The George Washington University School of Medicine and Health Sciences, Washington, DC, USA.
Milken Institute School of Public Health, The George Washington University, Washington, DC, USA.
Pediatr Dermatol. 2021 Sep;38(5):1396-1399. doi: 10.1111/pde.14785. Epub 2021 Aug 31.
The multistep process to obtain an isotretinoin prescription under the iPLEDGE program is challenging for patients, particularly female patients. This retrospective study evaluates the differences in treatment and costs between male and female patients. While male patients had a higher total cost of treatment than female patients, female patients had a higher treatment cost when medication costs were excluded. Female patients who missed prescription windows had a longer treatment course and incurred significantly higher treatment costs than female patients who did not miss a prescription window. The iPLEDGE program places female patients at a disadvantage of incurring higher treatment costs as a consequence of the prescription window requirement.
在 iPLEDGE 项目下获得异维 A 酸处方的多步骤过程对患者，尤其是女性患者来说具有挑战性。本回顾性研究评估了男性和女性患者在治疗和费用方面的差异。虽然男性患者的总治疗费用高于女性患者，但排除药物费用后，女性患者的治疗费用更高。错过处方窗口的女性患者的治疗疗程更长，且治疗费用明显高于未错过处方窗口的女性患者。由于处方窗口的要求，iPLEDGE 项目使女性患者处于承担更高治疗费用的不利地位。
