A retrospective analysis of the duration of oral antibiotic therapy for the treatment of acne among adolescents: investigating practice gaps and potential cost-savings

J Am Acad Dermatol. 2014 Jul;71(1):70-6. doi: 10.1016/j.jaad.2014.02.031. Epub 2014 Apr 13.

Abstract

Background: Duration of oral antibiotic therapy in acne has not been widely studied. Recent guidelines suggest it should be limited to 3 to 6 months.

Objective: We sought to compare the duration of oral antibiotic use with recent guidelines and determine the potential cost-savings related to shortened durations.

Methods: This is a retrospective cohort study from the MarketScan Commercial Claims and Encounters database. Claims data were used to determine duration and costs of antibiotic therapy.

Results: The mean course duration was 129 days. The majority (93%) of courses were less than 9 months. Among the 31,634 courses, 18,280 (57.8%) did not include concomitant topical retinoid therapy. The mean (95% confidence interval) duration with and without topical retinoid use was 133 (131.5-134.7) days and 127 (125.4-127.9) days, respectively. The mean excess direct cost of antibiotic treatment for longer than 6 months was $580.99/person.

Limitations: Claims cannot be attributed to a specific diagnosis or provider. The database does not provide information on acne severity.

Conclusions: Duration of antibiotic use is decreasing when compared with previous data. However, 5547 (17.53%) courses exceeded 6 months, highlighting an opportunity for reduced antibiotic use. If courses greater than 6 months were shortened to 6 months, savings would be $580.99/person.

Keywords: acne treatment; acne vulgaris; costs; oral antibiotics; topical retinoids; treatment guidelines.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acne Vulgaris / drug therapy*
  • Acne Vulgaris / economics
  • Administration, Oral
  • Adolescent
  • Anti-Bacterial Agents / administration & dosage*
  • Anti-Bacterial Agents / economics
  • Cost Savings
  • Cost of Illness
  • Dermatology / standards
  • Female
  • Humans
  • Male
  • Practice Guidelines as Topic
  • Practice Patterns, Physicians'* / economics
  • Practice Patterns, Physicians'* / standards
  • Retrospective Studies
  • Young Adult

Substances

  • Anti-Bacterial Agents