Navigation Links
Higher co-payments increase chance of early discontinuation of breast cancer therapy
Date:12/11/2010

A higher prescription co-payment, especially among older women, is associated with both early discontinuation and incomplete use of adjuvant aromatase inhibitor therapy, a life-saving therapy for women with hormone sensitive early stage breast cancer.

Dawn L. Hershman, MD, associate professor of medicine and epidemiology and co-director of the Breast Cancer Program at the Herbert Irving Comprehensive Cancer Center at Columbia University, will be presenting detailed study results at The 33rd CTRC-AACR San Antonio Breast Cancer Symposium, a comprehensive scientific meeting covering the full spectrum of breast cancer research. Approximately 9,000 participants from more than 90 countries are expected to attend the symposium, Dec. 8-12, 2010.

Previous research has identified several factors affecting patient compliance with use of adjuvant aromatase inhibitors, such as young and old age, severity of side effects and belief that the medication is useful.

Dr. Hershman and colleagues examined the impact of prescription co-payments on hormone therapy use. Working with the Medco Research Institute, a wholly owned subsidiary of Medco Health Solutions, Inc., de-identified patient information was used to target women older than 50 years who were prescribed aromatase inhibitors for early breast cancer.

"We looked at two different factors: women who discontinued use altogether or had no subsequent refills and those that did not refill their prescription on time or did not take the medication at least 80% of the time," said Dr. Hershman.

Results showed that of the 8,110 women aged 50 to 65 years, 21.1 percent stopped taking the medication and of those who properly continued with their regimen 10.3 percent did not take the medication as directed over the two-year period. Of the 14,050 women 65 years or older, almost 25 percent stopped taking the medication and of those who continued, 8.9 percent were non-adherent.

Co-payments were categorized as less than $30, between $30 and $89.99, and $90 or more. The 90-day co-payments ranged from $0 to $893.49.

In the 65 and older group, women were more likely to discontinue medication use if they fell in the co-payment categories above $30. However, in the under 65 age group co-payments needed to reach $90 or more before they were more likely to discontinue use or not take it as prescribed.

Additionally, the study results showed that women whose prescriptions came from a primary care doctor or women who were prescribed many other medications were also more likely to stop taking the medications or not take it as prescribed.

"When we have highly effective medications available, we need to try to set limits on potential barriers to use like co-payments," said Dr. Hershman. Based on these findings, "future public policy efforts should be directed towards reducing financial constraints as a means of increasing the complete use of these life-saving medications."

"While high co-payments have been shown to reduce compliance for other drugs, this is the first study to show an impact on such a crucial drug where mortality can be so directly at stake," said Alfred Neugut, MD, the Myron M. Studner Professor of Cancer Research at Columbia's College of Physician and Surgeons and professor of epidemiology at the Mailman School of Public Health.


'/>"/>

Contact: Stephanie Berger
sb2247@columbia.edu
212-305-4372
Columbia University's Mailman School of Public Health
Source:Eurekalert

Related medicine news :

1. People with sleep apnea at higher risk for aggressive heart disease
2. Black Smokers May Face Higher Death Risk Than Whites: CDC
3. Veterans With PTSD May Be at Higher Risk for Heart Disease
4. Higher Plavix Dose Wont Boost Outcomes After Stent Placement: Study
5. Prostate cancer treatment linked to higher rate of colon cancer, study finds
6. Higher Statin Doses Linked to Fewer Heart Attacks, Stroke
7. Higher medication spending doesnt indicate better prescribing quality
8. Many Higher-Income Parents Forgoing Kids Vaccinations: Report
9. Organic onions, carrots and potatoes do not have higher levels of healthful antioxidants
10. Concussion Rate in Young Hockey Players Higher Than Thought
11. Shift work linked to higher risk of work injury: UBC study
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:5/24/2016)... , ... May 24, 2016 , ... "ProText Layouts Vol. ... Christina Austin - CEO of Pixel Film Studios. , ProText Layouts Vol. 3 is ... Final Cut Pro X . With ProText Layouts, video editors can create an lively ...
(Date:5/24/2016)... ... May 24, 2016 , ... Clarion Safety ... safety labels , has been featured in the National Electrical Manufacturers Association’s ... e-newsletter provides electroindustry professionals with manufacturer, regulatory, and standardization news. The publication is ...
(Date:5/24/2016)... ... May 24, 2016 , ... The old expression “a pain ... A common injury that’s often misunderstood, whiplash should be swiftly diagnosed and treated if ... spine surgeon at Atlantic Spine Center . , So named because of ...
(Date:5/24/2016)... ... May 24, 2016 , ... Global Lyme Alliance ... today announced that it has named Scott Santarella as its new CEO. ... Cancer Foundation (ALCF) in San Francisco, where he successfully helped to grow the ...
(Date:5/24/2016)... ... May 24, 2016 , ... Since 1946, the doctors ... care. From the moment a patient arrives at the office, the staff will ... with each and every patient to create a complete dental treatment plan that is ...
Breaking Medicine News(10 mins):
(Date:5/23/2016)... , May 23, 2016 ... "Patient Handling Equipment Market by Product (Wheelchair, Scooters, ... Care (Bariatric Care, Critical Care, Wound), Accessories (Lifting, ... Forecast to 2021", published by MarketsandMarkets, the patient ... 17.18 Billion by 2021 at a CAGR of ...
(Date:5/23/2016)... Global Paclitaxel Market 2016 Industry ... companies and the Paclitaxel analysis in this study is ... and its players. This is the latest ... the current state of the industry while providing a ... and industry chain structure. The Paclitaxel market analysis is ...
(Date:5/23/2016)... Diplomat Pharmacy, Inc. (NYSE: DPLO) announced today the ... The hands-on learning experience is a 12-week summer program, ... Fellowship and Internship programs bring participants ... interns are provided optional housing free of charge through ... the Riverfront Residence Hall to foster communication and collaboration ...
Breaking Medicine Technology: