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Text
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URL Address
<a href="http://doi.org/10.1016/S1081-1206(10)60049-X" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/S1081-1206(10)60049-X</a>
Pages
538–544
Issue
6
Volume
100
Dublin Core
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Title
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Inhaled corticosteroid use in asthmatic children receiving Ohio Medicaid: trend analysis, 1997-2001.
Publisher
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Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology
Date
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2008
2008-06
Subject
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Administration; Adolescent; Adrenal Cortex Hormones/administration & dosage/*therapeutic use; African Americans/statistics & numerical data; Ambulatory Care/statistics & numerical data; Asthma/diagnosis/*drug therapy/ethnology; Child; Cross-Sectional Studies; Drug Utilization/statistics & numerical data/trends; Emergency Service; European Continental Ancestry Group/statistics & numerical data; Female; Hospital/statistics & numerical data; Hospitalization/statistics & numerical data; Humans; Infant; Inhalation; Male; Medicaid/*statistics & numerical data; Newborn; Ohio; Preschool; Regression Analysis; Retrospective Studies; Sex Factors; United States
Creator
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Stevenson Michelle D; Heaton Pamela C; Moomaw Charles J; Bean Judy A; Ruddy Richard M
Description
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BACKGROUND: In 1997, national guidelines emphasized that inhaled corticosteroids (ICSs) are key therapy for individuals with all classes of persistent asthma, including children. OBJECTIVE: To examine the effect of these guidelines via time-trend analysis of ICS dispensation among children with asthma and Ohio Medicaid insurance. METHODS: A retrospective cross-sectional analysis by yearly cohorts was performed. From January 1, 1997, to December 31, 2001, all children from birth to the age of 18 years with 6 months of Ohio Medicaid enrollment or more, 1 or more asthma diagnoses associated with a provider claim, and 1 or more prescription claims for an asthma medication in a given calendar year were identified using claims data. The daily beclomethasone equivalent (BME) dose, the daily albuterol equivalent dose, and asthma-related health care use were calculated for each child within each yearly cohort. A time-trend regression analysis of subjects enrolled in all 5 years examined factors associated with BME. RESULTS: A total of 77,557 children met the study criteria. Among the 1,475 children enrolled during all 5 years, year of enrollment was a positive independent predictor of BME after adjustment for age, race, sex, systemic steroid bursts, albuterol equivalent dose, and health care use (P \textless .001). CONCLUSIONS: The daily BME dose significantly increased for children with asthma insured by Ohio Medicaid from 1997 to 2001. However, the percentages of children receiving both ICS and a therapeutic BME dose were alarmingly low. The mean BME dose was particularly low among children with 1 or more emergency department visits, no hospitalizations, and 3 or fewer physician visits for asthma per year, suggesting that broader efforts to target this group are needed.
Identifier
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<a href="http://doi.org/10.1016/S1081-1206(10)60049-X" target="_blank" rel="noreferrer noopener">10.1016/S1081-1206(10)60049-X</a>
Rights
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
2008
Administration
Adolescent
Adrenal Cortex Hormones/administration & dosage/*therapeutic use
African Americans/statistics & numerical data
Ambulatory Care/statistics & numerical data
Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology
Asthma/diagnosis/*drug therapy/ethnology
Bean Judy A
Child
Cross-Sectional Studies
Drug Utilization/statistics & numerical data/trends
Emergency Service
European Continental Ancestry Group/statistics & numerical data
Female
Heaton Pamela C
Hospital/statistics & numerical data
Hospitalization/statistics & numerical data
Humans
Infant
Inhalation
Male
Medicaid/*statistics & numerical data
Moomaw Charles J
Newborn
Ohio
Preschool
Regression Analysis
Retrospective Studies
Ruddy Richard M
Sex Factors
Stevenson Michelle D
United States