HOSPITALIZATION ASSOCIATED WITH RISPERIDONE LONG ACTING INJECTION TREATMENT IN SCHIZOPHRENIA- 6-MONTH RESULTS FROM THE ELECTRONIC SCHIZOPHRENIA TREATMENT ADHERENCE REGISTRY (E-STAR) IN KOREA

Author(s)

Yong Sik Kim, MD, Psychiatrist1, Min Soo Lee, MD, Psychiatrist2, Dong Geun Lee, MD, Psychiatrist3, In Ho Paik, MD, Psychiatrist4, Hae Kook Lee, MD, Psychiatrist4, In Kwa Jung, MD, Psychiatrist2, Jung Goo Lee, MD, Psychiatrist5, Tae Min Hah, MD, Psychiatrist6, Zhongyun Zhao, PhD, Director71Seoul National University, Seoul, South Korea; 2 Korea University, Seoul, South Korea; 3 Goyang Mental Hospital, Goyang, South Korea; 4 The Catholic University of Korea, Seoul, South Korea; 5 Masan Dongsuh Hospital, Masan, South Korea; 6 Busan Dongrae Hospital, Busan, South Korea; 7 JJPS, Raritan, NJ, USA

OBJECTIVES: To evaluate the impact of risperidone long-acting injection (RLAI) treatments on hospitalization outcomes for patients participating in the electronic Schizophrenia Treatment Adherence Registry (e-STAR) in Korea. METHODS: e-STAR is an international, long-term, prospective, observational study of patients with schizophrenia who initiate RLAI treatment during their routine clinical management. Hospitalization data were collected retrospectively for 1-year and prospectively every three months for 2 years. Changes in percent of patients hospitalized, number of hospitalizations and number of days in hospital between 6 months prior and 6 months after RLAI initiation were examined.  RESULTS: To date, 162 patients enrolled in e-STAR from Korea, 127 of them who have been followed prospectively for 6 months were included in this interim analysis. Mean age was 36.6±11.0 years old with 52.8% of male and mean time since diagnosis was 8.2±7.1 years. Most frequent reasons for initiating on RLAI were lack of compliance with previous therapy (45.7%) and need for maintenance (25.2%). Mean dose of RLAI was 28.0 mg at baseline and 32.6 mg at 6 months. At 6 months, 76.4% (97 out of 127) still continued on RLAI. Based on intent-to-treat of 127 patients, during the 6 months after starting RLAI treatment as compared to 6 months prior, percent of patients hospitalized, number of hospitalizations and number of days in hospital all significantly decreased; percent patients hospitalized decreased from 29.0% to 6.5% (p<0.001), mean number of hospitalizations decreased from 0.33 to 0.06 (p<0.001) and there was a reduction of 13.5 days in mean number of days in hospital (from 15.6 days to 2.2 days, p<0.001). CONCLUSIONS: This 6-month interim data from Korea show that switch to risperidone long-acting injection treatment was associated with significant reduction in use of hospital care in patients with schizophrenia.

Conference/Value in Health Info

2008-09, ISPOR Asia Pacific 2008, Seoul, South Korea

Value in Health, Vol. 11, No. 6 (November 2008)

Code

MH2

Topic

Economic Evaluation

Topic Subcategory

Cost/Cost of Illness/Resource Use Studies

Disease

Mental Health

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