美国眼科医生在医疗保险受益人中使用免疫抑制剂治疗非传染性葡萄膜炎的趋势以及与医师行业的互动。

IF 2.6 4区 医学 Q2 OPHTHALMOLOGY Ocular Immunology and Inflammation Pub Date : 2024-10-01 Epub Date: 2023-11-02 DOI:10.1080/09273948.2023.2272171
Arjun Watane, Marissa Patel, Nicolas A Yannuzzi, Ninani Kombo, Jayanth Sridhar
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引用次数: 0

摘要

目的:报道非传染性葡萄膜炎免疫抑制药物的使用趋势,并探讨其与行业支付的关系。方法:对2014年至2018年间由联邦医疗保险报销的阿达木单抗(ADA)、促肾上腺皮质激素库(RCI)、甲氨蝶呤(MTX)和霉酚酸酯(MMF)给药的眼科医生进行回顾性审查。结果:共有316名眼科医生因1567 ADA、465 RCI、1752 MTX和12 333 MMF管理。行业支付的数量和金额与ADA和RCI的使用呈正相关(P P = 0.007)和RCI(P = 0.007)和MMF比例呈负趋势(P = 0.025)。结论:从2014年到2018年,ADA和RCI的使用增加,而MMF减少,MTX保持稳定。ADA和RCI的使用以及医生与行业的互动之间存在正相关。因果关系尚未确定。
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Trends in Immunosuppressive Agent Use for Non-Infectious Uveitis by US Ophthalmologists in Medicare Beneficiaries and Association with Physician-Industry Interactions.

Purpose: To report the trends of immunosuppressive drug use for non-infectious uveitis and explore their relationship with industry payments.

Methods: A retrospective review of ophthalmologists reimbursed by Medicare for the administration of adalimumab (ADA), repository corticotropin (RCI), methotrexate (MTX), and mycophenolate mofetil (MMF) between 2014 and 2018.

Results: A total of 316 ophthalmologists were reimbursed by Medicare for 1567 ADA, 465 RCI, 1752 MTX, and 12 333 MMF administrations. The number and dollar amount of industry payments were positively associated with ADA and RCI use (P < 0.001). From 2014 to 2018, there was a positive trend in the proportion of ADA (P = 0.007) and RCI (P = 0.007) used and negative trend in the proportion of MMF (P = 0.025) used.

Conclusion: From 2014 to 2018, the use of ADA and RCI increased while MMF decreased and MTX remained stable. There was a positive association between ADA and RCI use and physician-industry interactions. A causal relationship is not determined.

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来源期刊
CiteScore
6.20
自引率
15.20%
发文量
285
审稿时长
6-12 weeks
期刊介绍: Ocular Immunology & Inflammation ranks 18 out of 59 in the Ophthalmology Category.Ocular Immunology and Inflammation is a peer-reviewed, scientific publication that welcomes the submission of original, previously unpublished manuscripts directed to ophthalmologists and vision scientists. Published bimonthly, the journal provides an international medium for basic and clinical research reports on the ocular inflammatory response and its control by the immune system. The journal publishes original research papers, case reports, reviews, letters to the editor, meeting abstracts, and invited editorials.
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