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. 2011 May;7(3 Suppl):46s–51s. doi: 10.1200/JOP.2011.000316

Table 1.

Adjudication Status of Newly Initiated Oral Oncolytic Claims

Patient Characteristic Total
Adjudication Status
Paid or Reversed With Follow-Up
Abandoned
No. % No. % No. %
Total patients 10,508 100.0 9,455 90.0 1,053 10.0
Age, years*
    0-40 302 2.9 272 90.1 30 9.9
    41-65 5,109 48.6 4,672 91.5 437 8.6
    65-80 3,837 36.5 3,419 89.1 418 10.9
    > 81 1,260 12.0 1,092 86.7 168 13.3
Sex
    Female 5,548 52.8 5,009 90.3 539 9.7
    Male 4,960 47.2 4,446 89.6 514 10.4
Annual household income*
    < $40,000 2,721 25.9 2,410 88.6 311 11.4
    $40,000-$75,000 4,038 38.4 3,626 89.8 412 10.2
    > $75,000 3,749 35.7 3,419 91.2 330 8.8
Geographic region
    Midwest 2,355 22.4 2,105 89.4 250 10.6
    Northeast 2,764 26.3 2,479 89.7 285 10.3
    South 3,692 35.1 3,343 90.6 349 9.5
    West 1,697 16.1 1,528 90.0 169 10.0
Patient cost-sharing amount*
    $0-$100 7,638 72.7 7,147 93.6 491 6.4
    $101-$150 271 2.6 242 89.3 29 10.7
    $151-$200 258 2.5 234 90.7 24 9.3
    $201-$250 123 1.2 108 87.8 15 12.2
    $251-$350 291 2.8 256 88.0 35 12.0
    $351-$500 200 1.9 168 84.0 32 16.0
    > $500 1,727 16.4 1,300 75.3 427 24.7
Insurance type*
    Medicare 1,737 16.5 1,467 84.5 270 15.5
    Commercial 8,771 83.5 7,988 91.1 783 8.9
Prescription activity, No. of claims*
    0 3,049 29.0 2,775 91.0 274 9.0
    1 1,318 12.5 1,207 91.6 111 8.4
    2-3 2,168 20.6 1,947 89.8 221 10.2
    4-5 1,550 14.8 1,383 89.2 167 10.8
    > 5 2,423 23.1 2,143 88.4 280 11.6
Study drug*
    Capecitabine 3,758 35.8 3,527 93.9 231 6.2
    Imatinib 1,380 13.1 1,194 86.5 186 13.5
    Sorafenib 460 4.4 335 72.8 125 27.2
    Lenalidomide 1,038 9.9 960 92.5 78 7.5
    Sunitinib 569 5.4 501 88.1 68 12.0
    Erlotinib 2,022 19.2 1,763 87.2 259 12.8
    Temozolomide 1,060 10.1 982 92.6 78 7.4
    Lapatinib 221 2.1 193 87.3 28 12.7
*

χ2; P < .05.