Rates of glaucoma medication utilization among older adults with suspected glaucoma, 1992 to 2002.


Journal Article

PURPOSE: To determine rates of glaucoma medication utilization among glaucoma suspects in the Medicare Current Beneficiary Survey (MCBS) and identify recent utilization patterns for various hypotensive drug classes. DESIGN: Cohort study. METHODS: By using MCBS data between 1992 and 2002 merged with Medicare claims data, utilization rates for glaucoma medication classes were calculated for survey participants >/=65 years with suspected glaucoma. Utilization trends over the 11-year period were identified. RESULTS: Each year, more than 85% of glaucoma suspects used no hypotensive medications. Between 1992 and 2002, utilization rates decreased substantially for beta-blockers and miotics and increased for alpha-agonists, combination beta-blockers-carbonic-anhydrase inhibitors, and prostaglandin analogues. CONCLUSION: This study identifies recent changes in patterns of glaucoma suspects' use of hypotensive medications by using patient-reported information, thus avoiding reliance on third-party databases. Such trends over time are important to recognize, because they reflect variations in patient care and have economic and clinical implications.

Full Text

Duke Authors

Cited Authors

  • Stein, JD; Sloan, FA; Lee, PP

Published Date

  • May 2007

Published In

Volume / Issue

  • 143 / 5

Start / End Page

  • 870 - 872

PubMed ID

  • 17452174

Pubmed Central ID

  • 17452174

International Standard Serial Number (ISSN)

  • 0002-9394

Digital Object Identifier (DOI)

  • 10.1016/j.ajo.2006.12.025


  • eng

Conference Location

  • United States