Table 5.
Base case |
With propensity |
With adherence |
||||
---|---|---|---|---|---|---|
Hazard ratio | P value | Hazard ratio | P value | Hazard ratio | P value | |
Nevirapine based | 1.09 | 0.150 | 1.10 | 0.152 | 1.06 | 0.367 |
Single protease inhibitor based | 1.16 | 0.002 | 1.16 | 0.002 | 1.16 | 0.003 |
Boosted protease inhibitor baseda | 0.92 | 0.065 | 0.92 | 0.248 | 0.95 | 0.471 |
Triple nucleoside based | 1.27 | 0.090 | 1.26 | 0.001 | 1.22 | 0.011 |
Other based | 1.22 | 0.083 | 1.22 | 0.004 | 1.17 | 0.036 |
Current illicit drug use, compared with none | 1.01 | 0.826 | 1.01 | 0.820 | 1.01 | 0.731 |
African-American, compared with Caucasian | 0.95 | 0.111 | 0.95 | 0.128 | 0.99 | 0.700 |
Hispanic, compared with Caucasian | 1.02 | 0.710 | 1.02 | 0.752 | 1.08 | 0.251 |
Other, compared with Caucasian | 0.86 | 0.009 | 0.87 | 0.014 | 0.89 | 0.061 |
Baseline log RNA, per log unit | 1.06 | 0.002 | 1.06 | 0.003 | 1.06 | 0.008 |
Baseline CD4 cell count, per 100 cells/μl | 0.96 | <0.001 | 0.96 | <0.001 | 0.96 | <0.001 |
Start in 1998, compared with ≤1997 | 1.04 | 0.397 | 1.04 | 0.367 | 1.06 | 0.192 |
Start in 1999, compared with ≤1997 | 1.31 | <0.001 | 1.31 | 0.004 | 1.34 | <0.001 |
Start in 2000, compared with ≤1997 | 1.55 | <0.001 | 1.56 | 0.002 | 1.64 | <0.001 |
Start in ≥2001, compared with ≤1997 | 2.19 | <0.001 | 2.19 | <0.001 | 2.35 | <0.001 |
Stavudine/lamivudine backbone, compared with zidovudine/lamivudine | 1.06 | 0.057 | 1.06 | 0.057 | 1.08 | 0.032 |
Other backbone, compared with zidovudine/lamivudine | 1.19 | <0.001 | 1.19 | <0.001 | 1.20 | <0.001 |
Propensity score | NAb | 1.01 | 0.976 | NAb | ||
Adherence 60–80%, compared with 80–100% | NAc | NAc | 0.86 | <0.001 | ||
Adherence 40–60%, compared with 80–100% | 0.77 | <0.001 | ||||
Adherence 20–40%, compared with 80–100% | 0.88 | 0.010 | ||||
Adherence 0–20%, compared with 80–100% | 1.01 | 0.942 |
Efavirenz-based therapy is the referent category. Positive numbers represent a greater hazard for changing regimens, and are therefore less favorable. Results from three different models are displayed; the first does not adjust for the likelihood of being prescribed efavirenz nor levels of adherence (Base case), the second uses propensity scores to adjust for confounding by treatment selection (With propensity), and the third adjusts for the level of medication regimen adherence (With adherence).
Subgroups of boosted protease inhibitor regimens not evaluated because no effect was apparent in the larger group.
Not applicable because analysis did not attempt to control for propensity.
Not applicable because analysis did not attempt to control for adherence.