In a real-world setting, exenatide initiation is associated with significant improvements in the measures of clinical effectiveness for type 2 diabetes. These reductions were comparable to those reported in randomized, controlled registration trials after 6 months of therapy.
42 (16.0%) patients self monitor their glucose level. The most frequently reported factor affecting adherence is high cost of drug therapy, 118 (44.8%), and forgetfulness, 99 (37.6%). Most of the patients, 201 (76.4%), have developed one complication or the other such as hypertension and glaucoma. CONCLUSIONS: There is poor adherence to anti-diabetic therapy among the patients. Financial constraint was found to be the most important factor affecting optimal adherence to therapy.
Medical Record (EMR) analysis were to understand patient characteristics within current clinical care, to optimize the study design, and to reduce burden on sites and patients. Methods: We conducted an analysis of 11 country-specific EMR data sources (USA,
122). Resources used and expenditures incurred by patients with pneumonia that were directly attributable to pneumonia treatment (physician office visits, emergency room visits, outpatients visits, inpatient visits, other medical visits, and medications) were estimated. Health care costs per year per person (PYPP) were assessed across five age cohorts (Ͻ5, 5-Ͻ18, 18-Ͻ50, 50-Ͻ64, and Ն65 years old) and reported in 2008 US dollars. RESULTS: A total of 297 patients (representing 3.1 million persons) reported using medical resources or incurring expenditures due to pneumonia. Direct medical costs attributable to pneumonia were estimated at $2,763 (standard error [SE] Ϯ 344) per patient. Approximately 86% ($2,394) of this estimate was generated by inpatient hospitalizations for pneumonia, which were experienced by 26.9% of pneumonia patients, with an average of 0.31 admissions per patient. Physician office visits and home health visits were the next largest categories of expenditure, contributing $153 (5.5%) and $113 (4.1%), respectively. By age cohort, mean attributable costs PYPP for patients Ͻ5 (nϭ47), 5-Ͻ18 (nϭ38), 18-Ͻ50 (nϭ41), 50-Ͻ64 (nϭ108), and Ն65 years old (nϭ63)
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