TABLE 1.
Overall | Persistent in Initiation Year | Nonpersistent in Initiation Year | P Valuea | ||||
---|---|---|---|---|---|---|---|
N | % | N | % | N | % | ||
Total | 2,407 | — | 1,800 | 74.78 | 607 | 25.22 | |
Gender | 0.259 | ||||||
Male | 621 | 25.80 | 450 | 25.00 | 171 | 28.17 | |
Female | 1,785 | 74.16 | 1,349 | 74.94 | 436 | 71.83 | |
Age group | 0.923 | ||||||
0-35 | 404 | 16.78 | 297 | 16.50 | 107 | 17.63 | |
36-44 | 745 | 30.95 | 558 | 31.00 | 187 | 30.81 | |
45-54 | 843 | 35.02 | 635 | 35.28 | 208 | 34.27 | |
55+ | 415 | 17.24 | 310 | 17.22 | 105 | 17.30 | |
Payer type | 0.239 | ||||||
Commercial | 1,504 | 62.48 | 1,135 | 63.06 | 369 | 60.79 | |
Medicaid or Medicare | 42 | 1.74 | 29 | 1.61 | 13 | 2.14 | |
Self-insured | 861 | 35.77 | 636 | 35.33 | 225 | 37.07 | |
Insurance type | 0.498 | ||||||
Health maintenance organization | 288 | 11.97 | 213 | 11.83 | 75 | 12.36 | |
Indemnity | 100 | 4.15 | 75 | 4.17 | 25 | 4.12 | |
Preferred provider network | 1,831 | 76.07 | 1,382 | 76.78 | 449 | 73.97 | |
Point of service | 154 | 6.40 | 105 | 5.83 | 49 | 8.07 | |
Consumer driven | 13 | 0.54 | 9 | 0.50 | 4 | 0.66 | |
Unknown | 21 | 0.87 | 16 | 0.89 | 5 | 0.82 | |
Region | 0.216 | ||||||
East | 743 | 30.87 | 557 | 30.94 | 186 | 30.64 | |
Midwest | 716 | 29.75 | 551 | 30.61 | 165 | 27.18 | |
South | 696 | 28.92 | 502 | 27.89 | 194 | 31.96 | |
West | 252 | 10.47 | 190 | 10.56 | 62 | 10.21 | |
MS-related symptoms b | |||||||
Visual | 454 | 18.86 | 326 | 18.11 | 128 | 21.09 | 0.105 |
Movement disorders | 662 | 27.50 | 507 | 28.17 | 155 | 25.54 | 0.209 |
Facial neuralgia | 52 | 2.16 | 35 | 1.94 | 17 | 2.80 | 0.210 |
Dizziness | 220 | 9.14 | 157 | 8.72 | 63 | 10.38 | 0.221 |
Fatigue | 52 | 2.16 | 38 | 2.11 | 14 | 2.31 | 0.775 |
Paralysis | 111 | 4.61 | 84 | 4.67 | 27 | 4.45 | 0.824 |
Headache | 33 | 1.37 | 25 | 1.39 | 8 | 1.32 | 0.897 |
Muscle | 245 | 10.18 | 178 | 9.89 | 67 | 11.04 | 0.418 |
Speech | 42 | 1.74 | 31 | 1.72 | 11 | 1.81 | 0.884 |
Skin disturbance | 432 | 17.95 | 319 | 17.72 | 113 | 18.62 | 0.620 |
Movement aids c | |||||||
Walker | 80 | 3.32 | 64 | 3.56 | 16 | 2.64 | 0.274 |
Wheelchair | 77 | 3.20 | 21 | 1.17 | 56 | 9.23 | 0.673 |
Prior DMT use (yes)d | 1,426 | 59.24 | 1,111 | 61.72 | 315 | 51.89 | < 0.001 |
Charlson Comorbidity Index (mean, SD) | 3.43 | 1.85 | 3.41 | 1.84 | 3.48 | 1.91 | 0.467 |
Relapse count | 0.57 | 1.14 | 0.55 | 1.09 | 0.62 | 1.27 | 0.239 |
a P value difference between persistent and nonpersistent natalizumab initiators within initiation year; chi-squared distributional test for categorical variables; t-test used for continuous variables.
c Movement aid codes identified in Appendix B (available in online article).
d Prior DMT use was defined as any claim for interferon beta 1a IM, interferon beta 1a SC, interferon beta 1b SC, or glatiramer acetate during the 12-month period prior to index date.
DMT = disease-modifying therapy; ICD-9-CM = International Classification of Diseases, Ninth Revision, Clinical Modification; IM = intramuscular; SC = subcutaneous; SD = standard deviation.