Table 3 Acid suppressants prescribing patterns and costs in outpatient settings and ED
Characteristic | 2017 | 2019 | ||||
|---|---|---|---|---|---|---|
Outpatient[n(%)] | ED[n(%)] | Total[n(%)] | Outpatient[n(%)] | ED[n(%)] | Total[n(%)] | |
Total prescribed acid suppressants | 55,647 | 4524 | 60,171 | 66,806 | 6469 | 73,275 |
Total prescribed PPIs | 53,914(96.9) | 4505(99.6) | 58,419(97.1) | 66,608(99.7) | 6461(99.9) | 73,069(99.7) |
Omeprazole | 4318(7.8) | 603(13.3) | 4921(8.2) | 2062(3.1) | 313(4.8) | 2375(3.2) |
Lansoprazole | 2865(5.1) | 1416(31.3) | 4281(7.1) | 3128(4.7) | 479(7.4) | 3607(4.9) |
Pantoprazole | 5285(9.5) | 2107(46.6) | 7392(12.3) | 5148(7.7) | 1434(22.2) | 6582(9.0) |
Rabeprazole | 31,337(56.3) | 32(0.7) | 31,369(52.1) | 25,655(38.4) | 3484(53.9) | 29,139(39.8) |
Esomeprazole | 10,109(18.2) | 347(7.7) | 10,456(17.4) | 30,615(45.8) | 751(11.6) | 31,366(42.8) |
Total prescribed H2RAs | 1733(3.1) | 19(0.4) | 1752(2.9) | 198(0.3) | 8(0.1) | 206(0.3) |
Cimetidine | 163(0.2) | 15(0.3) | 178(0.3) | 198(0.3) | 8(0.1) | 206(0.3) |
Nizatidine | 1570(2.8) | 4(0.1) | 1574(2.6) | 0(0.0) | 0(0.0) | 0(0.0) |
Administration route | ||||||
Oral | 55,622(100.0) | 1101(24.3) | 56,723(94.3) | 66,806(100.0) | 1095(16.9) | 67,901(92.7) |
Parenteral | 25(0.0) | 3423(75.7) | 3448(5.7) | 0(0.0) | 5374(83.1) | 5374(7.3) |
Patients' costs for acid suppressant(CNY) | ||||||
Sum of all acid suppressant costs | 8,019,368.17 | 229,094.56 | 8,248,462.73 | 11,245,023.87 | 584,489.63 | 11,829,513.50 |
Sum of all oral acid suppressant costs | 8,017,227.35 | 47,054.36 | 8,064,281.71 | 11,245,023.87 | 58,611.90 | 11,303,635.77 |
Sum of all parenteral acid suppressant costs | 2140.82 | 182,040.20 | 184,181.02 | 0 | 525,877.73 | 525,877.73 |
Average acid suppressant cost/prescription(CNY) | 144.20 | 50.64 | 137.17 | 168.32 | 90.35 | 161.44 |
Oral acid suppressant cost/prescription | 144.23 | 42.74 | 142.17 | 168.82 | 53.53 | 166.47 |
Parenteral acid suppressant cost/prescription | 85.63 | 53.18 | 53.42 | 0 | 97.86 | 97.86 |
Patients' total costs for all medications(CNY) | ||||||
Sum of all medications | 21,541,312.92 | 544,770.50 | 22,086,083.42 | 23,403,494.75 | 886,795.65 | 24,290,290.40 |
Average cost/prescription | 387.36 | 120.42 | 367.28 | 350.32 | 137.08 | 331.49 |
Proportion of acid suppressants costs over the total medication costs(%) | 37.2 | 42.1 | 37.3 | 48.0 | 65.9 | 48.7 |