Black patients are prescribed more anti-IgE biologics, whereas Hispanic patients receive fewer anti-IL-5 biologics in comparison with White patients, a study suggests.
Some 95,363 White patients, 15,435 Black patients, 12,645 Hispanic patients, and 1673 Asian patients with moderate to severe asthma were invovled in the study. The study included publicly and commercially insured patients, and cohorts were balanced for baseline comorbidities and medication utilization. After accounting for confounders, 15,432 patients remained in each of the Black and White cohorts.
The higher use of asthma biologics by Black patients may be explained by the fact that morbidity and mortality from asthma is higher among Black patients than White patients, according to the authors."Black individuals [also] have a higher prevalence ofAsthma rates among Hispanic patients are comparable to rates among White patients, although Hispanic patients are more likely to seek emergency treatment for asthma.
"One [factor] is that the higher rates of Black patients receiving biologics relative to White patients might be because Black patients are more likely to experience greater rates of asthma exacerbations, morbidity, and mortality relative to White patients; eligibility for biologics does not only require a prescription for medium-high ICS and LABA but also a history of asthma exacerbations, with a threshold number of asthma exacerbations per year that varies by insurance company,"...
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