Economic burden and dosing trends of buprenorphine buccal film and transdermal patch in chronic low back pain.

IF 1.4 Q4 CLINICAL NEUROLOGY
Pain management Pub Date : 2024-01-01 Epub Date: 2024-05-31 DOI:10.1080/17581869.2024.2348989
Vladimir Zah, Filip Stanicic, Djurdja Vukicevic, Dimitrije Grbic
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引用次数: 0

Abstract

Aim: Exploring prescribing trends and economic burden of chronic low back pain (cLBP) patients prescribed buprenorphine buccal film (Belbuca®) or transdermal patches. Methods: In the MarketScan® commercial insurance claims (employees and their spouses/dependents, 2018-2021), the first film or patch prescription date was an index event. The observation covered 6-month pre-index and 12-month post-index periods. Results: Patients were propensity-score matched (708 per cohort). Buprenorphine initiation had stable cost trends in buccal film and increasing trends in transdermal patch cohort. Between-cohort comparisons of healthcare expenditures, cost trends and resource utilization showed significant differences, mostly in favor of buccal film. Buccal film also had higher daily doses and wider dosing range. Conclusion: Buprenorphine film is more cost-effective cLBP treatment with more flexible dosing.

丁丙诺啡口腔胶片和透皮贴剂治疗慢性腰背痛的经济负担和用药趋势。
目的:探讨慢性腰背痛(cLBP)患者服用丁丙诺啡口腔胶片(Belbuca®)或透皮贴剂的处方趋势和经济负担。方法:在 MarketScan® 商业保险理赔中(雇员及其配偶/家属,2018-2021 年),首个胶片或贴剂处方日期为指数事件。观察涵盖指数前 6 个月和指数后 12 个月。结果:患者进行了倾向得分匹配(每个队列 708 人)。开始使用丁丙诺啡时,口服胶片组的成本呈稳定趋势,而透皮贴剂组的成本呈上升趋势。队列间的医疗支出、成本趋势和资源利用率比较显示出显著差异,主要是颊面贴片的差异更大。颊黏膜的日剂量也更高,用药范围更广。结论丁丙诺啡胶片是更具成本效益的 cLBP 治疗方法,用药更灵活。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Pain management
Pain management CLINICAL NEUROLOGY-
CiteScore
2.90
自引率
5.90%
发文量
62
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