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. 2017 Sep;23(9):10.18553/jmcp.2017.23.9.936. doi: 10.18553/jmcp.2017.23.9.936

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.