MARC details
| 000 -LEADER |
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| fixed length control field |
03094nam a22003497a 4500 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION |
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| fixed length control field |
220706s20222022 xxu||||| |||| 00| 0 eng d |
| 022 ## - INTERNATIONAL STANDARD SERIAL NUMBER |
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| International Standard Serial Number |
1557-7740 |
| 024 ## - OTHER STANDARD IDENTIFIER |
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| Standard number or code |
10.1089/jpm.2021.0636 [doi] |
| 040 ## - CATALOGING SOURCE |
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| Original cataloging agency |
Ovid MEDLINE(R) |
| 099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC) |
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| PMID |
35584250 |
| 245 ## - TITLE STATEMENT |
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| Title |
A Pharmacoeconomic Study of Respiratory Medications for Hospice Patients with End-Stage Respiratory Disease. |
| 251 ## - Source |
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| Source |
Journal of Palliative Medicine. 2022 May 17 |
| 252 ## - Abbreviated Source |
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| Abbreviated source |
J Palliat Med. 2022 May 17 |
| 253 ## - Journal Name |
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| Journal name |
Journal of palliative medicine |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
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| Year |
2022 |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
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| Manufacturer |
FY2022 |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
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| Publication date |
2022 May 17 |
| 265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE] |
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| Publication status |
aheadofprint |
| 266 ## - Date added to catalog |
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| Date added to catalog |
2022-07-06 |
| 501 ## - WITH NOTE |
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| Local holdings |
Available online through MWHC library: 2013 to the present |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
Background: End-stage respiratory disease and compromised clinical status can hinder patients' ability to use inhalers for effective symptom management. Nebulized and oral medications offer an alternative drug delivery method that may provide therapeutic benefits and reduce medication expenditure. Objectives: Primary research objectives were to determine the cost per patient per claim per day for inhaler devices, nebulized medications, or oral corticosteroids and to estimate the monetary waste generated by using inhalers at the end of life. Design: A retrospective pharmacoeconomic analysis of claims adjudicated by a national hospice-centric pharmacy benefit manager between January 1, 2017, and December 31, 2019. Setting/Subjects: A total of 37,935 adult patients (aged >=18 years) admitted to hospice with a primary diagnosis of end-stage respiratory disease in the United States were included in the study. Results: A total of 295,451 claims for inhalers, nebulized medications, and oral corticosteroids were analyzed. The mean costs per patient per claim per day were |
| -- |
0.64 for inhalers, |
| Materials specified |
.28 for nebulized medications, and |
| -- |
.02 for oral corticosteroids. These costs were significantly different from each other (all p values <0.001). Total monetary waste resulting from unused inhaler doses was |
| -- |
,040,669, with 21.0%, 13.1%, and 7.3% of patients having claims for inhalers within 30, 14, and 7 days of discharge, respectively. Conclusions: Inhaler use near the end of life generates a significant amount of monetary waste. Using a combination of nebulized and oral medications could reduce health care costs. Nebulized medications may generate less waste since providers can tailor the dispensed supply to the patient's needs rather than using the standard one-month supply of inhaler devices. |
| 546 ## - LANGUAGE NOTE |
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| Language note |
English |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
IN PROCESS -- NOT YET INDEXED |
| 651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME |
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| Institution |
MedStar Washington Hospital Center |
| 656 ## - INDEX TERM--OCCUPATION |
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| Department |
Medicine/Palliative Care |
| 657 ## - INDEX TERM--FUNCTION |
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| Medline publication type |
Journal Article |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Stevenson, Maximillian H |
| 790 ## - Authors |
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| All authors |
Li J, Lovell AG, Protus BM, Saphire ML, Stevenson MH |
| 856 ## - ELECTRONIC LOCATION AND ACCESS |
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| DOI |
<a href="https://dx.doi.org/10.1089/jpm.2021.0636">https://dx.doi.org/10.1089/jpm.2021.0636</a> |
| Public note |
https://dx.doi.org/10.1089/jpm.2021.0636 |
| 858 ## - ORCID |
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| ORCID text |
Stevenson, Maximillian H |
| Orcid |
<a href="https://orcid.org/0000-0002-0801-8593">https://orcid.org/0000-0002-0801-8593</a> |
| Name |
https://orcid.org/0000-0002-0801-8593 |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) |
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| Koha item type |
Journal Article |
| Item type description |
Article |
