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Table 3 Study population: asthma characteristics

From: The impact of generic-only drug benefits on patients' use of inhaled corticosteroids in a Medicare population with asthma

  

Unrestricted Coverage

Restricted Coverage

Characteristic

Total

Lower-cost ICS User in 2003

Higher-cost ICS User in 2003

Lower-cost ICS User in 2003

Higher-cost ICS User in 2003

No. subjects

1,802

293

175

847

487

High-risk asthma flag in 2002*

12.1%

10.9%

17.1%

9.0%

16.4%

ED visit or hospitalization for asthma in 2002

6.7%

9.2%

5.1%

5.3%

8.2%

Oral steroid Rx dispensed in 2002

31.4%

27.7%

32.6%

27.5%

39.8%

Low ICS dose level in 2002

31.4%

55.3%

10.9%

53.5%

14.0%

Medium ICS dose level in 2002

36.2%

36.5%

37.1%

36.6%

35.1%

High ICS dose level in 2002

24.8%

8.2%

52.0%

9.9%

50.9%

 

Mean (SD)

Mean (SD)

Mean (SD)

Mean (SD)

Mean (SD)

No. of rescue medication canisters dispensed in 2002

3.73 (4.79)

3.57 (4.80)

4.06 (5.10)

3.44 (4.12)

4.18 (5.64)

ICS Days-of-supply in 2003**

187.5 (103.3)

200.0 (107.2)

204.4 (104.3)

187.8 (102.7)

173.4 (99.9)

ICS Days-of-supply in 2004**

161.3 (120.3)

184.7 (124.7)

184.4 (119.0)

162.0 (120.9)

137.5 (112.8)

  1. Notes: Lower-cost ICS Users in 2003 defined as patients with greater use of lower-cost than higher-cost ICS drugs in 2003. ICS dose level categorized based on the first prescription in 2002 and the Global Initiative for Asthma treatment guidelines.
  2. * The registry classified patients as high-risk if they met any of the following criteria: (1) ≥ 1 inpatient admissions with a primary asthma diagnosis in the previous 12 months, (2) ≥ 1 inpatient admissions with a secondary asthma diagnosis in the previous 12 months, accompanied by a primary asthma-related diagnosis, (3) ≥ 1 ED visits with an asthma diagnosis in the previous six months, (4) ≥ 5 prescriptions for asthma medication in the previous six months with ≥ 2 oral steroid prescriptions in the previous 12 months, or (5) ≥ 12 canisters of inhaled beta-agonists in the previous 12 months.
  3. ** p < .05 for difference between unrestricted and restricted coverage groups