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Treatment outcomes after methylphenidate in adults with attention-deficit/hyperactivity disorder treated with lisdexamfetamine dimesylate or atomoxetine

机译:赖斯地非米明二甲磺酸酯或阿莫西汀治疗成人注意力不足/多动症患者的哌醋甲酯治疗结果

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Purpose: To compare treatment adherence, discontinuation, add-on, and daily average consumption (DACON) among adults with attention-deficit/hyperactivity disorder receiving second-line lisdexamfetamine dimesylate (LDX) or atomoxetine (ATX), following methylphenidate. Patients and methods: A retrospective cohort study using US commercial claims databases (Q2/2009–Q3/2013). Results: At month 12, the LDX cohort (N=2,718) had a higher adherence level (proportion of days covered: 0.48 versus 0.30, P 1 (adjusted odds ratio: 0.20, 95% confidence interval: 0.15–0.25, P <0.001) than the ATX cohort. Conclusion: Adults with attention-deficit/hyperactivity disorder treated with LDX following methylphenidate had a higher treatment adherence and lower discontinuation and DACON relative to those treated with ATX following methylphenidate.
机译:目的:比较哌醋甲酯后接受二线利塞地美胺二甲磺酸盐(LDX)或阿托西汀(ATX)治疗的注意缺陷/多动障碍成年人的治疗依从性,停药,添加和每日平均消费(DACON)。患者和方法:使用美国商业索赔数据库(Q2 / 2009–Q3 / 2013)的回顾性队列研究。结果:在第12个月,LDX队列(N = 2,718)具有更高的依从性水平(工作日比例:0.48对0.30,P 1(调整后的优势比:0.20,95%置信区间:0.15-0.25,P <0.001)结论:与哌醋甲酯后接受ATX治疗的患者相比,哌醋甲酯后接受LDX治疗的患有注意力缺陷/多动障碍的成年人具有更高的治疗依从性和较低的停药率和DACON。

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