Table 5.
Crude health outcomes rates and association between adherence (PDC ≥ 80%) and health outcomes according to different approaches for PDC estimation (crude and adjusted hazard ratios).
| Crude incidence rates per 100 person-years |
Hazard ratios (95% CI) |
|||
|---|---|---|---|---|
| Adherent | Non-adherent | Unadjusted | Adjusted | |
| PD cohort | ||||
| Death (any cause) | 6.61 (6.42–6.81) | 8.24 (7.32–9.28) | 0.79 (0.79–0.90) | 0.82 (0.72–0.93) |
| Ischemic stroke | 0.88 (0.79–0.98) | 1.28 (0.84–1.97) | 0.68 (0.44–1.05) | 0.66 (0.43–1.02) |
| Bleeding | 1.45 (1.34–1.57) | 1.34 (0.88–2.04) | 1.09 (0.71–1.67) | 1.04 (0.68–1.58) |
| D1 cohort | ||||
| Death (any cause) | 6.38 (6.16–6.60) | 7.46 (7.08–7.86) | 0.86 (0.81–0.91) | 0.80 (0.75–0.86) |
| Ischemic stroke | 0.79 (0.70–0.90) | 1.16 (0.98–1.38) | 0.69 (0.56–0.85) | 0.64 (0.51–0.79) |
| Bleeding | 1.45 (1.32–1.60) | 1.45 (1.24–1.69) | 1.00 (0.84–1.20) | 0.96 (0.79–1.15) |
| D2 cohort | ||||
| Death (any cause) | 6.38 (6.16–6.60) | 6.94 (6.53–7.37) | 0.93 (0.86–0.99) | 0.86 (0.80–0.93) |
| Ischemic stroke | 0.80 (0.70–0.90) | 1.20 (1.00–1.46) | 0.66 (0.53–0.83) | 0.61 (0.49–0.77) |
| Bleeding | 1.45 (1.32–1.60) | 1.59 (1.35–1.87) | 0.91 (0.76–1.10) | 0.86 (0.71–1.04) |
PD, prescription-dispensation cohort; D1, dispensation-only cohort with at least 1 refill; D2, dispensation-only cohort with at least two refills. n: 38,026 (PD cohort), 37,744 (D1 cohort) and 35,412 (D2 cohort) for death, and 28,339 (PD cohort), 28,128 (D1 cohort) and 26,451 (D2 cohort) for stroke and bleeding. Mean follow-up time: 1.86 years for death and 1.44 years for stroke and bleeding.