Patient characteristics, drug adherence patterns, and hypoglycemia costs for patients with type 2 diabetes mellitus newly initiated on exenatide or insulin glargine

Patient characteristics, drug adherence patterns, and hypoglycemia costs for patients with type 2 diabetes mellitus newly initiated on exenatide or insulin glargine
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DOI:
10.1185/03007990802715199
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发表时间:
2009-03-01
影响因子:
2.3
通讯作者:
Wade, Ron
Wade, Ron
中科院分区:
医学4区
文献类型:
--
作者:
Fabunmi, Rosalind;Nielsen, Loretta L.;Wade, Ron

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目的:检查新开始服用艾塞那肽或甘精胰岛素的 2 型糖尿病患者的实际有效性和低血糖成本负担。设计和方法:回顾性队列研究,使用管理索赔数据库描述患者特征、药物依从模式和 1 年低血糖率以及相关成本。患有 2 型糖尿病的成年受试者在 2005 年 5 月 1 日至 2007 年 6 月 30 日期间首次申请艾塞那肽或甘精胰岛素,并且在开始前≥ 6 个月和开始后≥ 12 个月具有持续资格。 结果:艾塞那肽队列 (n=3262) 年龄为 53 +/- 10 年 (+/-SD); 54%为女性。甘精胰岛素队列 (n=3038) 年龄为 56 +/- 12 岁; 41%为女性。艾塞那肽的平均 Deyo-Charlson 合并症指数评分为 1.45,而甘精胰岛素的平均 Deyo-Charlson 合并症指数评分为 1.82(p
Objective: Examine real-world effectiveness and hypoglycemia cost burden in patients with type 2 diabetes newly initiated on exenatide or insulin glargine.Design and methods: Retrospective cohort study describing patient characteristics, drug adherence patterns, and 1-year hypoglycemia rates with associated costs using an administrative claims database. Adult subjects with type 2 diabetes had an initial claim for exenatide or insulin glargine between May 1, 2005 and June 30, 2007, and had continuous eligibility for >= 6 months pre- and >= 12 months post-initiation.Results: The exenatide cohort (n=3262) was 53 +/- 10 years (+/-SD); 54% female. The insulin glargine cohort (n=3038) was 56 +/- 12 years; 41% female. The mean Deyo-Charlson comorbidity index score was 1.45 for exenatide versus 1.82 for insulin glargine (p