Joshua J Spooner

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OBJECTIVES Gastrointestinal (GI) complications are the most-common serious adverse reactions associated with nonsteroidal anti-inflammatory drugs (NSAIDs). We quantified the effect of specific NSAIDs on the rate of GI hospitalizations among older people living in long-term care. DESIGN Retrospective cohort study. SETTING All Medicare/Medicaid certified(More)
BACKGROUND Comparing discontinuation and change rates of glaucoma pharmacotherapies provides insight as to which agents perform more effectively. OBJECTIVE To quantify the rates of discontinuation and change of different glaucoma therapies. METHODS This retrospective, observational study using managed care administrative claims data included patients(More)
OBJECTIVE To estimate the incidence of gastroprotective medication use among users and nonusers of prescription nonsteroidal anti-inflammatory drugs (NSAIDs) who have arthritis. STUDY DESIGN A retrospective cohort study. PATIENTS AND METHODS We used the Protocare Sciences proprietary Managed Care Organization database, which contains data on more than 3(More)
BACKGROUND The Academy of Managed Care Pharmacy (AMCP) Format for Formulary Submissions, a template for health plans to use in developing formulary submission guidelines, has been widely adopted since its initial release in 2000. Many health plans request a dossier (a standardized set of clinical and economic evidence prepared by pharmaceutical(More)
The Medicare Part D prescription drug program was implemented in 2006 to provide prescription drug coverage for elderly and disabled citizens. Recent data indicate that Part D provides prescription drug coverage for 3.4 million American seniors who did not otherwise have prescription insurance.1 Analyses of prescription claims data suggest that Part D has(More)
The majority of patients with diabetes are elderly, but little is known about their disease management. This study evaluates the prevalence and correlates of treatment of elderly diabetics residing in long-term care. We performed a retrospective, cross-sectional study of 75,829 elderly diabetics residing in nursing homes from 1992 to 1996. Nearly half (47%)(More)
OBJECTIVE To identify the various IPPE designs utilized by US pharmacy programs. METHODS A 20-question survey was developed and distributed to experiential affairs professionals at 129 pharmacy institutions nationwide addressing school demographics and IPPE design. Results were analyzed in aggregate. RESULTS Ninety-three schools responded (72%).(More)
Objective. To identify student government designs used by pharmacy programs and to examine their functions, duties, and relationships with other student organizations. Methods. A 21-question survey was developed and distributed to pharmacy deans, who were asked to forward the survey to the leader of their student government organization. Results were(More)