Table 4.
Methotrexate (MTX) (n = 584) | Biologics/tofacitinib (B/T) (n = 323) | |||||
---|---|---|---|---|---|---|
Odds Ratio | 2.5% | 97.5% | Odds Ratio | 2.5% | 97.5% | |
Intercept | 2.68 | 0.44 | 17.38 | 5.36** | 1.70 | 17.81 |
Age at index prescription (vs 18–44 years) | ||||||
45–54 years | 1.87 | 0.71 | 5.25 | 2.33# | 0.97 | 5.90 |
55–64 years | 0.87 | 0.32 | 2.46 | 1.48 | 0.60 | 3.76 |
65–69 years | 2.30 | 0.56 | 9.87 | 2.32 | 0.64 | 8.65 |
70–74 years | 1.90 | 0.44 | 8.26 | 2.87 | 0.81 | 10.65 |
75–79 years | 2.24 | 0.50 | 10.18 | 1.78 | 0.46 | 6.94 |
80+ years | 4.92* | 1.03 | 24.81 | 2.45 | 0.55 | 11.50 |
Male (vs female) | 0.69 | 0.35 | 1.35 | 1.37 | 0.73 | 2.58 |
Race (vs white) | ||||||
African American | 1.20 | 0.44 | 3.18 | 0.50 | 0.17 | 1.37 |
Asian | 0.21 | 0.02 | 1.44 | 1.66 | 0.07 | 20.14 |
Other/unknown | 0.27* | 0.09 | 0.73 | 1.20 | 0.47 | 2.95 |
Geographic division (vs East North Central)a | ||||||
East South Central | 1.83 | 0.17 | 21.00 | |||
Middle Atlantic | 1.21 | 0.40 | 3.59 | |||
Mountain | 2.46 | 0.39 | 14.75 | |||
New England | 3.76# | 0.89 | 16.55 | |||
Other/unknown | 0.90 | 0.14 | 5.46 | |||
Pacific | 1.74 | 0.56 | 5.24 | |||
South Atlantic/West South Central | 1.69 | 0.78 | 3.79 | |||
West North Central | 2.44# | 0.94 | 6.43 | |||
Commercial vs Medicare at indexa,b | 1.17 | 0.45 | 3.09 | 0.19*** | 0.08 | 0.43 |
Body mass index (vs healthy weight)a | ||||||
Underweight (< 18.5) | 0.98 | 0.08 | 6.96 | |||
Overweight (25.0–29.9) | 1.03 | 0.44 | 2.42 | |||
Obesity I (30.0–34.9) | 1.08 | 0.43 | 2.67 | |||
Obesity II (35.0–39.9) | 1.11 | 0.34 | 3.41 | |||
Obesity III (40.0+) | 1.64 | 0.51 | 5.07 | |||
Missing | 3.28** | 1.47 | 7.51 | |||
Active drug ingredient count during 12 months before index (vs 0)a | ||||||
1–5 | 0.13*** | 0.04 | 0.37 | |||
6–10 | 0.06*** | 0.02 | 0.24 | |||
11–15 | 0.08** | 0.02 | 0.36 | |||
16+ | 0.06** | 0.01 | 0.35 | |||
Time between RA diagnosis and first prescription (years)a | 1.13 | 0.95 | 1.34 | |||
Diagnosis-based comorbidity indicators (EDCs) during 12 months before index | ||||||
ADM05: administrative concerns and nonspecific laboratory abnormalitiesa | 2.21* | 1.22 | 4.10 | |||
GUI11: incontinencea | 7.96** | 1.92 | 35.40 | |||
Pharmacy-based comorbidity indicators (RxMGs) during 12 months before index | ||||||
MUSx020: musculoskeletal/inflammatory conditionsb | 0.28** | 0.12 | 0.63 | |||
ALLx030: allergy/immunology/chronic inflammatorya,b | 0.27*** | 0.14 | 0.50 | 0.34*** | 0.19 | 0.60 |
CARx030: cardiovascular/high blood pressurea | 0.40* | 0.18 | 0.84 | |||
GSIx020: general signs and symptoms/paina | 0.63 | 0.32 | 1.22 | |||
GSIx030: general signs and symptoms/pain and inflammationa | 0.40** | 0.21 | 0.74 | |||
INFx020: infections/acute minora | 0.88 | 0.43 | 1.79 | |||
ENDx040: endocrine/diabetes without insulina | 0.15# | 0.01 | 0.86 |
RA rheumatoid arthritis, EDC Expanded Diagnosis Cluster, RxMG Rx-defined Morbidity Group
*p < 0.05
**p < 0.01
***p < 0.001
#p < 0.1
aImportant predictors selected by LASSO logistic regression for predicting MTX primary nonadherence
bImportant predictors selected for predicting B/T primary nonadherence; age, sex, and race were added to the predictive models regardless