Evidence map›Paper›PMID 38880857›Full record

ArticleDermatology and therapy2024

Evaluating Access to Prescription Medications in the Atopic Dermatitis Patient Population in the USA.

Allison R Loiselle, Raj Chovatiya, Isabelle J Thibau, Jessica K Johnson, Michele Guadalupe, Wendy Smith Begolka

Abstract read
In one paragraph

Article in Dermatology and therapy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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.

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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. 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

6 authors.

Allison R LoiselleNational Eczema Association, 505 San Marin Drive, #B300, Novato, CA, 94945, USA.ORCID http://orcid.org/0000-0003-2686-0634
Raj ChovatiyaDepartment of Dermatology, Northwestern University Feinberg School of Medicine, Chicago, IL, 60611, USA.
Isabelle J ThibauNational Eczema Association, 505 San Marin Drive, #B300, Novato, CA, 94945, USA.
Jessica K JohnsonNational Eczema Association, 505 San Marin Drive, #B300, Novato, CA, 94945, USA.
Michele GuadalupeNational Eczema Association, 505 San Marin Drive, #B300, Novato, CA, 94945, USA.
Wendy Smith BegolkaNational Eczema Association, 505 San Marin Drive, #B300, Novato, CA, 94945, USA. wendy@nationaleczema.org.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDespite advances in atopic dermatitis (AD) treatments, many patients face challenges obtaining medications. This study aimed to determine the frequency and causes of insurance coverage delays and denials for AD prescriptions and characterize the associated wait times and extent to which patients understand what to do when faced with a coverage issue.

methodsThis was a cross-sectional, observational study in which adult U.S. residents (aged 18+ years) with AD or caregivers of pediatric U.S. patients with AD (aged 0-17 years) completed an online survey (3 June-16 July 2021).

resultsRespondents (N = 978) were primarily adults with AD (81.8%), female (67.7%), and white (70.2%). There were 645 insurance delays or denials for AD prescriptions, with 48.1% (470/978) of respondents experiencing at least one delay/denial in the past year. Most delays/denials were for topical steroids (39.2%, 253/645), the most highly used prescription treatment class (83.9%, 821/978). However, the highest rate of delay/denials was for biologics, of which 43.6% (109/250) of all prescriptions faced a delay or denial. Denials were caused primarily by step therapy (27.6%) and delays by prior authorization (55.1%). Only 56.0% of respondents said they would know what to do if they faced an issue with AD prescription coverage.

conclusionsPatients with AD frequently experience insurance-related barriers to obtaining recommended therapies, and many do not know how to respond when these barriers arise. Strategies to improve timely therapeutic access are needed.

Indexed as

Atopic dermatitisEczemaPrescription accessPrior authorizationStep therapy

Identifiers

PMID38880857
PMCPMC11264656

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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.