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- W2977647592 abstract "Purpose: The purpose of this retrospective analysis was to determine if patients with gastroesophageal reflux disease (GERD) taking a twice-daily proton pump inhibitor (PPI) received more economical and successful management of their disease when switched to once-daily esomeprazole. Methods: Data were obtained from Integrated Healthcare Information Services (IHCIS). Adult patients (>18 years) with ≥1 ICD-9 diagnosis code foresophagitis, esophageal reflux, or heartburn were eligible for the analysis if they received a prescription for once-daily esomeprazole after receiving ≥3 months of prescriptions for a twice-daily PPI. Patients with a diagnosis indicating a hypersecretory condition or who received prior treatment with twice-daily esomeprazole or omeprazole 10 mg twice daily were excluded. Total costs for medical, inpatient, and pharmacy claims were included. The difference in total costs 6 months before and after conversion to once-daily esomeprazole were calculated and compared using Wilcoxon rank sum, Wilcoxon signed rank tests, and paired t-tests. A successful conversion was defined as one for which the patient remained on esomeprazole once daily without a dosage increase or a switch to another PPI. Results: Of 492,633 patients available from the IHCIS database, 595 met study criteria. Mean age was 50.3 ± 11.0 years; 60% were women; most common diagnoses were esophageal reflux (77%) or reflux esophagitis (53%); and patients were most commonly switched to once-daily esomeprazole from twice-daily lansoprazole 30 mg (36%) or omeprazole 20 mg (49%). Median per member per month (PMPM) savings were $36.72 for total costs (P = .0507) and $39.91 forpharmacy costs (P <.0001). Of the 595 patients, 430 (72%) achieved a “successful” conversion from a twice-daily PPI to once-daily esomeprazole. Median PMPM savings for successful conversions were $57.75 for total costs (P = .0254) and $54.73 for pharmacy costs (P <.0001). For failed conversions, the median PMPM additional costs were $42.42 (P = .4650) and $13.33 (P <= .0001) fortotal and pharmacy costs, respectively. Conclusions: Switching from a twice-daily PPI to once-daily esomeprazole had a high success rate and resulted in cost savings for payers. These findings demonstrate an effective means to manage GERD in patients who would otherwise incur higher costs while seeking an acceptable level of acid suppression." @default.
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- W2977647592 date "2004-10-01" @default.
- W2977647592 modified "2023-09-27" @default.
- W2977647592 title "RETROSPECTIVE COST ANALYSES OF SWITCHING FROM A TWICE-DAILY PROTON PUMP INHIBITOR TO ONCE-DAILY ESOMEPRAZOLE" @default.
- W2977647592 doi "https://doi.org/10.14309/00000434-200410001-00712" @default.
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