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Comparison of health care use and costs in newly diagnosed and established patients with fibromyalgia
The Journal of Pain, 06/30/09

White LA et al. – Study reports that established fibromyalgia patients use more medical resources and have higher rates of concomitant medication use than newly diagnosed fibromyalgia patients. Findings can help educate providers regarding optimal drug treatment patterns in this population.

• Claims database analysis to describe prescription and medical use in pts with newly diagnosed and established fibromyalgia
• Privately insured pts with 2+ myalgia/myositis claims (1999-2005) were categorized as newly diagnosed or established
• This dichotomy involves comparisons between prediagnosis (S1) and postdiagnosis (S2) stages in the newly diagnosed and between newly diagnosed (S2) and established patients (S3)

• Use of APS guideline medications increased across stages:
  • Selective serotonin reuptake inhibitors (SSRIs) (S1, S2, S3: 20.6%, 22.9%, 25.3%)
  • Serotonin norepinephrine reuptake inhibitors (SNRIs) (4.5%, 6.4%, 8.9%)
  • Pregabalin/gabapentin (5.4%, 7.4%, 8.8%)
  • Benzodiazepines (19.0%, 21.1%, 24.2%)
  • Non-benzodiazepine sedatives (9.1%, 11.5%, 13.7%), and
  • Opioids (39.5%, 43.3%, 43.9%)
• Use of multiple therapeutic classes also increased across stages: 3+ classes (7.1%, 9.6%, 11.8%)
• Office visits to providers increased, on average, after diagnosis:
  • Primary care (70.9%, 78.3%, 76.3%)
  • Chiropractors (28.8%, 51.1%, 53.3%)
  • Rheumatologists (4.2%, 9.9%, 10.5%)
  • Mental health (6.4%, 7.3%, 8.3%)
• Average health care costs rose after diagnosis in the newly diagnosed group

Today in Anxiety...keeping you current

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Today in Neuro/Psych Pharmacol...keeping you current

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Therapeutic relationships: their specificity in predicting outcomes for people with psychosis using clinical and vocational services
Social Psychiatry and Psychiatric Epidemiology, 11/25/09

Antipsychotic Prescribing Practices Following Withdrawal of Concomitant Carbamazepine
Journal of Psychiatric Practice, 11/24/09

Using A Pharmacy-Based Intervention To Improve Antipsychotic Adherence Among Patients With Serious Mental Illness
Schizophrenia Bulletin, 11/24/09

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Today in Other Psychiatry...keeping you current

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Assessing progress during treatment for young children with autism receiving intensive behavioural interventions
Autism, 11/25/09

Therapeutic relationships: their specificity in predicting outcomes for people with psychosis using clinical and vocational services
Social Psychiatry and Psychiatric Epidemiology, 11/25/09

Prevalence and correlates of alcohol and other substance use disorders in young adulthood: A population-based study
BMC Psychiatry, 11/25/09

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