Table 2.
Medication possession ratio and persistence of statin users1 prior to and following breast cancer diagnosis and treatment
Observation period | N | MPR2 | MPR2 ≥ 0.8 | Discontinuation episodes3 | 1 - DR4 | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Mean | SD | IQR | n | (%) | Mean | Median | SD | IQR | n | (%) | |||
Diagnosis − 1 year | Year −1 | 1,393 | 0.778 | (0.294) | 0.657–0.986 | 934 | 67.0% | 1.003 | 1 | (1.154) | 0–2 | 704 | 50.5% |
Diagnosis + last treatment | Treatment period5 | 1,384 | 0.678 | (0.336) | 0.500–0.979 | 718 | 51.9% | 0.490 | 0 | (0.604) | 0–1 | 799 | 57.7% |
Last treatment + 1 year | Year +1 | 1,129 | 0.650 | (0.346) | 0.247–0.986 | 557 | 49.3% | 1.219 | 1 | (1.250) | 0–2 | 469 | 41.5% |
End of year 1 + 1 year | Year +2 | 1,040 | 0.634 | (0.296) | 0.247–0.986 | 368 | 35.4% | 1.200 | 1 | (1.159) | 0–2 | 414 | 39.8% |
End of year 2 + 1 year | Year +3 | 959 | 0.686 | (0.318) | 0.329–0.986 | 482 | 50.2% | 1.176 | 1 | (1.192) | 0–2 | 394 | 41.1% |
≥1 Dispensing of statin medication in the year prior to breast cancer diagnosis
Medication possession ratio (MPR): proportion of days’ supply medication dispensed over the observed days of intended use; patients considered adherent at MPR ≥ 0.8, non-adherent at MPR < 0.8
Discontinuation episodes: gaps of ≥90 days between dispensing of subsequent filling
Discontinuation rate (DR): proportion of users with at least one discontinuation episode; 1 - DR = proportion of users with no interruptions in therapy
Treatment period: SEER diagnosis date to the latest of primary cancer treatment (surgery, radiation, or chemotherapy) plus 90 days
Mean MPR from all periods are statistically different (P < 0.05) in comparison to Year-1
Abbreviations: SD Standard deviation; IQR Interquartile range