Evidence map›Paper›PMID 33776438›Full record

ArticleNeuropsychiatric disease and treatment2021

Real-World Treatment Patterns and Adherence to Oral Medication Among Patients with Bipolar Disorders: A Retrospective, Observational Study Using a Healthcare Claims Database.

Takeshi Inoue, Hiromi Sano, Yoshitsugu Kojima, Sakiko Yamada, Osamu Shirakawa

Abstract read
In one paragraph

Article in Neuropsychiatric disease and treatment, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

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0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
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.

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2 · The registry

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3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

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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

5 authors.

Takeshi InoueDepartment of Psychiatry, Tokyo Medical University, Tokyo, Japan.ORCID 0000-0001-5248-1289
Hiromi SanoMedical Affairs, Otsuka Pharmaceutical Co., Ltd., Osaka, Japan.
Yoshitsugu KojimaMedical Affairs, Otsuka Pharmaceutical Co., Ltd., Tokyo, Japan.
Sakiko YamadaMedical Affairs, Otsuka Pharmaceutical Co., Ltd., Tokyo, Japan.ORCID 0000-0001-7913-4041
Osamu ShirakawaDepartment of Neuropsychiatry, Kindai University Faculty of Medicine, Osaka, Japan.ORCID 0000-0003-3078-6844

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study aimed to describe real-world treatment patterns and medication adherence among patients with bipolar disorder (BD) in Japan. PATIENTS AND

methodsAdult patients with a BD diagnosis were identified between July 2013 and February 2018, using an employment-based health insurance claims database from the JMDC Inc. Treatment patterns of target drugs (mood stabilizers, antipsychotics) and adherence (measured by the proportion of days covered [PDC]) were assessed during the first- through third-year follow-up. Adherence was also assessed for patient subgroups.

resultsThe analyzed population included 13,788 patients with BD. They were mostly prescribed sodium valproate, lithium, or aripiprazole (range: 21.1-27.4%) across 3 years of follow-up, whereas lamotrigine was prescribed to 11.2-12.8% of patients. Benzodiazepines (70-87%) and antidepressants (52-71%) were commonly prescribed during all three follow-up periods. The mean PDC among all patients with BD was 0.51 during the first and increased to 0.61 during the third year. The mean PDC was 0.42 (first year) in patients aged <30 years and 0.49 in those aged 30-40 years. The PDC was 0.44-0.61 (depending on the drug class) in those who were prescribed a single-class target drug and 0.68-0.83 in those prescribed two drug classes concomitantly.

conclusionThis study documented generally low medication adherence among patients with BD, and those at young age. These patients may require more attention.

Indexed as

bipolar disordersclaims databasemedication adherencemood stabilizersoral antipsychoticstreatment patterns

Identifiers

PMID33776438
PMCPMC7987324

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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.