TABLE 3.
Adherence Comparison of Index Medication Among Patients with High and Very High Stroke Risk
3 Months | ||||
---|---|---|---|---|
Rivaroxaban | Dabigatran | Apixaban | P Value | |
CHA2DS2-VASc = 2 or 3 | ||||
PDC | ||||
Mean (SD) | 0.84 (0.25) | 0.79 (0.28) | 0.83 (0.26) | < 0.001 |
≥ 0.80, n (%) | 2,796 (74.3) | 663 (64.8) | 760 (73.3) | < 0.001 |
0.50-0.79, n (%) | 394 (10.5) | 140 (13.7) | 139 (13.4) | |
< 0.50, n (%) | 574 (15.3) | 220 (21.5) | 138 (13.3) | |
CHA2DS2-VASc ≥ 4 | ||||
PDC | ||||
Mean (SD) | 0.87 (0.24) | 0.78 (0.30) | 0.85 (0.24) | < 0.001 |
≥ 0.80, n (%) | 2,998 (76.3) | 609 (64.0) | 1,019 (74.9) | < 0.001 |
0.50-0.79, n (%) | 421 (10.7) | 131 (13.8) | 173 (12.7) | |
< 0.50, n (%) | 510 (13.0) | 212 (22.3) | 168 (12.4) | |
6 Months | ||||
CHA2DS2-VASc = 2 or 3 | ||||
PDC | ||||
Mean (SD) | 0.75 (0.31) | 0.68 (0.33) | 0.74 (0.30) | < 0.001 |
≥ 0.80, n (%) | 2,196 (64.1) | 511 (52.5) | 546 (62.5) | < 0.001 |
0.50-0.79, n (%) | 541 (15.8) | 188 (19.3) | 163 (18.7) | |
< 0.50, n (%) | 687 (20.1) | 274 (28.2) | 165 (18.9) | |
CHA2DS2-VASc ≥ 4 | ||||
PDC | ||||
Mean (SD) | 0.79 (0.29) | 0.68 (0.34) | 0.78 (0.28) | < 0.001 |
≥ 0.80, n (%) | 2,301 (66.4) | 474 (53.6) | 726 (65.5) | < 0.001 |
0.50-0.79, n (%) | 594 (17.1) | 159 (18.0) | 216 (19.5) | |
< 0.50, n (%) | 573 (16.5) | 252 (28.5) | 166 (15.0) | |
9 Months | ||||
CHA2DS2-VASc = 2 or 3 | ||||
PDC | ||||
Mean (SD) | 0.69 (0.34) | 0.61 (0.35) | 0.68 (0.33) | < 0.001 |
≥0.80, n (%) | 1,591 (52.5) | 382 (41.9) | 340 (48.9) | < 0.001 |
0.50-0.79, n (%) | 501 (16.5) | 167 (18.3) | 144 (20.7) | |
< 0.50, n (%) | 937 (30.9) | 362 (39.7) | 211 (30.4) | |
CHA2DS2-VASc ≥ 4 | ||||
PDC | ||||
Mean (SD) | 0.73 (0.32) | 0.62 (0.35) | 0.74 (0.30) | < 0.001 |
≥ 0.80, n (%) | 1,695 (56.8) | 363 (44.4) | 492 (58.5) | < 0.001 |
0.50-0.79, n (%) | 539 (18.1) | 144 (17.6) | 149 (17.7) | |
< 0.50, n (%) | 751 (25.2) | 310 (37.9) | 200 (23.8) |
Note: PDC = sum of days supply from initiation of therapy during the time period divided by time period length (90, 180, or 270 days). Prescription fills were corrected for early refills and credited to the numerator.
PDC = proportion of days covered; SD = standard deviation.