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The Duality of Economic Issues With Medication Non-adherence in Patients With Inflammatory Arthritis

  • Health Economics and Quality of Life (N Tsao, Section Editor)
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Abstract

Purpose of Review

In this review, we synthesize current data on non-adherence across inflammatory arthritides and explore (1) the effects of economic factors on non-adherence and (2) the impacts of non-adherence on economic outcomes.

Recent Findings

Recent evidence demonstrates medication non-adherence rates as high as 74% in ankylosing spondylitis (AS), 90% in gout, 50% in psoriatic arthritis (PsA), 75% in systemic lupus erythematosus (SLE), and 82% in rheumatoid arthritis (RA).

Summary

The effects of socioeconomic factors have been studied most in RA and SLE but with inconsistent findings. Nonetheless, the evidence points to having prescription coverage and costs of treatment as important factors in RA and education as an important factor in SLE. Limited data in AS and gout, and no studies of the effects of socioeconomic factors in PsA, show knowledge gaps for future research. Finally, there is a dearth of data with respect to the impacts of non-adherence on economic outcomes.

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Authors and Affiliations

  1. Faculty of Pharmaceutical Sciences, University of British Columbia, 2405 Wesbrook Mall, Vancouver, BC, V6T 1Z3, Canada

    Natasha K. J. Campbell, Khalid Saadeldin & Mary A. De Vera

  2. Collaboration for Outcomes Research and Evaluation, Vancouver, Canada

    Natasha K. J. Campbell, Khalid Saadeldin & Mary A. De Vera

  3. Arthritis Research Canada, Richmond, BC, Canada

    Mary A. De Vera

Authors
  1. Natasha K. J. Campbell
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  2. Khalid Saadeldin
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  3. Mary A. De Vera
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Correspondence to Mary A. De Vera.

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Funding and Grant Support

Dr. De Vera is the Canada Research Chair in Medication Adherence, Utilization, and Outcomes and is a recipient of The Arthritis Society Network Scholar Award and Michael Smith Foundation for Health Research Scholar Award.

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The authors declare that they have no conflict of interest.

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This article does not contain any studies with human or animal subjects performed by any of the authors.

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This article is part of the Topical Collection on Health Economics and Quality of Life

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Campbell, N.K.J., Saadeldin, K. & De Vera, M.A. The Duality of Economic Issues With Medication Non-adherence in Patients With Inflammatory Arthritis. Curr Rheumatol Rep 19, 66 (2017). https://doi.org/10.1007/s11926-017-0691-3

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