Table 2.
Six-month pre-index and 12-month post-index clinical characteristics in commercially insured acromegalic individuals, by study cohort
Comorbidities (%) | 6-month pre-index period | 12-month post-index period | ||||
---|---|---|---|---|---|---|
Medical therapy (N = 169) | Surgical therapy (N = 228) | p value | Medical therapy (N = 169) | Surgical therapy (N = 228) | p value | |
Local effects | ||||||
Visual-field defects | 0.6 | 1.8 | 0.082 | 3.1 | 4.8 | 0.103 |
Hypopituitarism | 5.3 | 13.6 | 0.665 | 4.4 | 16.2 | 0.471 |
Musculoskeletal | ||||||
Osteoarthritis | 7.7 | 14.2 | 0.593 | 9.2 | 13.6 | 0.863 |
Arthropathy/arthralgia/synovitis | 12.4 | 20.1 | 0.860 | 11.8 | 19.3 | 0.839 |
Kyphosis and scoliosis | 0.0 | 1.2 | 0.134 | 1.3 | 0.9 | 0.763 |
Vertebral fracture | 0.0 | 1.2 | 0.134 | 1.3 | 0.4 | 0.397 |
Carpal tunnel syndrome | 0.6 | 2.4 | 0.127 | 2.6 | 4.4 | 0.281 |
Myopathy/myalgia | 3.6 | 4.1 | 0.597 | 2.6 | 5.7 | 0.482 |
Cardiovascular | ||||||
Hypertension | 23.7 | 34.3 | 0.068 | 32.0 | 50.4 | 0.001 |
Cardiomyopathy | 0.6 | 1.8 | 0.127 | 2.6 | 3.5 | 0.298 |
Cardiac hypertrophy | 1.2 | 3.0 | 0.645 | 1.8 | 4.4 | 0.461 |
Heart failure | 0.0 | 1.8 | 0.053 | 2.2 | 2.2 | 0.770 |
Valvular heart disease | 3.0 | 5.3 | 0.350 | 4.8 | 7.9 | 0.315 |
Cardiac dysrhythmia/arrhythmia | 3.0 | 9.5 | 0.074 | 7.0 | 16.7 | 0.039 |
Respiratory | ||||||
Nasal polyps | 0.6 | 1.2 | 0.831 | 0.4 | 2.6 | 0.310 |
Sleep apnea (obstructive and central) | 7.1 | 14.2 | 0.009 | 15.8 | 31.6 | <0.001 |
Endocrine/metabolic | ||||||
Diabetesa | 14.8 | 23.1 | 0.536 | 17.1 | 27.2 | 0.352 |
Abnormal glucose | 1.8 | 5.3 | 0.072 | 5.3 | 11.0 | 0.047 |
Galactorrhea | 1.8 | 1.2 | 0.428 | 0.9 | 0.4 | 0.397 |
Menstrual abnormality | 7.1 | 8.9 | 0.448 | 5.3 | 7.9 | 0.726 |
Impaired libido/impotence | 1.2 | 3.6 | 0.310 | 2.6 | 4.0 | 0.837 |
Other | ||||||
Colon polyp | 2.4 | 5.9 | 0.668 | 1.8 | 10.5 | 0.105 |
Hyperhidrosis | 0.6 | 0.0 | 0.196 | 2.2 | 2.2 | 0.053 |
aExcluding impaired glucose tolerance