Table 1.
Descriptive statistics and regression results of the relationship between prescription fills by drug class, hospitalization, hospital days, and Medicare spending for Medicare beneficiaries with diabetes, 1997–2004
Drug classes | Number of drug users (%) | Mean ± SD annual prescription fills | Hospitalization risk |
Inpatient days |
Medicare spending (2006 USD) |
|||
---|---|---|---|---|---|---|---|---|
Unadjusted% | Conditional marginal effect of an additional prescription fill on the probability of hospitalization | Unadjusted mean ± SD | Conditional marginal effect of an additional prescription fill on inpatient days | Unadjusted mean ± SD | Conditional marginal effect of an additional prescription fill on Medicare spending | |||
Older oral antidiabetes agents* | 6,747 (47.1) | 8.3 ± 5.6 | 27.4 | −0.3 (−0.5 to −0.04)† | 2.8 ± 8.4 | −0.04 (−0.06 to −0.02)‡ | 8,565 ± 16,937 | −71 (−114 to −28)§ |
Newer oral antidiabetes agents‖ | 1,910 (13.3) | 5.8 ± 4.1 | 30.8 | 0.1 (−0.5 to 0.7) | 3.5 ± 10.1 | −0.02 (−0.06 to −0.02) | 10,436 ± 19,533 | 66 (−41 to 174) |
Insulins | 875 (6.1) | 6.0 ± 5.1 | 42.9 | −0.6 (−1.5 to 0.2) | 6.1 ± 13.9 | 0.03 (−0.03 to 0.10) | 16,950 ± 28,412 | 27 (−165 to 219) |
ACE inhibitors | 5,490 (38.4) | 6.5 ± 4.0 | 32.3 | −0.9 (−1.3 to −0.5)‡ | 3.6 ± 9.5 | −0.07 (−0.10 to −0.04)‡ | 11,019 ± 20,509 | −164 (−238 to −91)‡ |
ARBs | 1,724 (12.0) | 5.9 ± 3.8 | 31.3 | −1.3 (−2.0 to 0.6)‡ | 3.6 ± 9.7 | −0.12 (−0.16 to −0.07)‡ | 11,592 ± 20,992 | −159 (−284 to −34)† |
Statins | 4,641 (32.4) | 6.0 ± 3.8 | 29.5 | −0.5 (−0.9 to −0.04)† | 3.1 ± 9.1 | −0.05 (−0.09 to −0.02)§ | 10,396 ± 19,847 | −107 (−193 to −21)† |
Other lipid-lowering agents | 936 (6.5) | 5.3 ± 3.8 | 28.3 | —¶ | 2.7 ± 8.0 | −0.07 (−0.14 to 0.00) | 9,828 ± 20,012 | −48 (−204 to 108) |
*Includes metformin and sulfonylureas.
†P < 0.05, significant difference;
‡P < 0.001, significant difference;
§P < 0.01, significant difference.
‖Includes thiazolidinediones, meglitinides, and α-glucosidase inhibitors.
¶Estimate failed to converge.