adherencecostoutcomes

Identifiers

PMID27895506
PMCPMC5117903
OpenAlexW2551384226

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.