Treatment failure of patients using topical acne treatments: an observational retrospective cohort study

Abstract Background: While limited data from clinical trials show differences in efficacy between topical acne combination products and monotherapies, the impact in clinical practice is not explored. Purpose: To evaluate the effectiveness in clinical practice of prescribing topical acne combination...

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Bibliographic Details
Published in:The Journal of dermatological treatment 2014-06, Vol.25 (3), p.193-195
Main Authors: Carstensen, Samuel Evan, Huang, Karen E, Feldman, Steven R
Format: Article
Language:English
Subjects:
Acne Vulgaris - drug therapy
adherence
Administration, Oral
Administration, Topical
Adolescent
Adult
Child
Cohort Studies
combination products
Dermatologic Agents - administration & dosage
Drug Combinations
Drug Therapy, Combination
Female
Humans
Male
monotherapies
nonresponse
Retrospective Studies
Treatment Failure
Young Adult
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Summary:Abstract Background: While limited data from clinical trials show differences in efficacy between topical acne combination products and monotherapies, the impact in clinical practice is not explored. Purpose: To evaluate the effectiveness in clinical practice of prescribing topical acne combination treatments compared to monotherapy product(s) in minimizing treatment failures. Methods: Patients diagnosed with acne (ICD-9: 706.1) by a dermatologist between January 2009 and September 2011 and initially prescribed a topical acne treatment were identified. Multivariate Cox proportional hazards models were employed to compare the hazards of treatment failure for patients initially prescribed a combination product versus one monotherapy or multiple monotherapies. Subgroup analyses were also performed. Results: Three hundred and thirty-five patients were initially prescribed topical product(s) exclusively. The hazards of treatment failure for those prescribed a combination product compared to those prescribed one monotherapy product was HR = 0.91 (p = 0.65) and compared to those prescribed multiple monotherapy products was HR = 0.73 (p = 0.17). Limitations: Disease severity and treatments prescribed outside of the hospital system were not available. Conclusions: Treatment failures were consistent for patients prescribed combination product(s) or monotherapies.
ISSN:0954-6634
1471-1753
DOI:10.3109/09546634.2013.851924