Table 3.
Segmented regression analysis in relation to PDI guideline publication, reference groups
| Medicine group (preferred drug) | Guidelines introduced | Percentage of preferred drug items: Jan−March 2011 (SE), 95% CI | Increase in % of preferred drug items per quarter post March 2011 (SE), 95% CI, P value | Increase in % of preferred drug items April−June 2013*, (SE), 95% CI, P value | Increase in % of preferred drug items per quarter post June 2013, (SE), 95% CI, P value | Increase in % of preferred drug items Oct−Dec 2013†, (SE), 95% CI, P value | Increase in % of preferred drug items per quarter post Dec 2013, (SE), 95% CI, P value | Increase in % of preferred drug items April−June 2014‡, (SE), 95% CI, P value | Increase in % of preferred drug items per quarter post June 2014, (SE), 95% CI, P value | Increase in % of preferred drug items Oct−Dec 2014§ (SE), 95% CI, P value | Increase in % of preferred drug items per quarter post Dec 2014, (SE), 95% CI, P value |
| Beta-blockers (bisoprolol) |
September 2016 | 51.20 (0.03), (51.15 to 51.26) |
0.53 (0.01), (0.52 to 0.54), P<0.001 |
−0.02 (0.05), (−0.13 to 0.09), P=0.71 |
0.50 (0.02), (0.45 to 0.54), P<0.001 |
– | – | −0.05 (0.06), (−0.18 to 0.08), P=0.44 | 0.41 (0.001), (0.40 to 0.42), P<0.001 |
– | – |
| Calcium channel blockers (amlodipine) |
September 2016 | 68.18 (0.03), (68.12 to 68.29) |
−0.34 (0.01), (−0.35 to –0.33), P<0.001 |
– | – | 0.12 (0.06), (−0.001 to 0.23), P=0.06 |
−0.26 (0.02) (−0.31 to –0.21), P<0.001 |
– | – | 0.02 (0.07), (−0.13 to 0.17), P=0.76 |
−0.21 (0.01) (−0.22 to –0.19), P<0.001 |
*introduction of PDI guidelines for PPIs/statins.
†introduction of PDI guidelines for ACE/ARBs.
‡introduction of PDI guidelines for SNRIs/SSRIs.
§introduction of PDI guidelines for urology medications.
ARBs, angiotensin-II receptor blockers; PDI, Preferred Drugs Initiative; PPIs, proton pump inhibitors; SNRIs, serotonin norepinephrine reuptake inhibitors; SSRIs, selective serotonin reuptake inhibitors.