TABLE 1.
Before Matchinga | After Matchingb | |||||
---|---|---|---|---|---|---|
Pazopanib n = 526 | Sunitinib n = 1,185 | P Value | Pazopanib n = 522 | Sunitinib n = 522 | P Value | |
Demographics at index date | ||||||
Age, years, mean ± SD | 74.8 ± 6.0 | 74.7 ± 5.9 | 0.733 | 74.8 ± 6.0 | 75.2 ± 6.3 | 0.354 |
Male, n (%) | 307 (58.4) | 682 (57.6) | 0.754 | 305 (58.4) | 303 (58.0) | 0.900 |
Race, n (%) | ||||||
White | 463 (88.0) | 993 (83.8) | 0.024c | 459 (87.9) | 460 (88.1) | 0.917 |
Black | 29 (5.5) | 85 (7.2) | 0.204 | 29 (5.6) | 25 (4.8) | 0.572 |
Other or unknown | 34 (6.5) | 107 (9.0) | 0.075 | 34 (6.5) | 37 (7.1) | 0.705 |
Follow-up duration after index date, months, mean ± SD | 15.7 ± 10.7 | 17.2 ± 13.7 | 0.570 | 15.7 ± 10.7 | 15.7 ± 12.5 | 0.919 |
Year of RCC diagnosis, n (%) | ||||||
2006-2009 | 203 (38.6) | 548 (46.2) | 0.003c | 202 (38.7) | 200 (38.3) | 0.888 |
2010-2014 | 323 (61.4) | 637 (53.8) | 0.003c | 320 (61.3) | 322 (61.7) | 0.888 |
Metastatic sites, n (%) | ||||||
Lung | 298 (56.7) | 596 (50.3) | 0.015c | 294 (56.3) | 280 (53.6) | 0.358 |
Lymph node | 102 (19.4) | 187 (15.8) | 0.066 | 100 (19.2) | 102 (19.5) | 0.876 |
Bone | 168 (31.9) | 405 (34.2) | 0.365 | 167 (32.0) | 171 (32.8) | 0.792 |
Liver | 75 (14.3) | 175 (14.8) | 0.783 | 75 (14.4) | 76 (14.6) | 0.931 |
CCI, mean ± SD | 9.2 ± 2.4 | 9.2 ± 2.4 | 0.811 | 9.2 ± 2.4 | 9.2 ± 2.4 | 0.956 |
Comorbidities, n (%) | ||||||
Cardiovascular disease | 343 (65.2) | 737 (62.2) | 0.233 | 341 (65.3) | 338 (64.8) | 0.842 |
Hypertension | 474 (90.1) | 1,072 (90.5) | 0.821 | 470 (90.0) | 471 (90.2) | 0.916 |
Chronic pulmonary disease | 181 (34.4) | 438 (37.0) | 0.311 | 181 (34.7) | 177 (33.9) | 0.791 |
Diabetes | 227 (43.2) | 569 (48.0) | 0.063 | 227 (43.5) | 223 (42.7) | 0.797 |
Renal failure | 248 (47.1) | 547 (46.2) | 0.705 | 246 (47.1) | 264 (50.6) | 0.279 |
Liver disease | 27 (5.1) | 78 (6.6) | 0.249 | 27 (5.2) | 19 (3.6) | 0.228 |
Monthly per patient health care resource use, mean ± SD | ||||||
Inpatient admissions | 0.086 ± 0.105 | 0.088 ± 0.097 | 0.244 | 0.086 ± 0.105 | 0.094 ± 0.095 | 0.120 |
Inpatient days | 0.591 ± 0.898 | 0.630 ± 0.925 | 0.163 | 0.593 ± 0.901 | 0.653 ± 0.843 | 0.214 |
Inpatient readmissions | 0.014 ± 0.051 | 0.016 ± 0.047 | 0.141 | 0.014 ± 0.051 | 0.016 ± 0.046 | 0.321 |
Emergency room visits | 0.048 ± 0.079 | 0.053 ± 0.110 | 0.609 | 0.049 ± 0.079 | 0.049 ± 0.085 | 0.892 |
Outpatient visits | 0.888 ± 0.681 | 0.847 ± 0.874 | 0.012c | 0.879 ± 0.672 | 0.912 ± 1.045 | 0.420 |
Monthly per patient health care costs to the payer (2015 USD), mean ± SD | ||||||
Total all-cause health care costs | 3,005 ± 3,133 | 2,952 ± 3,074 | 0.797 | 2,998 ± 3,142 | 3,114 ± 2,792 | 0.244 |
Total all-cause medical costs | 2,862 ± 3,081 | 2,791 ± 3,035 | 0.968 | 2,855 ± 3,090 | 2,960 ± 2,747 | 0.243 |
Inpatient costs | 1,629 ± 2,498 | 1,601 ± 2,355 | 0.394 | 1,633 ± 2,506 | 1,700 ± 2,194 | 0.290 |
Emergency room costs | 37 ± 76 | 43 ± 103 | 0.631 | 37 ± 76 | 39 ± 80 | 0.927 |
Outpatient costs | 404 ± 414 | 344 ± 395 | < 0.001c | 393 ± 369 | 388 ± 448 | 0.146 |
Skilled nursing facility costs | 117 ± 497 | 146 ± 604 | 0.258 | 118 ± 499 | 138 ± 557 | 0.577 |
Home health agency costs | 106 ± 264 | 100 ± 265 | 0.581 | 106 ± 265 | 103 ± 256 | 0.884 |
Other medical service costs | 569 ± 723 | 557 ± 784 | 0.459 | 568 ± 723 | 593 ± 798 | 0.700 |
Total all-cause pharmacy costs | 143 ± 261 | 161 ± 324 | 0.004c | 143 ± 262 | 154 ± 311 | 0.108 |
aBefore matching, Wilcoxon rank-sum tests were used for continuous variables, and chi-square tests were used for categorical variables.
bAfter matching, Wilcoxon signed-rank tests were used for continuous variables, and McNemar tests were used for categorical variables.
cP < 0.05 for pairwise comparison of the pazopanib cohort with the sunitinib cohort.
CCI = Charlson Comorbidity Index; RCC = renal cell carcinoma; SD = standard deviation; USD = U.S. dollars.