Predictors and long-term patterns of medication adherence to glaucoma treatment in Denmark—an observational registry study of 30 100 Danish patients with glaucoma
Background Self-treatment with glaucoma medication (eye drops) has been associated with adherence challenges. Poor adherence results in worse outcomes in terms of visual field loss.Objective To investigate patterns in medication adherence among Danish patients with glaucoma in relation to selected p...
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| Language: | English |
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BMJ Publishing Group
2024-07-01
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| Series: | BMJ Open Ophthalmology |
| Online Access: | https://bmjophth.bmj.com/content/9/1/e001607.full |
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| author | Miriam Kolko Rikke Faergemann Hansen Louise G Dal Emma Sabelström Magnus Brandel Andreas Hoiberg Bentsen Anne Cathrine Falch-Joergensen |
| author_facet | Miriam Kolko Rikke Faergemann Hansen Louise G Dal Emma Sabelström Magnus Brandel Andreas Hoiberg Bentsen Anne Cathrine Falch-Joergensen |
| author_sort | Miriam Kolko |
| collection | DOAJ |
| description | Background Self-treatment with glaucoma medication (eye drops) has been associated with adherence challenges. Poor adherence results in worse outcomes in terms of visual field loss.Objective To investigate patterns in medication adherence among Danish patients with glaucoma in relation to selected predictors of adherence, long-term adherence patterns, and long-term societal economic consequences of poor adherence.Methods and analysis This register-based study included 30 100 glaucoma patients followed for 10 years between 2000 and 2018. Glaucoma was identified from the Danish national registers by diagnosis of Open Angle Glaucoma and/or by redeemed prescriptions of glaucoma medication. Logistic regression models were applied to estimate patient characteristics related to medical adherence. Diagnosis-related group fees were applied to estimate healthcare costs.Results High adherence in the first year(s) of treatment was less likely among men (ORfirst year: 0.78, 95% CI: 0.75 to 0.82), younger individuals and among those with a positive Charlson Comorbidity Index (CCI) score (ORfirst year/CCI≥3: 0.71, 95% CI: 0.63 to 0.80). Adherence in the first year and in the first two years was associated with adherence in the fifth (ORfirst year: 4.55, 95% CI: 4.30 to 4.82/ORfirst two years: 6.47, 95% CI: 6.10 to 6.86) as with adherence in the 10th year with slightly lower estimates. Being medical adherent was related to higher costs related to glaucoma medication after 5 and 10 years comparing with poor adherence, whereas poor adherence was associated with a marked increase in long-term costs for hospital contacts.Conclusion Increasing age, female sex and low comorbidity score are correlated with better adherence to glaucoma treatment. Adherence in the first years of treatment may be a good predictor for future adherence. In the long term, patients with poor adherence are overall more expensive to society in terms of hospital contacts. |
| format | Article |
| id | doaj-art-e614a569d60546aa82df7c8cce2481e5 |
| institution | Kabale University |
| issn | 2397-3269 |
| language | English |
| publishDate | 2024-07-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open Ophthalmology |
| spelling | doaj-art-e614a569d60546aa82df7c8cce2481e52025-02-06T08:30:09ZengBMJ Publishing GroupBMJ Open Ophthalmology2397-32692024-07-019110.1136/bmjophth-2023-001607Predictors and long-term patterns of medication adherence to glaucoma treatment in Denmark—an observational registry study of 30 100 Danish patients with glaucomaMiriam Kolko0Rikke Faergemann Hansen1Louise G Dal2Emma Sabelström3Magnus Brandel4Andreas Hoiberg Bentsen5Anne Cathrine Falch-Joergensen6Department of Drug Design and Pharmacology, University of Copenhagen Faculty of Health Sciences, Copenhagen, DenmarkReal World Evidence, Signum Life Science, Copenhagen, DenmarkAbbVie A/S, Copenhagen, DenmarkAbbVie A/S, Copenhagen, DenmarkAbbVie A/S, Copenhagen, DenmarkReal World Evidence, Signum Life Science, Copenhagen, DenmarkReal World Evidence, Signum Life Science, Copenhagen, DenmarkBackground Self-treatment with glaucoma medication (eye drops) has been associated with adherence challenges. Poor adherence results in worse outcomes in terms of visual field loss.Objective To investigate patterns in medication adherence among Danish patients with glaucoma in relation to selected predictors of adherence, long-term adherence patterns, and long-term societal economic consequences of poor adherence.Methods and analysis This register-based study included 30 100 glaucoma patients followed for 10 years between 2000 and 2018. Glaucoma was identified from the Danish national registers by diagnosis of Open Angle Glaucoma and/or by redeemed prescriptions of glaucoma medication. Logistic regression models were applied to estimate patient characteristics related to medical adherence. Diagnosis-related group fees were applied to estimate healthcare costs.Results High adherence in the first year(s) of treatment was less likely among men (ORfirst year: 0.78, 95% CI: 0.75 to 0.82), younger individuals and among those with a positive Charlson Comorbidity Index (CCI) score (ORfirst year/CCI≥3: 0.71, 95% CI: 0.63 to 0.80). Adherence in the first year and in the first two years was associated with adherence in the fifth (ORfirst year: 4.55, 95% CI: 4.30 to 4.82/ORfirst two years: 6.47, 95% CI: 6.10 to 6.86) as with adherence in the 10th year with slightly lower estimates. Being medical adherent was related to higher costs related to glaucoma medication after 5 and 10 years comparing with poor adherence, whereas poor adherence was associated with a marked increase in long-term costs for hospital contacts.Conclusion Increasing age, female sex and low comorbidity score are correlated with better adherence to glaucoma treatment. Adherence in the first years of treatment may be a good predictor for future adherence. In the long term, patients with poor adherence are overall more expensive to society in terms of hospital contacts.https://bmjophth.bmj.com/content/9/1/e001607.full |
| spellingShingle | Miriam Kolko Rikke Faergemann Hansen Louise G Dal Emma Sabelström Magnus Brandel Andreas Hoiberg Bentsen Anne Cathrine Falch-Joergensen Predictors and long-term patterns of medication adherence to glaucoma treatment in Denmark—an observational registry study of 30 100 Danish patients with glaucoma BMJ Open Ophthalmology |
| title | Predictors and long-term patterns of medication adherence to glaucoma treatment in Denmark—an observational registry study of 30 100 Danish patients with glaucoma |
| title_full | Predictors and long-term patterns of medication adherence to glaucoma treatment in Denmark—an observational registry study of 30 100 Danish patients with glaucoma |
| title_fullStr | Predictors and long-term patterns of medication adherence to glaucoma treatment in Denmark—an observational registry study of 30 100 Danish patients with glaucoma |
| title_full_unstemmed | Predictors and long-term patterns of medication adherence to glaucoma treatment in Denmark—an observational registry study of 30 100 Danish patients with glaucoma |
| title_short | Predictors and long-term patterns of medication adherence to glaucoma treatment in Denmark—an observational registry study of 30 100 Danish patients with glaucoma |
| title_sort | predictors and long term patterns of medication adherence to glaucoma treatment in denmark an observational registry study of 30 100 danish patients with glaucoma |
| url | https://bmjophth.bmj.com/content/9/1/e001607.full |
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