Effects of a Tablet-Splitting Program in Patients Taking HMG-CoA Reductase Inhibitors: Analysis of Clinical Effects, Patient Satisfaction, Compliance, and Cost Avoidance
| Autor: | Noelle K. Hasson, Michael T. Gee, Russell Ryono, Terri Hahn |
|---|---|
| Rok vydání: | 2002 |
| Předmět: |
medicine.medical_specialty
medicine.diagnostic_test biology business.industry Health Policy Atorvastatin Pharmaceutical Science Pharmacy Compliance (physiology) Patient satisfaction Simvastatin HMG-CoA reductase medicine Physical therapy biology.protein Lovastatin Liver function tests business Veterans Affairs medicine.drug |
| Zdroj: | Journal of Managed Care Pharmacy. 8:453-458 |
| ISSN: | 1944-706X 1083-4087 |
| DOI: | 10.18553/jmcp.2002.8.6.453 |
| Popis: | OBJECTIVE: The primary objective was to determine the effect of a hydroxymethylglutaryl-CoA reductase inhibitor (HMG) tablet-splitting program on laboratory outcomes (lipid panel and liver enzyme tests). Other objectives were to assess patient compliance and satisfaction with splitting tablets and to measure the reduction in drug acquisition costs. METHODS: Patients at a Veterans Affairs Health Care System facility were included in this study if they participated in the HMG tablet-splitting program between April and September 2000. Patients taking the same drug and dosage before and after implementation of the program were asked to complete a mailed questionnaire designed to measure satisfaction and compliance with the program. Data collected through electronic charts included patient demographics, prescribed medication, and the values for lipid panel and liver function tests. RESULTS: A total of 2,019 patients were included in the study. The total cost avoidance achieved over one year for atorvastatin, lovastatin, and simvastatin was $138,108 (N=2,019). The majority of patients who responded to the questionnaire were satisfied and compliant with tablet splitting. In the laboratory analysis (N=512), there was no difference between prevalues and postvalues for total cholesterol and triglycerides. There was a statistically, but not clinically, significant decrease in LDL (102 versus 97, P |
| Databáze: | OpenAIRE |
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