| LDL1 change at 12 months (mg/dL) |
Achievement of 12- month LDL goal |
Potency Increase | Annual Adherence Rate |
|
|---|---|---|---|---|
| Estimate (95% CI) | Odds Ratio (95% CI) | Odds Ratio (95% CI) | Estimate (95% CI) | |
| Age | 0.08 (−0.18, 0.34) | 0.99 (0.97, 1.00) | 0.98 (0.96, 0.99)** | −0.001 (−0.003, 0.001) |
| Female gender | 6.0 (1.5, 11)** | 0.74 (0.56, 0.97)* | 1.01 (0.77, 1.31) | −0.024 (−0.062, 0.014) |
| Black race | −1.1 (−7.0, 4.7) | 0.95 (0.65, 1.39) | 1.06 (0.75, 1.51) | −0.048 (−0.098, 0.003) |
| Other race | −1.2 (−12, 9.2) | 0.72 (0.35, 1.46) | 0.72 (0.37, 1.42) | −0.072 (−0.15, 0.008) |
| Income <50,000 | 1.4 (−3.2, 6.1) | 1.02 (0.78, 1.33) | 1.12 (0.87, 1.43) | 0.010 (−0.025, 0.045) |
| Education less than college | −5.7 (−10, −1.4)* | 1.41 (1.06, 1.88)* | 1.03 (0.77, 1.36) | 0.051 (0.016, 0.086)** |
| LDL at baseline | −0.61 (−0.68, −0.53)** | 1.02 (1.01, 1.03)** | 1.01 (1.001, 1.01)* | 0.002 (0.001, 0.002)** |
| FRS at baseline | 20 (−4.7, 45) | 0.36 (0.075, 1.71) | 2.16 (0.47, 9.9) | 0.16 (−0.057, 0.37) |
| CAD diagnosis | −1.5 (−5.9, 2.9) | 0.85 (0.64, 1.13) | 0.94 (0.70, 1.27) | −0.028 (−0.066, 0.009) |
| No baseline medication | 2.8 (−1.6, 7.1) | 0.68 (0.52, 0.89)** | 0.78 (0.59, 1.02) | −0.29 (−0.33, −0.25)** |
| Patient incentive arm | −2.5 (−8.2, 3.1) | 1.37 (0.93, 2.00) | 0.99 (0.65, 1.51) | 0.092 (0.044, 0.14)** |
| Physician incentive arm | −4.8 (−10, 0.65) | 1.27 (0.89, 1.82) | 1.33 (0.92, 1.93) | 0.055 (0.002, 0.11)* |
| Shared incentive arm | −9.8 (−15, −4.1)** | 1.81 (1.29, 2.55)** | 1.68 (1.14, 2.46)** | 0.12 (0.072, 0.18)** |
| Medicaid | 12 (−0.77, 25) | 0.37 (0.15, 0.93)* | 1.21 (0.61, 2.40) | 0.001 (−0.10, 0.10) |
| Medicare | −0.60 (−5.6, 4.4) | 1.00 (0.74, 1.34) | 0.97 (0.72, 1.32) | −0.015 (−0.055, 0.025) |
| Uninsured | 12 (3.3, 20)** | 0.47 (0.26, 0.84)* | 1.38 (0.83, 2.29) | −0.054 (−0.12, 0.011) |
| Visits per year | −0.15 (−0.64, 0.34) | 1.00 (0.97, 1.04) | 1.04 (1.01, 1.07)** | −0.001 (−0.005, 0.004) |
p<0.05;
p<0.01
SI conversion factor: To convert cholesterol to mmol/L, multiply values by 0.0259
Abbreviations:
low-density lipoprotein
Framingham Risk Score
coronary artery disease
Notes: Models of trial outcomes on patient characteristics and incentive arms, with interactions between all patient characteristics and incentive arms. Estimates and 95% confidence intervals are reported for the models of LDL change and adherence rate, while odds ratios and 95% confidence intervals are reported for the models of LDL goal achievement and medication potency increase. The goal achievement model does not include interactions between payor and incentive arms, because the model would not converge when including these terms.