Table 2.
DPP-4i (n = 29,366) |
TZD (n = 26,332) |
Effect of channelingb | weighted TZDc |
|||||
---|---|---|---|---|---|---|---|---|
N | % | N | % | Odds ratio |
95% CI | % | ||
Age Mean (SD) | 75.61 (7.10) | 74.64 (6.70) | 0.945 | 0.901 | 0.992 | 75.62 (7.50) | ||
66 to 75 years old | 16407 | 55.87 | 16100 | 61.14 | - | - | - | 55.60 |
76 to 85 years old | 9782 | 33.31 | 8130 | 30.87 | - | - | - | 33.65 |
86 years and above | 3177 | 10.82 | 2102 | 7.98 | - | - | - | 10.74 |
Male | 10590 | 36.06 | 10609 | 40.29 | 0.884 | 0.852 | 0.916 | 35.94 |
White | 22245 | 75.75 | 18628 | 70.74 | 1.321 | 1.259 | 1.387 | 75.77 |
Black | 3059 | 10.42 | 3140 | 11.92 | 1.060 | 0.99 | 1.134 | 10.40 |
Other | 4062 | 13.83 | 4564 | 17.33 | (reference) | 13.83 | ||
Comorbiditiesd | ||||||||
Connective tissue disease | 9966 | 33.94 | 7763 | 29.48 | 1.108 | 1.067 | 1.15 | 34.08 |
Depression | 4709 | 16.04 | 3712 | 14.10 | 1.003 | 0.955 | 1.054 | 16.15 |
Chronic obstructive pulmonary disease | 5595 | 19.05 | 3999 | 15.19 | 1.080 | 1.030 | 1.133 | 18.88 |
Chronic kidney disease | 5790 | 19.72 | 4031 | 15.31 | 1.114 | 1.058 | 1.172 | 19.70 |
Congestive heart failure | 7740 | 26.36 | 4373 | 16.61 | 1.430 | 1.361 | 1.502 | 26.41 |
Diabetic neuropathy | 6478 | 22.06 | 4813 | 18.28 | 1.114 | 1.066 | 1.164 | 22.24 |
Diabetic nephropathy | 2660 | 9.06 | 1954 | 7.42 | 1.040 | 0.971 | 1.114 | 9.12 |
Diabetic retinopathy | 5260 | 17.91 | 4432 | 16.83 | 1.010 | 0.965 | 1.058 | 17.92 |
Diabetic cataract | 83 | 0.28 | 73 | 0.28 | 0.988 | 0.716 | 1.364 | 0.28 |
Gastrointestinal disorders | 256 | 0.87 | 208 | 0.79 | 1.006 | 0.834 | 1.215 | 0.86 |
Alcohol use e | 316 | 1.08 | 258 | 0.98 | 1.132 | 0.954 | 1.342 | 1.10 |
Tobacco use e | 78 | 0.27 | 59 | 0.22 | 1.086 | 0.769 | 1.534 | 0.26 |
Pancreatitis | 318 | 1.08 | 243 | 0.92 | 1.071 | 0.902 | 1.273 | 1.08 |
Medication usef | ||||||||
Insulin | 5409 | 18.42 | 4445 | 16.88 | 0.977 | 0.932 | 1.024 | 18.51 |
Metformin | 16805 | 57.23 | 14282 | 54.24 | 1.208 | 1.165 | 1.253 | 57.68 |
Sulfonylureas | 13530 | 46.07 | 11352 | 43.11 | 1.051 | 1.015 | 1.089 | 46.25 |
Angiotensin converting enzyme inhibitors | 10907 | 37.14 | 9899 | 37.59 | 0.949 | 0.914 | 0.986 | 37.20 |
Angiotensin receptor blockers | 8184 | 27.87 | 5982 | 22.72 | 1.216 | 1.166 | 1.269 | 28.11 |
Statins | 19331 | 65.83 | 15466 | 58.73 | 1.206 | 1.163 | 1.252 | 65.85 |
Loop diuretics | 8294 | 28.24 | 5025 | 19.08 | 1.245 | 1.189 | 1.304 | 28.26 |
Other diuretics | 7831 | 26.67 | 6861 | 26.06 | 0.99 | 0.952 | 1.03 | 26.48 |
Beta blockers | 15350 | 52.27 | 11288 | 42.87 | 1.217 | 1.174 | 1.261 | 52.23 |
Calcium channel blockers | 10334 | 35.19 | 8440 | 32.05 | 1.049 | 1.011 | 1.088 | 35.39 |
Healthcare utilizationd | ||||||||
Blood tests | 2675 | 9.11 | 2261 | 8.59 | 1.032 | 0.972 | 1.096 | 9.08 |
Lipid panel | 25483 | 86.78 | 22105 | 83.95 | 1.196 | 1.138 | 1.258 | 87.01 |
Influenza vaccinations | 16325 | 55.59 | 13427 | 50.99 | 1.112 | 1.074 | 1.151 | 55.79 |
Initiation defined as no dispensed prescriptions for DPP-4i or TZD during the 6 months before initiation and filling a second prescription of the same drug/drug class within 6 months after the first prescription
Channeling between initiation of DPP-4i versus initiation of TZD; odds ratios from multivariable logistic regression model including all covariates presented in the table (i.e., the propensity score model); odds ratios >1.0 indicate more likely to be initiated on DPP-4i than TZD
Pseudo-population of TZD initiators weighted to the distribution of covariates of the DPP-4i initiators using the propensity score to balance covariates (and therefore control for confounding)
Measured in the 12 months before drug initiation
Tobacco use and alcohol use and abuse defined using ICD-9-CM codes may be underestimated.
Measured in the 6 months before drug initiation