DRUG TREATMENT OF ATTENTION-DEFICIT/HYPERACTIVITY DISORDER (ADHD) IN AUSTRIA
Author(s)
Hinteregger M*1;Füzi J2, Reichardt B3 1Main Association of Austrian Social Security Institutions, Vienna, Austria, 2Sickness Fund Burgenland, Eisenstadt, Austria, 3Sickness Fund Burgenland, Eisenstadt, Burgenland, Austria
OBJECTIVES: The therapy of Attention Deficit/Hyperactivity Disorder (ADHD) with methylphenidate or atomoxetine, formerly only related to children and adolescents, is now extended to the adult population. Little is known about treatment patterns in Austria. The aim of this study was to evaluate the medication patterns of ADHD in 2012 in Austria, stratified by age and sex. METHODS: The data analysis refers to the accounting data of the 13 major Austrian health insurance funds, covering more than 97% of the Austrian population. Provided in a pseudonymised manner, with availability of the individual patient parameters age and sex, all dispensed medication of methylphenidate or atomoxetine is included in the descriptive analysis. The prevalence of ADHD medication is evaluated regarding age and sex. Furthermore the prescribed daily dose in relation to the defined daily dose is pointed out. RESULTS: 9,120 patients with ADHD medication in 2012 are included in the analysis (22% female). One per cent of all patients with ADHD medication is in the age cohort of under 6 years, 47% are between 6 and 13, 22% are between 14 and 17, and 30% are adults (18+). The relation between the defined daily dose (ddd) to the prescribed daily dose (pdd) shows that 86% of children and adolescents have less than 366 pdd in the whole year and only 1% has more than 732 pdd. 81% of the adults have less than 366 pdd and 6% have more than 732 pdd. CONCLUSIONS: While the variety of prescribed daily dose per patient is homogeneous during childhood and adolescence, this parameter spreads widely in adults. This could be an indicator of overuse or misuse. As the results reflect the prescription reality they can be used as a solid basis for further discussions, future evaluations and interventions about ADHD medication in Austria.
Conference/Value in Health Info
2013-11, ISPOR Europe 2013, The Convention Centre Dublin
Value in Health, Vol. 16, No. 7 (November 2013)
Code
PMH11
Topic
Epidemiology & Public Health
Topic Subcategory
Safety & Pharmacoepidemiology
Disease
Mental Health