Reconciling Between Medication Orders and Medication Fills for Lupus in Pregnancy.

ABSTRACT:

Objective

Most studies consider either medications ordered or filled, but not both. Medication underuse based on filling data cannot necessarily be ascribed to patient nonadherence. Using both data sources, we quantified primary medication adherence in a cohort of prevalent systemic lupus erythematosus (SLE) pregnancies.

Methods

We identified 419 pregnancies in Kaiser Permanente Northern California in patients with prevalent SLE from 2011 to 2020. We calculated the number of physician-initiated orders or pharmacy-initiated reorders during pregnancy and a comparable 9-month window the year before (prepregnancy) and the proportion of orders ever filled and filled within 30 days for hydroxychloroquine (HCQ), azathioprine, and corticosteroids. For pregnancies without an order or

SUBMITTER: Simard JF 

PROVIDER: S-EPMC9746661 | biostudies-literature | 2022 Dec

REPOSITORIES: biostudies-literature