Cost-Related Insulin Underuse Among Patients With Diabetes

doi:10.1001/jamainternmed.2018.5008

. 2019 Jan 1;179(1):112-114.

doi: 10.1001/jamainternmed.2018.5008.

Cost-Related Insulin Underuse Among Patients With Diabetes

Darby Herkert¹, Pavithra Vijayakumar², Jing Luo³, Jeremy I Schwartz⁴, Tracy L Rabin⁴, Eunice DeFilippo², Kasia J Lipska⁴

Affiliations

¹ Yale College, New Haven, Connecticut.
² Yale School of Medicine, New Haven, Connecticut.
³ Division of Pharmacoepidemiology and Pharmacoeconomics, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.
⁴ Department of Internal Medicine, Yale School of Medicine, New Haven, Connecticut.

PMID: 30508012
PMCID: PMC6583414
DOI: 10.1001/jamainternmed.2018.5008

Cost-Related Insulin Underuse Among Patients With Diabetes

Darby Herkert et al. JAMA Intern Med. 2019.

. 2019 Jan 1;179(1):112-114.

doi: 10.1001/jamainternmed.2018.5008.

Authors

Darby Herkert¹, Pavithra Vijayakumar², Jing Luo³, Jeremy I Schwartz⁴, Tracy L Rabin⁴, Eunice DeFilippo², Kasia J Lipska⁴

Affiliations

¹ Yale College, New Haven, Connecticut.
² Yale School of Medicine, New Haven, Connecticut.
³ Division of Pharmacoepidemiology and Pharmacoeconomics, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.
⁴ Department of Internal Medicine, Yale School of Medicine, New Haven, Connecticut.

PMID: 30508012
PMCID: PMC6583414
DOI: 10.1001/jamainternmed.2018.5008

Abstract

This survey study examines the association of higher insulin costs with nonadherence in patients with diabetes.

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Conflict of interest statement

Conflict of Interest Disclosures: Dr Lipska receives support from the Centers of Medicare and Medicaid Services (CMS) to develop publicly reported quality measures. Dr Luo receives support from Health Action International and Alosa Health. No other disclosures are reported.

Comment in

When High Prices Mean Needless Death.
Rosenthal E. Rosenthal E. JAMA Intern Med. 2019 Jan 1;179(1):114-115. doi: 10.1001/jamainternmed.2018.5007. JAMA Intern Med. 2019. PMID: 30508014 No abstract available.
Insulin Cost and Underuse in Patients With Diabetes.
Bhatia K, Chang EY, Bilal M. Bhatia K, et al. JAMA Intern Med. 2019 Jun 1;179(6):849. doi: 10.1001/jamainternmed.2019.0973. JAMA Intern Med. 2019. PMID: 31157842 No abstract available.

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References

1. World Health Organization, Essential Medicines and Health Products, available at: http://www.who.int/medicines/services/essmedicines_def/en/. Accessed October 2, 2018.
1. Hua X, Carvalho N, Tew M, Huang ES, Herman WH, Clarke P. Expenditures and Prices of Antihyperglycemic Medications in the United States: 2002-2013. JAMA. 2016;315(13):1400-1402. - PMC - PubMed
1. Lipska KJ, Ross JS, Van Houten HK, Beran D, Yudkin JS, Shah ND. Use and out-of-pocket costs of insulin for type 2 diabetes mellitus from 2000 through 2010. JAMA. 2014;311(22):2331-2333. - PMC - PubMed
1. Piette JD, Heisler M, Wagner TH. Problems paying out-of-pocket medication costs among older adults with diabetes. Diabetes Care. 2004;27(2):384-391. - PubMed
1. Moffet HH, Adler N, Schillinger D, et al. . Cohort Profile: The Diabetes Study of Northern California (DISTANCE)--objectives and design of a survey follow-up study of social health disparities in a managed care population. Int J Epidemiol. 2009;38(1):38-47. - PMC - PubMed

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[1] World Health Organization, Essential Medicines and Health Products, available at: http://www.who.int/medicines/services/essmedicines_def/en/. Accessed October 2, 2018.

[2] World Health Organization, Essential Medicines and Health Products, available at: http://www.who.int/medicines/services/essmedicines_def/en/. Accessed October 2, 2018.

[3] Hua X, Carvalho N, Tew M, Huang ES, Herman WH, Clarke P. Expenditures and Prices of Antihyperglycemic Medications in the United States: 2002-2013. JAMA. 2016;315(13):1400-1402. - PMC - PubMed

[4] Hua X, Carvalho N, Tew M, Huang ES, Herman WH, Clarke P. Expenditures and Prices of Antihyperglycemic Medications in the United States: 2002-2013. JAMA. 2016;315(13):1400-1402. - PMC - PubMed

[5] Lipska KJ, Ross JS, Van Houten HK, Beran D, Yudkin JS, Shah ND. Use and out-of-pocket costs of insulin for type 2 diabetes mellitus from 2000 through 2010. JAMA. 2014;311(22):2331-2333. - PMC - PubMed

[6] Lipska KJ, Ross JS, Van Houten HK, Beran D, Yudkin JS, Shah ND. Use and out-of-pocket costs of insulin for type 2 diabetes mellitus from 2000 through 2010. JAMA. 2014;311(22):2331-2333. - PMC - PubMed

[7] Piette JD, Heisler M, Wagner TH. Problems paying out-of-pocket medication costs among older adults with diabetes. Diabetes Care. 2004;27(2):384-391. - PubMed

[8] Piette JD, Heisler M, Wagner TH. Problems paying out-of-pocket medication costs among older adults with diabetes. Diabetes Care. 2004;27(2):384-391. - PubMed

[9] Moffet HH, Adler N, Schillinger D, et al. . Cohort Profile: The Diabetes Study of Northern California (DISTANCE)--objectives and design of a survey follow-up study of social health disparities in a managed care population. Int J Epidemiol. 2009;38(1):38-47. - PMC - PubMed

[10] Moffet HH, Adler N, Schillinger D, et al. . Cohort Profile: The Diabetes Study of Northern California (DISTANCE)--objectives and design of a survey follow-up study of social health disparities in a managed care population. Int J Epidemiol. 2009;38(1):38-47. - PMC - PubMed

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Cost-Related Insulin Underuse Among Patients With Diabetes

Affiliations

Cost-Related Insulin Underuse Among Patients With Diabetes

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