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Medication adherence in Medicare-enrolled older adults with asthma before and during the coronavirus disease 2019 pandemic

BACKGROUND: Data regarding medication adherence in older adults with asthma before and during the coronavirus disease 2019 (COVID-19) pandemic are lacking. OBJECTIVE: To evaluate medication adherence and determine factors associated with adherence in Medicare-enrolled older adults with asthma before...

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Autores principales: Ramey, Olivia L., Silva Almodóvar, Armando, Nahata, Milap C.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: American College of Allergy, Asthma & Immunology. Published by Elsevier Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8873040/
https://www.ncbi.nlm.nih.gov/pubmed/35227901
http://dx.doi.org/10.1016/j.anai.2022.02.010
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author Ramey, Olivia L.
Silva Almodóvar, Armando
Nahata, Milap C.
author_facet Ramey, Olivia L.
Silva Almodóvar, Armando
Nahata, Milap C.
author_sort Ramey, Olivia L.
collection PubMed
description BACKGROUND: Data regarding medication adherence in older adults with asthma before and during the coronavirus disease 2019 (COVID-19) pandemic are lacking. OBJECTIVE: To evaluate medication adherence and determine factors associated with adherence in Medicare-enrolled older adults with asthma before and during the COVID-19 pandemic. METHODS: This was a retrospective cohort analysis of Medicare-enrolled patients with asthma. Medication adherence was measured using rates of proportion of days covered for dates January to July 2019 and January to July 2020. Patients less than 65 years of age, with chronic obstructive pulmonary disease, or with cystic fibrosis were excluded. Paired t tests assessed change in adherence between 2019 and 2020. Logistic regression evaluated association of age, sex, depression, moderate or severe asthma, use of a 90-day supply, having 3 or more albuterol fills, number of medications, medication-related problems, prescribers, pharmacies, controller medication classes, and systemic corticosteroid fills with high adherence (proportion of days covered ≥ 80%). RESULTS: Mean adherence to asthma controller medications ranged from 75% to 90%, in 2019. Adherence significantly decreased (P < .001) from 51% to 70% for all controller medications, except theophylline in 2020. Similar results were observed among patients with moderate or severe asthma. In 2019 and 2020, number of controller medications, 3 or more albuterol fills, and having a 90-day supply were associated with high adherence (P < .001). CONCLUSION: Adherence to asthma controller medications decreased considerably during the COVID-19 pandemic among Medicare-enrolled patients with asthma. Patients with markers for more severe asthma, overuse of albuterol, and a 90-day supply of controller medications were more likely to have high adherence. These findings can be used to identify opportunities to improve adherence and prescribing among adult patients with asthma.
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spelling pubmed-88730402022-02-25 Medication adherence in Medicare-enrolled older adults with asthma before and during the coronavirus disease 2019 pandemic Ramey, Olivia L. Silva Almodóvar, Armando Nahata, Milap C. Ann Allergy Asthma Immunol Original Article BACKGROUND: Data regarding medication adherence in older adults with asthma before and during the coronavirus disease 2019 (COVID-19) pandemic are lacking. OBJECTIVE: To evaluate medication adherence and determine factors associated with adherence in Medicare-enrolled older adults with asthma before and during the COVID-19 pandemic. METHODS: This was a retrospective cohort analysis of Medicare-enrolled patients with asthma. Medication adherence was measured using rates of proportion of days covered for dates January to July 2019 and January to July 2020. Patients less than 65 years of age, with chronic obstructive pulmonary disease, or with cystic fibrosis were excluded. Paired t tests assessed change in adherence between 2019 and 2020. Logistic regression evaluated association of age, sex, depression, moderate or severe asthma, use of a 90-day supply, having 3 or more albuterol fills, number of medications, medication-related problems, prescribers, pharmacies, controller medication classes, and systemic corticosteroid fills with high adherence (proportion of days covered ≥ 80%). RESULTS: Mean adherence to asthma controller medications ranged from 75% to 90%, in 2019. Adherence significantly decreased (P < .001) from 51% to 70% for all controller medications, except theophylline in 2020. Similar results were observed among patients with moderate or severe asthma. In 2019 and 2020, number of controller medications, 3 or more albuterol fills, and having a 90-day supply were associated with high adherence (P < .001). CONCLUSION: Adherence to asthma controller medications decreased considerably during the COVID-19 pandemic among Medicare-enrolled patients with asthma. Patients with markers for more severe asthma, overuse of albuterol, and a 90-day supply of controller medications were more likely to have high adherence. These findings can be used to identify opportunities to improve adherence and prescribing among adult patients with asthma. American College of Allergy, Asthma & Immunology. Published by Elsevier Inc. 2022-05 2022-02-25 /pmc/articles/PMC8873040/ /pubmed/35227901 http://dx.doi.org/10.1016/j.anai.2022.02.010 Text en © 2022 American College of Allergy, Asthma & Immunology. Published by Elsevier Inc. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Original Article
Ramey, Olivia L.
Silva Almodóvar, Armando
Nahata, Milap C.
Medication adherence in Medicare-enrolled older adults with asthma before and during the coronavirus disease 2019 pandemic
title Medication adherence in Medicare-enrolled older adults with asthma before and during the coronavirus disease 2019 pandemic
title_full Medication adherence in Medicare-enrolled older adults with asthma before and during the coronavirus disease 2019 pandemic
title_fullStr Medication adherence in Medicare-enrolled older adults with asthma before and during the coronavirus disease 2019 pandemic
title_full_unstemmed Medication adherence in Medicare-enrolled older adults with asthma before and during the coronavirus disease 2019 pandemic
title_short Medication adherence in Medicare-enrolled older adults with asthma before and during the coronavirus disease 2019 pandemic
title_sort medication adherence in medicare-enrolled older adults with asthma before and during the coronavirus disease 2019 pandemic
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8873040/
https://www.ncbi.nlm.nih.gov/pubmed/35227901
http://dx.doi.org/10.1016/j.anai.2022.02.010
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