TABLE 4.
Evaluation of Potential Predictors of Adherence to and Duration of Treatment with Oral Erlotinib (N = 1,088)
| Parameter | Adherencea | Persistence | ||||
|---|---|---|---|---|---|---|
| OR | (95% CI) | P Value | HR | (95% CI) | P Value | |
| Age, years | 1.01 | (0.99-1.03) | 0.26 | 0.99 | (0.98-1.00) | 0.22 |
| Gender (male vs. female) | 1.02 | (0.80-1.30) | 0.88 | 1.07 | (0.93-1.24) | 0.33 |
| Race/ethnicity (black/other vs. white) | 1.26 | (0.91-1.75) | 0.16 | 0.87 | (0.72-1.05) | 0.1535 |
| Patient’s geographic region (Northeast vs. South) | 2.07 | (1.00-4.27) | 0.07 | 0.59 | (0.35-1.00) | 0.05 |
| Patient’s geographic region (West vs. South) | 1.18 | (0.76-1.83) | 0.76 | 0.83 | (0.63-1.09) | 0.18 |
| Patient’s geographic region (Midwest vs. South) | 1.00 | (0.75-1.32) | 0.11 | 1.04 | (0.88-1.22) | 0.65 |
| Population density (urban vs. rural) | 1.07 | (0.70-1.62) | 0.49 | 0.81 | (0.64-1.02) | 0.08 |
| Population density (suburban vs. rural) | 1.38 | (0.87-2.19) | 0.07 | 0.73 | (0.56-0.95) | 0.02 |
| Low-income subsidy recipient (Medicare Advantage only) | 0.56 | (0.36-0.89) | 0.01 | 2.33 | (1.67-3.26) | < 0.0001 |
| Dual eligible recipient (Medicare Advantage only) | 1.20 | (0.78-1.85) | 0.42 | 2.09 | (1.48-2.96) | < 0.0001 |
| Commercial vs. Medicare | 1.06 | (0.62-1.80) | 0.84 | 0.48 | (0.35-0.66) | < 0.0001 |
| Deyo-Charlson Comorbidity Index | 1.01 | (0.96-1.07) | 0.64 | 1.01 | (0.98-1.04) | 0.51 |
| Diagnosis of metastatic disease | 1.27 | (0.88-1.84) | 0.20 | 1.07 | (0.88-1.31) | 0.48 |
| Diagnosis of other neoplasms | 1.20 | (0.92-1.57) | 0.17 | 1.00 | (0.86-1.16) | 0.97 |
| Previous IV therapy | 0.73 | (0.56-0.96) | 0.03 | 1.06 | (0.91-1.24) | 0.46 |
| Baseline total health care costs (per $1,000) | 1.03 | (1.00-1.06) | 0.02 | 1.01 | (1.00-1.03) | 0.13 |
| Erlotinib out-of-pocket costs per prescription (per $100) | 0.97 | (0.95-0.98) | 0.0001 | 1.15 | (1.13-1.17) | < 0.0001 |
Note: Intercept Only: -2 log likelihood 1671.394; Full Model: -2 log likelihood 1616.413 c2 = 54.9812 df = 17, 0.0001; c = 0.628.
aAdherence defined as medication possession ratio > 80%.
CI = confidence interval; df = degrees of freedom; HR = hazards ratio; IV = intravenous; OR = odds ratio.