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Table 3 COPD medication use – adherence to index medication and prescription fills for other respiratory medication classes during the post-index period

From: Comparative effectiveness of budesonide/formoterol combination and fluticasone/salmeterol combination among chronic obstructive pulmonary disease patients new to controller treatment: a US administrative claims database study

    

95% CI

 
 

BFC (n = 3,697)

FSC (n = 3,697)

Estimate 1

Lower

Upper

P-value

Adherence to index medication

        

Number of fills for index medication (including index fill) (mean, SD)

3.8

3.2

4.0

3.4

−0.20

−0.34

−0.05

0.0071

Patients with only the index fill (n, %)

1,252

33.9%

1208

32.7%

0.95

0.87

1.03

0.2197

Patients with 2 fills (n, %)

563

15.2%

575

15.6%

    

Patients with 3 fills (n, %)

393

10.6%

398

10.8%

    

Patients with 4 or more fills (n, %)

1,489

40.3%

1516

41.0%

    

Proportion of days covered with index medication (mean, SD)

0.33

0.28

0.34

0.29

−0.01

−0.02

0.00

0.0914

COPD respiratory medications (number of patients with at least one fill)

        

ICS monotherapy use (n, %)

220

6.0%

230

6.2%

0.94

0.78

1.14

0.5250

LAMA monotherapy use (n, %)

1,188

32.1%

1,226

33.2%

0.95

0.86

1.05

0.3232

LABA monotherapy use (n, %)

87

2.4%

78

2.1%

1.12

0.82

1.53

0.4807

Roflumilast (n, %)

23

0.6%

18

0.5%

1.23

0.66

2.29

0.5052

Theophylline use (n, %)

123

3.3%

111

3.0%

1.09

0.84

1.42

0.5120

SABA (n, %)

1,815

49.1%

1,845

49.9%

0.96

0.87

1.05

0.3550

SAMA (n, %)

169

4.6%

178

4.8%

0.95

0.77

1.18

0.6591

SABA/SAMA combination use (n, %)

656

17.7%

646

17.5%

1.03

0.91

1.16

0.6465

OCS monotherapy use (n, %)

1,628

44.0%

1,544

41.8%

1.09

0.99

1.20

0.0674

LTRA monotherapy use (n, %)

498

13.5%

429

11.6%

1.03

0.86

1.25

0.7316

Omalizumab use (n, %)

7

0.2%

5

0.1%

1.30

0.41

4.10

0.6556

Antibiotics use (n, %)

2,686

72.7%

2,667

72.1%

1.02

0.92

1.13

0.7239

  1. 1: Covariate adjusted mean differences are used for adherence measures from negative binomial (number of fills) and normal linear regression (proportion of days covered) models. The covariate adjusted odds ratio from an ordinal logistic regression is reported for the overall distribution of number of index medication fills (1, 2, 3, or 4+). Covariate adjusted odds ratios from logistic regression models are reported for the proportions of patients with at least one fill for each medication class. BFC is the reference group for all comparisons. Model covariates include: Sum of inpatient hospital stays >5 days (0 vs. 1), LTRA use (0, 1, 2+), geographic region, Peripheral vascular disease / atherosclerosis (0 vs. 1), index prescribing physician specialty, and analogous pre-index variable (for analysis of COPD medication classes only).