Evidence map›Paper›PMID 27928769›Full record

ArticleJournal of racial and ethnic health disparities2017

Racial-Ethnic Disparities in Uptake of New Hepatitis C Drugs in Medicare.

Jeah Jung, Roger Feldman

Open access · greenAbstract read
In one paragraph

Article in Journal of racial and ethnic health disparities, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
0.5field-weighted citation impact, top 29% 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

11 citing papers in PubMed, 16 citations in OpenAlex.

  1. REPRESENTATION AND EXTRAPOLATION: EVIDENCE FROM CLINICAL TRIALSThe quarterly journal of economics · 2024
    Article
  2. Article
  3. Actionable Solutions to Achieve Health Equity in Chronic Liver Disease.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2023
    Review
  4. Observational
  5. Article
  6. Lower Use of Biologics for the Treatment of Asthma in Publicly Insured Individuals.The journal of allergy and clinical immunology. In practice · 2021
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. 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

2 authors at 2 institutions in 1 country.

Jeah JungThe Pennsylvania State University, University Park, PA, 16802, USA. kuj11@psu.edu.ORCID http://orcid.org/0000-0001-7574-0677
Roger FeldmanUniversity of Minnesota, Minneapolis, MN, USA.
Pennsylvania State University · USUniversity of Minnesota · US

Funding

Population Research InstituteR24HD041025 · NICHD · PENNSYLVANIA STATE UNIVERSITY-UNIV PARK · PI JOHNSON, DAVID R · 2001 to 2016
$9.7M
The Population Research Institute: Development CoreP2CHD041025 · NICHD · PENNSYLVANIA STATE UNIVERSITY, THE · PI Sarah Damaske · 2016 to 2026
$9.0M
Benefit Generosity, Specialty Drug Use, and Other Health Service Use in MedicareR01AG047934 · NIA · PENNSYLVANIA STATE UNIVERSITY, THE · PI JUNG, JEAH · 2014 to 2016
$783k
National Institute of Child Health and Human Development R24 HD041025National Institute on Aging 1R01AG047934-01NIA NIH HHS R01 AG047934NICHD NIH HHS P2C HD041025NICHD NIH HHS R24 HD041025
6 · The paper itself

Abstract

backgroundChronic hepatitis C is an important public health concern. Recently launched drugs to treat hepatitis C virus (HCV) infection are effective but costly. Uptake of innovative and expensive prescription drugs may not be even across patient groups. We examined racial-ethnic disparities in uptake of new HCV drugs in the first year of their use (year 2014) in Medicare.

methodsThe study population was Medicare beneficiaries who had chronic hepatitis C in 2013 or 2014 and who were continuously enrolled in Part D stand-alone Prescription Drug Plans in 2014. We examined trends in monthly uptake of new HCV drugs and adjusted annual uptake rates by race. We used logistic regressions to obtain adjusted odds ratios and adjusted differences in annual uptake rates.

resultsMonthly uptake of new HCV drugs was lower among Black Medicare patients than Whites or Hispanics in 2014. The racial gap in monthly uptake became narrower toward the end of the year. Adjusted odds of using new HCV drugs were 11% lower for Blacks with cirrhosis than Whites (odds ratio (OR) = 0.89; 95% confidence interval (CI), 0.84-0.95), and 16% lower for Blacks with HCV/HIV coinfection than Whites (OR = 0.81; 95% CI, 0.72-0.92). Annual uptake rates were not significantly different for Whites and Hispanics.

conclusionsBlack Medicare patients with cirrhosis or HCV/HIV coinfection had lower uptake rates than Whites in 2014. As utilization of new HCV drugs increases, continuing efforts will be necessary to ensure equal delivery of the drugs.

Indexed as

Medicare Part DAgedBlack or African AmericanCoinfectionFemaleFibrosisHealthcare DisparitiesHepatitis C, ChronicHispanic or LatinoHIV InfectionsHumansMaleMiddle AgedPrescription DrugsUnited StatesWhite PeoplePrescription DrugsDisparitiesHepatitis CMedicare Part DNew hepatitis C drugsPrescription drugs

Identifiers

PMID27928769
PMCPMC5462885
OpenAlexW2560598095

What OpenQuestion holds

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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.