From: Effects of variations in access to care for children with atopic dermatitis
 | Medicaid n = 240,648 | Commercial n = 236,836 | P-value |
---|---|---|---|
Filled prescriptions per year, mean ± SD | median | 3.3 ± 4.3 | 1.8 | 2.0 ± 2.8 | 1.0 | <0.001* |
  ≤1 prescription, n (%) | 75,572 (31.4) | 120,996 (51.1) | <0.001* |
 2–3 prescriptions, n (%) | 87,804 (36.5) | 73,057 (30.8) | <0.001* |
  >3 prescriptions, n (%) | 77,272 (32.1) | 42,783 (18.1) | <0.001* |
Combination therapy with ≥2 distinct AD treatments, n (%) | 97,366 (40.5) | 46,171 (19.5) | <0.001* |
Topical treatments, n (%) | 210,857 (87.6) | 203,975 (86.1) | <0.001* |
 Topical antihistamines | 24 (0.0) | 55 (0.0) | <0.001* |
 Any topical corticosteroids (TCS) | 210,094 (87.3) | 200,975 (84.9) | <0.001* |
  TCS low potency | 100,439 (41.7) | 74,010 (31.2) | <0.001* |
  TCS medium potency | 158,484 (65.9) | 147,297 (62.2) | <0.001* |
  TCS high potency | 31,084 (12.9) | 38,999 (16.5) | <0.001* |
 Topical calcineurin inhibitors (TCI) | 7998 (3.3) | 17,579 (7.4) | <0.001* |
Systemic antihistaminesa | 170,511 (70.9) | 51,817 (21.9) | <0.001* |
  ≥1 sedating antihistamine | 78,319 (32.5) | 37,094 (15.7) | <0.001* |
Systemic corticosteroids (SCS)b | 54,878 (22.8) | 59,626 (25.2) | <0.001* |
Any systemic immunosuppressants (IMM) | 476 (0.2) | 630 (0.3) | <0.001* |
 Azathioprine | 54 (0.0) | 93 (0.0) | <0.001* |
 Cyclosporine A | 85 (0.0) | 167 (0.1) | <0.001* |
 Interferon gamma | 0 (0.0) | 1 (0.0) | – |
 Methotrexate | 261 (0.1) | 339 (0.1) | <0.001* |
 Mycophenolate mofetil | 140 (0.1) | 136 (0.1) | 0.914 |
Intravenous immunoglobulin (IVIG) | 2339 (1.0) | 2784 (1.2) | <0.001* |
Montelukast sodiumc | 37,719 (15.7) | 39,810 (16.8) | <0.001* |
Phototherapy, n (%) | 416 (0.2) | 522 (0.2) | <0.001* |