Table 2.
Three Methods for Comparing Outcomes across Antidepressant Treatment Groups
Panel A. Generalized Linear Model Regressions | ||||||
---|---|---|---|---|---|---|
[1] | [2] | [3] | ||||
Outcome | Escitalopram - Citalopram |
Citalopram - Sertraline |
Escitalopram - Sertraline |
|||
Difference | P-value | Difference | P-value | Difference | P-value | |
Total Drug Spendinga |
104.18*** | <0.01 | −19.54* | 0.057 | 86.33*** | <0.01 |
Antidepressant Spendinga |
55.67*** | <0.01 | −3.10*** | <0.01 | 53.17*** | <0.01 |
6-Month MPRb | −3.17*** | <0.01 | 0.801 | 0.200 | −2.26*** | <0.01 |
1-year MPRb | −5.62*** | <0.01 | 0.467 | 0.613 | −5.09*** | <0.01 |
Total Non-Drug Spendinga |
150.02** | 0.043 | −0.947 | 0.990 | 148.23* | 0.055 |
Two-Part Models | ||||||
Difference | Confidence Interval |
Difference | Confidence Interval |
Difference | Confidence Interval |
|
Psychiatric- Related Spendingc |
75.94*** | 21.24 To 138.22 |
11.69 | −43.61 To 64.51 |
86.36*** | 28.45 To 149.17 |
Depression- Related Spendingc |
25.55 | −12.62 To 64.22 |
10.15 | −26.04 To 46.28 |
28.59 | −12.79 To 70.78 |
Observations | 3,052 | 2,893 | 2,853 |
Panel B. Propensity Score Matching | ||||||
---|---|---|---|---|---|---|
[1] | [2] | [3] | ||||
Ourcome | Escitalopram - Citalopram |
Citalopram - Sertraline |
Escitalopram - Sertraline |
|||
Difference | P-value | Difference | P-value | Difference | P-value | |
Total Drug Spending |
98.41*** | <0.01 | −18.33 | 0.110 | 77.53*** | <0.01 |
Antidepressant Spending |
54.81*** | <0.01 | −3.07*** | <0.01 | 51.77*** | <0.01 |
6-Month MPR | −3.31*** | <0.01 | 0.78 | 0.219 | −2.27*** | <0.01 |
1-year MPR | −5.65*** | <0.01 | 0.53 | 0.569 | −5.06*** | <0.01 |
Total Non- Drug Spending |
177.05** | 0.038 | 1.41 | 0.984 | 120.57 | 0.165 |
Psychiatric- Related Spending |
77.20** | 0.017 | 5.20 | 0.849 | 68.79** | 0.043 |
Depression- Related Spending |
35.83 | 0.093 | −1.95 | 0.920 | 17.22 | 0.4593 |
Observations | 3,052 | 2,893 | 2,853 |
Panel C. Instrumental Variables | ||||||
---|---|---|---|---|---|---|
[1] | [2] | [3] | ||||
Outcome | Escitalopram - Citalopram |
Citalopram - Sertraline |
Escitalopram - Sertraline |
|||
Difference | P-value | Difference | P-value | Difference | P-value | |
Total Drug Spending |
62.47 | 0.261 | −136.71* | 0.082 | 226.47** | 0.040 |
Antidepressant Spending |
68.45*** | <0.01 | −8.50 | 0.171 | 57.24*** | <0.01 |
6-Month MPR | −9.26*** | <0.01 | 3.97 | 0.382 | −2.56 | 0.658 |
1-year MPR | −12.81*** | <0.01 | 2.43 | 0.717 | −8.59 | 0.310 |
Total Non- Drug Spending |
−260.00 | 0.523 | 1898.78*** | <0.01 | 462.50 | 0.522 |
Psychiatric- Related Spending |
−308.77* | 0.083 | 351.38 | 0.100 | −39.03 | 0.887 |
Depression- Related Spending |
−283.77** | 0.026 | 314.78* | 0.075 | −164.58 | 0.426 |
First Stage F- Statistic |
56.50 | 27.44 | 18.15 | |||
Observations | 3,052 | 2,893 | 2,853 |
indicates standard errors were obtained from seemingly unrelated equations including total drug spending, antidepressant spending, and total non-drug spending, and corrected for heteroskedasticity (“suest” command approach in Stata)
indicates heteroskedasticity robust standard errors were used
indicates that the marginal effects from a two-part model are presented with bootstrapped confidence intervals.
Note:
denotes p-value<0.01;
denotes p-value<0.05; and
denotes p-value<0.1.