Table 1.
Demographic Characteristics, Comorbidities, and Health Services Utilization* of Women Initiating Weekly Alendronate or Risedronate and Adherent**
Alendronate (n = 12,956) N (%) | Risedronate (n = 6,107) N (%) | P value | |
---|---|---|---|
| |||
Demographics | |||
Age | < 0.0001 | ||
65–74 | 7488 (57.8) | 3287 (53.8) | |
≥ 75 | 5468 (42.2) | 2820 (46.2) | |
| |||
Prior Fracture | |||
Hip | 259 (2.0) | 133 (2.2) | 0.42 |
Wrist/Forearm | 201 (1.6) | 73 (1.2) | 0.05 |
Clinical Vertebral | 333 (2.6) | 172 (2.8) | 0.29 |
Non-hip, non-vertebral | 486 (3.8) | 221 (3.6) | 0.65 |
Any non-vertebral | 619 (4.8) | 294 (4.8) | 0.91 |
| |||
Osteoporosis diagnosis | 5635 (43.5) | 2623 (43.0) | 0.48 |
Other Selected Comorbidities | |||
Diabetes | 1305 (10.1) | 701 (11.5) | 0.003 |
Rheumatoid Arthritis | 386 (3.0) | 179 (2.9) | 0.55 |
Hyperlipidemia | 4040 (31.2) | 1948 (31.9) | 0.32 |
Tobacco abuse | 71 (0.6) | 49 (0.8) | 0.04 |
Hyperthyroidism | 155 (1.2) | 72 (1.2) | 0.92 |
Charlson Comorbidity Index, mean ± SD*** | 0.64 ± 1.2 | 0.70 ± 1.3 | 0.002 |
| |||
Prior Use of Selected Medications | |||
Systemic Estrogen | 1622 (12.5) | 752 (12.3) | 0.69 |
Teriparatide | 4 (0.0) | 5 (0.1) | 0.13 |
Raloxifene | 328 (2.5) | 160 (2.6) | 0.72 |
Nasal calcitonin | 363 (2.8) | 166 (2.7) | 0.74 |
Systemic Glucocorticoids | 1110 (8.6) | 589 (9.6) | 0.01 |
| |||
Health Services Utilization* | |||
Outpatient visits, mean ± SD | 3.5 ± 3.1 | 3.7 ± 3.3 | 0.0003 |
Any hospitalization | 1049 (8.1) | 533 (8.7) | 0.14 |
Bone Mineral Density Test | 5904 (45.6) | 3108 (50.9) | < 0.0001 |
Other Screening Tests | |||
Mammography | 3460 (26.7) | 1748 (28.6) | 0.01 |
Colonoscopy | 610 (4.7) | 300 (4.9) | 0.54 |
Fecal Occult Blood Test | 1794 (13.9) | 776 (12.7) | 0.03 |
Flexible Sigmoidscopy | 63 (0.5) | 24 (0.4) | 0.37 |
The chi-square test was used to compare categorical variables and t-tests for continuous variables
all factors assessed in the 6 months prior to first bisphosphonate use
defined as having no more than a 15 day gap after the end of one prescription until the next prescription was filled
the Charlson comorbidity index is an aggregate sum of pre-defined medical comorbidities, from (16)