TY - JOUR
T1 - Prescription-level factors associated with primary nonadherence to dermatologic medications
AU - Rutherford, Audrey
AU - Glass, Donald A.
AU - Suarez, Elizabeth A.
AU - Adamson, Adewole S.
PY - 2018/4/3
Y1 - 2018/4/3
N2 - Purpose: To analyze factors associated with primary nonadherence to dermatologic medications and study whether prescription-level factors are associated with primary nonadherence. Materials and methods: A retrospective review of medical records of new dermatology patients from January 2011 to December 2013 at a single urban safety-net hospital outpatient dermatology clinic with a closed pharmacy system. Results: A total of 4307 prescriptions were written for 2490 patients. The overall primary nonadherence rate was 24.7%. The most prescribed medication classes in order of frequency were topical corticosteroids, topical antibiotics, topical retinoids, oral antibiotics, and topical antifungals. After multivariable adjustment for patient, provider, and prescription characteristics, when compared to topical corticosteroids, topical antibiotics, oral antifungals, and oral antivirals were less likely to be filled (RR 0.9 [95% CI, 0.84–0.95]), (RR 0.69 [95% CI, 0.59–0.81]), and (RR 0.65 [95% CI, 0.46–0.93]), respectively. Conversely, topical vitamin D analogs, oral immunomodulators, and oral retinoids were more likely to be filled (RR 1.15 [95% CI, 1.02–1.28]), (RR 1.11 [95% CI, 1.04–1.19]), and (RR 1.15 [95% CI, 1.04–1.27]), respectively. Conclusions: Medication class or administration route may be associated with increased risk of nonadherence, and identifying these factors is important in considering ways to reduce primary nonadherence rates in dermatology.
AB - Purpose: To analyze factors associated with primary nonadherence to dermatologic medications and study whether prescription-level factors are associated with primary nonadherence. Materials and methods: A retrospective review of medical records of new dermatology patients from January 2011 to December 2013 at a single urban safety-net hospital outpatient dermatology clinic with a closed pharmacy system. Results: A total of 4307 prescriptions were written for 2490 patients. The overall primary nonadherence rate was 24.7%. The most prescribed medication classes in order of frequency were topical corticosteroids, topical antibiotics, topical retinoids, oral antibiotics, and topical antifungals. After multivariable adjustment for patient, provider, and prescription characteristics, when compared to topical corticosteroids, topical antibiotics, oral antifungals, and oral antivirals were less likely to be filled (RR 0.9 [95% CI, 0.84–0.95]), (RR 0.69 [95% CI, 0.59–0.81]), and (RR 0.65 [95% CI, 0.46–0.93]), respectively. Conversely, topical vitamin D analogs, oral immunomodulators, and oral retinoids were more likely to be filled (RR 1.15 [95% CI, 1.02–1.28]), (RR 1.11 [95% CI, 1.04–1.19]), and (RR 1.15 [95% CI, 1.04–1.27]), respectively. Conclusions: Medication class or administration route may be associated with increased risk of nonadherence, and identifying these factors is important in considering ways to reduce primary nonadherence rates in dermatology.
KW - Primary nonadherence
KW - adherence
KW - medication class
KW - pharmacy
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U2 - 10.1080/09546634.2017.1365115
DO - 10.1080/09546634.2017.1365115
M3 - Article
C2 - 28783420
AN - SCOPUS:85027875985
VL - 29
SP - 300
EP - 304
JO - Journal of Dermatological Treatment
JF - Journal of Dermatological Treatment
SN - 0954-6634
IS - 3
ER -