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Trends in prescribing behavior of systemic agents used in the treatment of acne among dermatologists and nondermatologists: A retrospective analysis,

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Presentation on theme: "Trends in prescribing behavior of systemic agents used in the treatment of acne among dermatologists and nondermatologists: A retrospective analysis,"— Presentation transcript:

1 Trends in prescribing behavior of systemic agents used in the treatment of acne among dermatologists and nondermatologists: A retrospective analysis,   John S. Barbieri, MD, MBA, William D. James, MD, David J. Margolis, MD, PhD  Journal of the American Academy of Dermatology  Volume 77, Issue 3, Pages e4 (September 2017) DOI: /j.jaad Copyright © 2017 American Academy of Dermatology, Inc. Terms and Conditions

2 Fig 1 Change in the number of courses of therapy per 100 patients seen by a dermatologist (A) and managed by nondermatologists (B) between 2004 and Tetracyclines include doxycycline and minocycline. Other antibiotics includes trimethoprim-sulfamethoxazole, amoxicillin, cephalexin, and azithromycin. COC, Combined oral contraceptive. *Combined oral contraceptives, drospirenone, and spironolactone were evaluated among only female patients with acne. Journal of the American Academy of Dermatology  , e4DOI: ( /j.jaad ) Copyright © 2017 American Academy of Dermatology, Inc. Terms and Conditions

3 Fig 2 Mean and median durations of therapy with oral antibiotics among patients seen by a dermatologist (A) and patients managed by nondermatologists alone (B) between 2004 and 2013. Journal of the American Academy of Dermatology  , e4DOI: ( /j.jaad ) Copyright © 2017 American Academy of Dermatology, Inc. Terms and Conditions

4 Supplemental Fig 1 Sensitivity analysis for the change in the number of courses of therapy per 100 patients using inclusion criteria of 2 claims associated with a code for acne separated by 3 months and seen by a dermatologist (A) or managed by nondermatologists (B), separated by 12 months and seen by a dermatologist (C) or managed by nondermatologists (D), and separated by 18 months and seen by a dermatologist (E) or managed by nondermatologists (F). Tetracyclines includes doxycycline and minocycline. Other antibiotics includes trimethoprim-sulfamethoxazole, amoxicillin, cephalexin, and azithromycin. COC, Combined oral contraceptive. *Combined oral contraceptives, drospirenone, and spironolactone were evaluated among only female patients with acne. Journal of the American Academy of Dermatology  , e4DOI: ( /j.jaad ) Copyright © 2017 American Academy of Dermatology, Inc. Terms and Conditions

5 Supplemental Fig 2 Change in the number of courses of therapy per 100 patients seen by a dermatologist between 2004 and 2013 among adolescents (A), adults (B), female patients (C), and male patients (D). Tetracyclines includes doxycycline and minocycline. Other antibiotics includes trimethoprim-sulfamethoxazole, amoxicillin, cephalexin, and azithromycin. COC, Combined oral contraceptive. *Combined oral contraceptives, drospirenone, and spironolactone were evaluated among only women with acne. Journal of the American Academy of Dermatology  , e4DOI: ( /j.jaad ) Copyright © 2017 American Academy of Dermatology, Inc. Terms and Conditions

6 Supplemental Fig 3 Change in the number of courses of therapy per 100 patients managed for acne by nondermatologists between 2004 and 2013 among adolescents (A), adults (B), female patients (C), and male patients (D). Tetracyclines includes doxycycline and minocycline. Other antibiotics includes trimethoprim-sulfamethoxazole, amoxicillin, cephalexin, and azithromycin. COC, Combined oral contraceptive. *Combined oral contraceptives, drosperinone, and spironolactone were evaluated among only women with acne. Journal of the American Academy of Dermatology  , e4DOI: ( /j.jaad ) Copyright © 2017 American Academy of Dermatology, Inc. Terms and Conditions

7 Supplemental Fig 4 Proportion of courses prescribed with different classes of oral antibiotics among patients seen by a dermatologist (A) and patients managed by nondermatologists alone (B) between 2004 and ER, Extended-release; TMP-SMX, trimethoprim-sulfamethoxazole. Journal of the American Academy of Dermatology  , e4DOI: ( /j.jaad ) Copyright © 2017 American Academy of Dermatology, Inc. Terms and Conditions


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