TABLE 4.
Health Care Costs for Patients Newly Diagnosed with NVAF in OAC-Naive Dabigatran and Warfarin Cohorts After Propensity Score Matching
| Post-index Costsa | Dabigatran Cohort (n = 824) Mean (SD) Median ($) | Warfarin Cohort (n = 824) Mean (SD) Median ($) | P Valueb (Comparing Means) |
|---|---|---|---|
| Total costsc | 3,151 (±6,744) 1,270 | 3,221 (±6,869) 1,255 | 0.701 |
| Pharmacy costs | |||
| Overall pharmacy | 455 (±429) 355 | 328 (±517) 187 | < 0.001 |
| AF-related pharmacy | 32 (±71) 0 | 20 (±55) 0 | 0.006 |
| Other pharmacy | 423 (±422) 326 | 308 (±515) 163 | < 0.001 |
| Medical costs | |||
| Overall medical | 2,696 (±6,699) 809 | 2,893 (±6,819) 960 | 0.179 |
| Hospitalizations | |||
| All-cause | 1,481 (±6,189) 0 | 1,518 (±5,958) 0 | 0.994 |
| Stroke-related | 41 (±523) 0 | 117 (±2,091) 0 | 0.279 |
| Myocardial infarction-related | 157 (±3,678) 0 | 225 (±3,053) 0 | 0.428 |
| Bleed-related | 70 (±787) 0 | 132 (±2,119) 0 | 0.450 |
| Emergency department visits | |||
| All-cause | 71 (±277) 0 | 76 (±419) 0 | 0.549 |
| Stroke-related | 0 (±8) 0 | 3 (±94) 0 | 0.999 |
| Myocardial infarction-related | 1 (±23) 0 | 1 (±36) 0 | 0.565 |
| Bleed-related | 1 (±16) 0 | 2 (±23) 0 | 0.460 |
| Physician office visits | |||
| All-cause | 197 (±545) 125 | 232 (±351) 164 | < 0.001 |
| Stroke-related | 3 (± 19) 0 | 2 (± 14) 0 | 0.476 |
| Myocardial infarction-related | 0 (±3) 0 | 1 (±9) 0 | 0.083 |
| Bleed-related | 0 (±1) 0 | 0 (±0) 0 | 0.564 |
| Outpatient visits | |||
| All-cause | 946 (±2,015) 320 | 1,067 (±2,350) 373 | 0.621 |
| Stroke-related | 11 (±155) 0 | 4 (±58) 0 | 0.158 |
| Myocardial infarction-related | 2 (±30) 0 | 1 (±24) 0 | 0.350 |
| Bleed-related | 3 (±47) 0 | 9 (±196) 0 | 0.121 |
aHealth care costs were measured as PPPM.
bWilcoxon signed rank sum test was used.
cOverall medical costs plus overall pharmacy costs.
AF = atrial fibrillation; NVAF = nonvalvular atrial fibrillation; OAC = oral anticoagulant; PPPM = per patient per month; SD = standard deviation.