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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2016.1
- 수록면
- 1,284 - 1,291 (8page)
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초록· 키워드
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We evaluated the differences in utilization patterns including persistence and adherence among medications in children and adolescents with attention deficit hyperactivity disorder (ADHD). The current study was performed using data from the Korean Health Insurance Review and Assessment claims database from January 1, 2009 to December 31, 2013. Our study sample consisted of 10,343 children and adolescents with ADHD who were not given their newly prescribed medication in 360 days before the initial claim in 2010. Data were followed up from the initiation of treatment with ADHD medications in 2010 to December 31, 2013. Discontinuation rates for 4 ADHD medications in our sample ranged from 97.7% for immediate-release methylphenidate to 99.4% for atomoxetine using refill gap more than 30 days and from 56.7% for immediate-release methylphenidate to 62.3% for extended-release methylphenidate using refill gap more than 60 days. In the number of discontinued, we found significant differences among medications using refill gap more than 30 days. Among 4 ADHD medications, extended-release methylphenidate and atomoxetine had more days than immediate-release methylphenidate and osmoticcontrolled oral delivery system methylphenidate. In logistic regression analyses, extendedrelease methylphenidate, osmotic-controlled oral delivery system methylphenidate, and atomoxetine showed less discontinuation compared to immediate-release methylphenidate group when a refill gap more than 30 days was used. In logistic regression analysis of adherence, we could not find any differences among 4 medication types. We suggest that the utilization patterns should be assessed regularly in order to improve future outcomes in children and adolescents with ADHD.
목차
등록된 정보가 없습니다.
참고문헌 (40)
참고문헌 신청
Faraone SV / 2003 / The worldwide prevalence of ADHD: is it an American condition? / World Psychiatry 2:104~113
Greenhill LL / 2002 / Practice parameter for the use of stimulant medications in the treatment of children, adolescents, and adults / J Am Acad Child Adolesc Psychiatry 41:26S~49S
Barkley RA / 2006 / Young adult outcome of hyperactive children : adaptive functioning in major life activities / J Am Acad Child Adolesc Psychiatry 45:192~202
Reimer B / 2010 / The impact of distractions on young adult drivers with attention deficit hyperactivity disorder(ADHD) / Accid Anal Prev 42:842~851
Gupta R / 2013 / Problem gambling in adolescents : an examination of the pathways model / J Gambl Stud 29:575~588
Greenhill LL / 2002 / Practice parameter for the use of stimulant medications in the treatment of children, adolescents, and adults / J Am Acad Child Adolesc Psychiatry 41:26S~49S
Barkley RA / 2006 / Young adult outcome of hyperactive children : adaptive functioning in major life activities / J Am Acad Child Adolesc Psychiatry 45:192~202
Reimer B / 2010 / The impact of distractions on young adult drivers with attention deficit hyperactivity disorder(ADHD) / Accid Anal Prev 42:842~851
Gupta R / 2013 / Problem gambling in adolescents : an examination of the pathways model / J Gambl Stud 29:575~588
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