TABLE 4.
Statin Treatment Patterns in P+ and P+ Augmented with LRx
Proportion of Patients, n (%) | P+ Only (N= 965,785) | P+ Augmented with LRx (N = 965,785) | P Value |
---|---|---|---|
Low-intensity statin (at index) | 118,037 (12.2) | 117,540 (12.2) | 0.275 |
Moderate-intensity statin (at index) | 602,158 (62.3) | 601,474 (62.3) | 0.310 |
High-intensity statin (at index) | 233,622 (24.2) | 235,170 (24.4) | 0.009 |
With dose increase | 74,058 (7.7) | 78,903 (8.2) | < 0.001 |
With dose decrease | 35,130 (3.6) | 39,597 (4.1) | < 0.001 |
With intensity escalation | 41,837 (4.3) | 44,317 (4.6) | < 0.001 |
Low to moderate intensity | 14,142 (1.5) | 14,845 (1.5) | < 0.001 |
Moderate to high intensity | 25,727 (2.7) | 27,348 (2.8) | < 0.001 |
Low to high intensity | 1,968 (0.2) | 2,124 (0.2) | 0.015 |
With intensity reduction | 19,185 (2.0) | 21,360 (2.2) | < 0.001 |
Moderate to low intensity | 7,295 (0.8) | 8,042 (0.8) | < 0.001 |
High to moderate intensity | 10,852 (1.1) | 12,133 (1.3) | < 0.001 |
High to low intensity | 1,038 (0.1) | 1,185 (0.1) | 0.002 |
Started on monotherapy | 926,716 (96.0) | 924,157 (95.7) | < 0.001 |
Augmented to combination therapy | 72,885 (7.9) | 80,281 (8.7) | < 0.001 |
Started on combination therapy | 39,069 (4.0) | 41,628 (4.3) | < 0.001 |
Augmented from combination therapy | 4,620 (11.8) | 5,583 (13.4) | < 0.001 |
Discontinued (≥ 90-day gap) | 276,021 (28.6) | 254,460 (26.3) | < 0.001 |
Reinitiated after ≥ 90-day gap | 38,786 (14.1) | 38,402 (15.1) | < 0.001 |
Discontinued (≥ 60-day gap) | 351,184 (36.4) | 326,533 (33.8) | < 0.001 |
Reinitiated after ≥ 60-day gap | 194,032 (55.3) | 183,318 (56.1) | < 0.001 |
Note: Because of the unavailability of published statin dose equivalents for ezetimibe, dose intensity was unavailable for approximately 1.2% of patients on ezetimibe monotherapy at index.
LRx = IMS longitudinal pharmacy point-of-sale prescription claims database; P+ = PharMetrics Plus claims database.