TABLE 3.
Comparison of Annual Health Care Utilization Between Early and Late TKI Initiator Patients
Average Annual Utilization (mean ± SD) | Unadjusted | Adjusted | ||||
---|---|---|---|---|---|---|
Patients Who Initiated TKI Therapy | IRRa | P Value | IRRa | P Value | ||
≤ 1 Month from First CML Diagnosis (n = 397) | Within >1-12 Months from First CML Diagnosis (n = 80) | |||||
Outpatient physician visits | 17.49 ± 9.81 | 17.80 ± 14.89 | 0.98 | 0.86 | 1.01 | 0.89 |
Emergency room visits | 0.54 ± 1.98 | 0.79 ± 2.11 | 0.69 | 0.29 | 0.73 | 0.27 |
All-cause hospitalizations | 0.08 ± 0.45 | 0.26 ± 0.82 | 0.29 | < 0.01b | 0.35 | 0.02b |
CML-specific hospitalizations | 0.04 ± 0.24 | 0.21 ± 0.77 | 0.19 | < 0.01b | 0.27 | < 0.01b |
Number of prescriptions (all drugs) | 34.35 ± 27.22 | 37.60 ± 31.81 | 0.91 | 0.38 | 0.88 | 0.09 |
Number of TKI prescriptions | 10.23 ± 3.41 | 9.79 ± 4.48 | 1.05 | 0.41 | 0.99 | 0.77 |
Number of non-TKI prescriptions | 24.12 ± 26.54 | 27.81 ± 30.60 | 0.87 | 0.29 | 0.81 | 0.06 |
a An IRR >1 indicates that early initiators had higher incidence of incurring medical services compared with late initiators. IRRs were estimated using multivariable negative binomial regressions.
b Significant at the 5% level.
CML = chronic myeloid leukemia; IRR = incidence rate ratio; SD = standard deviation; TKI = tyrosine kinase inhibitor.