A persistency and economic analysis of latanoprost, bimatoprost, or beta-blockers in patients with open-angle glaucoma or ocular hypertension

The aim of this study was to evaluate differences in the persistency and treatment costs for latanoprost, bimatoprost, or beta-blockers in open-angle glaucoma or ocular hypertensive patients. This study was a retrospective, multicenter, parallel, active-controlled comparison of patients who were pre...

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Veröffentlicht in:Journal of ocular pharmacology and therapeutics 2004-10, Vol.20 (5), p.383-392
Hauptverfasser: DAY, Douglas G, SCHACKNOW, Paul N, SHARPE, Elizabeth D, ELLYN, John C, KULZE, John C, THRELKELD, Anisa B, JONES, Evan D, BROWN, Reay H, JENKINS, Jessica N, STEWART, William C
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container_issue 5
container_start_page 383
container_title Journal of ocular pharmacology and therapeutics
container_volume 20
creator DAY, Douglas G
SCHACKNOW, Paul N
SHARPE, Elizabeth D
ELLYN, John C
KULZE, John C
THRELKELD, Anisa B
JONES, Evan D
BROWN, Reay H
JENKINS, Jessica N
STEWART, William C
description The aim of this study was to evaluate differences in the persistency and treatment costs for latanoprost, bimatoprost, or beta-blockers in open-angle glaucoma or ocular hypertensive patients. This study was a retrospective, multicenter, parallel, active-controlled comparison of patients who were prescribed with ocular hypotensive monotherapy between September 1996 and August 2002. 1,182 patients were included. The Kaplan Meier life table analysis showed that latanoprost was continued longest among the groups for the first year of therapy (p=0.02). A significant difference existed between groups in the final intraocular pressure for latanoprost (17.3+/-3.9, N=357), for bimatoprost (18.0+/-3.6, N=146), and for the beta-blockers (17.9+/-3.7, N=335) (p=
doi_str_mv 10.1089/jop.2004.20.383
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This study was a retrospective, multicenter, parallel, active-controlled comparison of patients who were prescribed with ocular hypotensive monotherapy between September 1996 and August 2002. 1,182 patients were included. The Kaplan Meier life table analysis showed that latanoprost was continued longest among the groups for the first year of therapy (p=0.02). A significant difference existed between groups in the final intraocular pressure for latanoprost (17.3+/-3.9, N=357), for bimatoprost (18.0+/-3.6, N=146), and for the beta-blockers (17.9+/-3.7, N=335) (p=&lt;0.0001). The average number of visits was statistically higher for beta-blockers (3.3), compared to latanoprost (2.9) and bimatoprost (3.1) (p=0.01). Further, the mean number of medicine changes was greater for bimatoprost (0.45) and beta-blockers (0.47) than for latanoprost (0.27) (p=0.0008). The cost of visits and medications was lowest for beta-blockers ($119.3+/-$78.9) and highest for bimatoprost ($163.8+/-$51.2) (p&lt;0.0001). Patients were more persistent with latanoprost and demonstrated lower intraocular pressure, fewer visits, and fewer medicine changes when compared to bimatoprost or beta-blocker therapy. 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This study was a retrospective, multicenter, parallel, active-controlled comparison of patients who were prescribed with ocular hypotensive monotherapy between September 1996 and August 2002. 1,182 patients were included. The Kaplan Meier life table analysis showed that latanoprost was continued longest among the groups for the first year of therapy (p=0.02). A significant difference existed between groups in the final intraocular pressure for latanoprost (17.3+/-3.9, N=357), for bimatoprost (18.0+/-3.6, N=146), and for the beta-blockers (17.9+/-3.7, N=335) (p=&lt;0.0001). The average number of visits was statistically higher for beta-blockers (3.3), compared to latanoprost (2.9) and bimatoprost (3.1) (p=0.01). Further, the mean number of medicine changes was greater for bimatoprost (0.45) and beta-blockers (0.47) than for latanoprost (0.27) (p=0.0008). The cost of visits and medications was lowest for beta-blockers ($119.3+/-$78.9) and highest for bimatoprost ($163.8+/-$51.2) (p&lt;0.0001). Patients were more persistent with latanoprost and demonstrated lower intraocular pressure, fewer visits, and fewer medicine changes when compared to bimatoprost or beta-blocker therapy. In contrast, the beta-blocker group provided lower overall cost.</description><subject>Adrenergic beta-Antagonists - economics</subject><subject>Aged</subject><subject>Amides</subject><subject>Antihypertensive Agents - economics</subject><subject>Bimatoprost</subject><subject>Biological and medical sciences</subject><subject>Birth control</subject><subject>Cloprostenol - analogs &amp; derivatives</subject><subject>Drug Costs</subject><subject>Economics, Pharmaceutical</subject><subject>Female</subject><subject>Glaucoma and intraocular pressure</subject><subject>Glaucoma, Open-Angle - drug therapy</subject><subject>Glaucoma, Open-Angle - economics</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Health Care Costs</subject><subject>Humans</subject><subject>Intraocular Pressure - drug effects</subject><subject>Lipids - economics</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Ocular Hypertension - drug therapy</subject><subject>Ocular Hypertension - economics</subject><subject>Office Visits</subject><subject>Ophthalmology</subject><subject>Other methods of contraception. Sterilization</subject><subject>Patient Compliance</subject><subject>Prostaglandins F, Synthetic - economics</subject><subject>Retinopathies</subject><subject>Retrospective Studies</subject><subject>Safety</subject><issn>1080-7683</issn><issn>1557-7732</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkctu1TAQhi1ERcuBNTvkDazIqS_xJcuq4iZVYlPW0cRxWhfHDrEjdB6i79w56kHdjD3yPzP-5ifkA2d7zmx3-ZCXvWCsxbCXVr4iF1wp0xgjxWu8M8sao608J29LeWCMS6b5G3LOlVZMcXlBHq_o4tcSSvXJHSikkXqXU56DwwTiAZ9onmiECikvay71Cx3CDPV_klc6-ArNELP7g61oSHSBGnyqhf4L9Z7mxacG0l309C7C5vIMx6rstggrvT_gB3B6CTm9I2cTxOLfn84d-f3t6-31j-bm1_ef11c3jRPS1mboVOs50gllR6ld13I2MqMEeKvNMAprkBOkE6rjLdPWWdNp1XLj3dS2o9yRz899keHv5kvt51CcjxGSz1vptRFCdLjFHbl8FjqELauf-mVF-PXQc9YfHejRgf7oAIYeHcCKj6fW2zD78UV_WjkKPp0EUBzEaYXkQnnRaSER0sgntpqQpg</recordid><startdate>200410</startdate><enddate>200410</enddate><creator>DAY, Douglas G</creator><creator>SCHACKNOW, Paul N</creator><creator>SHARPE, Elizabeth D</creator><creator>ELLYN, John C</creator><creator>KULZE, John C</creator><creator>THRELKELD, Anisa B</creator><creator>JONES, Evan D</creator><creator>BROWN, Reay H</creator><creator>JENKINS, Jessica N</creator><creator>STEWART, William C</creator><general>Liebert</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200410</creationdate><title>A persistency and economic analysis of latanoprost, bimatoprost, or beta-blockers in patients with open-angle glaucoma or ocular hypertension</title><author>DAY, Douglas G ; SCHACKNOW, Paul N ; SHARPE, Elizabeth D ; ELLYN, John C ; KULZE, John C ; THRELKELD, Anisa B ; JONES, Evan D ; BROWN, Reay H ; JENKINS, Jessica N ; STEWART, William C</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c238t-b954e1108258d36c9410d0752ae867bd287061a3c25914068c87965417ecf44d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Adrenergic beta-Antagonists - economics</topic><topic>Aged</topic><topic>Amides</topic><topic>Antihypertensive Agents - economics</topic><topic>Bimatoprost</topic><topic>Biological and medical sciences</topic><topic>Birth control</topic><topic>Cloprostenol - analogs &amp; derivatives</topic><topic>Drug Costs</topic><topic>Economics, Pharmaceutical</topic><topic>Female</topic><topic>Glaucoma and intraocular pressure</topic><topic>Glaucoma, Open-Angle - drug therapy</topic><topic>Glaucoma, Open-Angle - economics</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Health Care Costs</topic><topic>Humans</topic><topic>Intraocular Pressure - drug effects</topic><topic>Lipids - economics</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Ocular Hypertension - drug therapy</topic><topic>Ocular Hypertension - economics</topic><topic>Office Visits</topic><topic>Ophthalmology</topic><topic>Other methods of contraception. 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This study was a retrospective, multicenter, parallel, active-controlled comparison of patients who were prescribed with ocular hypotensive monotherapy between September 1996 and August 2002. 1,182 patients were included. The Kaplan Meier life table analysis showed that latanoprost was continued longest among the groups for the first year of therapy (p=0.02). A significant difference existed between groups in the final intraocular pressure for latanoprost (17.3+/-3.9, N=357), for bimatoprost (18.0+/-3.6, N=146), and for the beta-blockers (17.9+/-3.7, N=335) (p=&lt;0.0001). The average number of visits was statistically higher for beta-blockers (3.3), compared to latanoprost (2.9) and bimatoprost (3.1) (p=0.01). Further, the mean number of medicine changes was greater for bimatoprost (0.45) and beta-blockers (0.47) than for latanoprost (0.27) (p=0.0008). The cost of visits and medications was lowest for beta-blockers ($119.3+/-$78.9) and highest for bimatoprost ($163.8+/-$51.2) (p&lt;0.0001). Patients were more persistent with latanoprost and demonstrated lower intraocular pressure, fewer visits, and fewer medicine changes when compared to bimatoprost or beta-blocker therapy. In contrast, the beta-blocker group provided lower overall cost.</abstract><cop>Larchmont, NY</cop><pub>Liebert</pub><pmid>15650513</pmid><doi>10.1089/jop.2004.20.383</doi><tpages>10</tpages></addata></record>
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subjects Adrenergic beta-Antagonists - economics
Aged
Amides
Antihypertensive Agents - economics
Bimatoprost
Biological and medical sciences
Birth control
Cloprostenol - analogs & derivatives
Drug Costs
Economics, Pharmaceutical
Female
Glaucoma and intraocular pressure
Glaucoma, Open-Angle - drug therapy
Glaucoma, Open-Angle - economics
Gynecology. Andrology. Obstetrics
Health Care Costs
Humans
Intraocular Pressure - drug effects
Lipids - economics
Male
Medical sciences
Middle Aged
Ocular Hypertension - drug therapy
Ocular Hypertension - economics
Office Visits
Ophthalmology
Other methods of contraception. Sterilization
Patient Compliance
Prostaglandins F, Synthetic - economics
Retinopathies
Retrospective Studies
Safety
title A persistency and economic analysis of latanoprost, bimatoprost, or beta-blockers in patients with open-angle glaucoma or ocular hypertension
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