TABLE 3.
Adherence and Persistence with LA (6 Months) and Time to Surgery (12 Months) Following LA Initiation Among Women with Endometriosis
LA Plus Add-Back: NETA | LA Plus Add-Back: Other Therapies | LA Only | P Value for LA Plus NETA vs. LA Plus Other | P Value for LA Plus NETA vs. LA Only | ||||
---|---|---|---|---|---|---|---|---|
n = 470 | n = 681 | n = 1,963 | ||||||
% | n | % | n | % | n | |||
Persistence | ||||||||
Discontinued during 6 months | 37.9 | 178 | 40.2 | 274 | 59.6 | 1,169 | 0.420 | < 0.001 |
Restarted LAa | 18.5 | 33 | 13.5 | 37 | 7.8 | 91 | 0.148 | < 0.001 |
Mean [SD] days persistent during 6 months | 139 | [56.0] | 136 | [57.4] | 111 | [62.3] | 0.356 | < 0.001 |
Adherence | ||||||||
Mean [SD] PDC during 6 months | 0.70 | [0.27] | 0.68 | [0.28] | 0.56 | [0.30] | 0.398 | < 0.001 |
PDC ≥ 80 | 47.2 | 222 | 47.9 | 326 | 31.5 | 619 | 0.193 | < 0.001 |
Endometriosis-related surgery | ||||||||
Had surgery | 12.6 | 59 | 16.9 | 115 | 16.9 | 332 | 0.044 | 0.021 |
Laparotomy | 0.9 | 4 | 0.3 | 2 | 1.0 | 19 | 0.197 | 0.814 |
Laparoscopy | 3.6 | 17 | 5.3 | 36 | 4.0 | 79 | 0.184 | 0.684 |
Other excision/ablation/fulguration | 4.5 | 21 | 5.4 | 37 | 5.2 | 103 | 0.462 | 0.490 |
Oophorectomy | 1.7 | 41 | 12.2 | 83 | 12.2 | 239 | 0.062 | 0.035 |
Mean [SD] days to endometriosis-related surgery, among those who had surgery | 185 | [86.4] | 167 | [94.7] | 139 | [94.9] | 0.217 | 0.001 |
Mean [SD] days to laparotomy | 151 | [89.2] | 250 | [115.3] | 169 | [111.8] | 0.301 | 0.762 |
Mean [SD] days to laparoscopy | 161 | [105.4] | 181 | [102.4] | 155 | [92.0] | 0.502 | 0.814 |
Mean [SD] days to other excision/ablation/fulguration | 165 | [96.5] | 185 | [103.9] | 146 | [96.7] | 0.476 | 0.408 |
Mean [SD] days to oophorectomy | 195 | [41.0] | 170 | [97.7] | 144 | [79.2] | 0.500 | 0.086 |
Mean [SD] days to hysterectomy | 189 | [81.2] | 153 | [89.3] | 137 | [94.3] | 0.032 | 0.001 |
a Denominator is the number of patients who discontinued LA.
LA = leuprolide acetate; NETA = norethindrone acetate; PDC = proportion of days covered; SD = standard deviation.