Table 5.
Independent variable | Bisphosphonate treatment initiation Bisphosphonate versus nonbisphosphonate
|
|||
---|---|---|---|---|
Odds ratioa | 95% CI | P-value | ||
Presence of postdiagnosis GI event (ref: absence of postdiagnosis GI events) | ||||
Patients without a prediagnosis GI event | 0.887 | 0.804 | 0.979 | 0.0171 |
Patients with a prediagnosis GI event | 0.859 | 0.797 | 0.926 | <0.0001 |
Baseline characteristics | ||||
Age at diagnosis (ref: 66–74 years) | ||||
75–84 years | 0.801 | 0.752 | 0.854 | <0.0001 |
≥85 years | 0.521 | 0.485 | 0.559 | <0.0001 |
Pill burden | 0.970 | 0.964 | 0.976 | <0.0001 |
Medication use | ||||
Gastroprotective agents | 0.682 | 0.642 | 0.724 | <0.0001 |
Glucocorticoids | 1.291 | 1.211 | 1.377 | <0.0001 |
NSAID | 1.102 | 1.031 | 1.178 | 0.0043 |
Dual eligibility (yes) | 0.818 | 0.767 | 0.871 | <0.0001 |
Baseline bone mineral density testing (yes) in 6 months before the OP diagnosis | 2.446 | 2.318 | 2.581 | <0.0001 |
Charlson comorbidity index | 0.956 | 0.933 | 0.981 | 0.0005 |
OP-related comorbidities | ||||
Chronic inflammatory bowel disease | 1.030 | 0.779 | 1.360 | 0.8369 |
Chronic inflammatory joint disease | 0.966 | 0.912 | 1.024 | 0.2453 |
Celiac disease | 0.461 | 0.273 | 0.780 | 0.0039 |
Diabetes | 1.285 | 1.195 | 1.381 | <0.0001 |
Chronic kidney disease | 0.933 | 0.850 | 1.023 | 0.1390 |
Hypertension | 1.227 | 1.151 | 1.309 | <0.0001 |
Hyperparathyroidism | 0.914 | 0.697 | 1.198 | 0.5137 |
Vitamin D deficiency | 0.881 | 0.707 | 1.097 | 0.2562 |
12-month health care costs | 1.000 | 0.999 | 1.000 | 0.8289 |
Note:
Adjusted for patient baseline characteristics.
Abbreviations: GI, gastrointestinal; CI, confidence interval; ref, reference group; NSAID, nonsteroidal anti-inflammatory drug; OP, osteoporosis.