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. 2019 Aug 8;49(10):883–907. doi: 10.4070/kcj.2019.0234

Table 2. Time-course of persistence and adherence for oral anticoagulants from initiation of therapy.

Study (years) Country; study period Source Sample size Measure definition VKA (%) Apixaban (%) Rivaroxaban (%) Dabigatran (%)
Months Months Months Months
3 6 12 24 3 6 12 24 3 6 12 24 3 6 12 24
Persistence
Beyer-Westendorf et al. (2016)66) Germany; 2012–2013 IMS® Disease Analyzer 7,265 Supply gap>60 days 58 26 66 53 60 47
Collings et al. (2017)60) Germany; 2012–2014 IMS® Disease Analyzer 15,244 Supply gap>60 days 94 71 58 49 79 72 63 59 82 67 57 49 71 60 50 42
Hohnloser et al. (2019)67) Germany; 2013–2016 Institute for Applied Health Research 51,606 Supply gap>30 days 70 72 71 67
Forslund et al. (2016)55) Stockholm; 2011–2014 Stockholm administrative health data register 17,741 Any script filled in 6-months period; CHA2DS2-VASc=2–9 85 78 86 77 69 74 66
Björck et al. (2016)68) Sweden; 2010–2013 AuriculA Swedish national quality register 478 Not defined 91
Johnson et al. (2016)57) UK; 2012–2014 Clinical practice research database 15,242 Supply gap>56–60 days 94 87 78 71 92 88 83 83 86 81 73 68 84 74 67 63
Martinez et al. (2016)56) UK; 2011–2014 Clinical practice research database 27,514 Supply gap>30 days 87 77 64 50
Mueller et al. (2017)58) Scotland; 2011–2014 Prescribing Information System 5,398 Supply gap>28 days 87 86 84 79 75 (18-months) 68 60 55 (18-months)
Simons et al. (2016)69) Australia; 2013–2015 PBS records 1,471 Supply gap>90 days 86 38
Simons et al, (2017)59) Australia; 2013–2016 PBS records 8,656 Supply gap>90 days or switching to warfarin 92 (first repeat) 73 61 (30-months) 91 (first repeat) 68 55 (30-months) 89 (first repeat) 66 52 (30-months)
Shiga et al. (2015)70) Japan; 2011–2014 Tokyo Women's Medical University Hospital 601 Discontinuation reported in medical record 93 88 82 90 83 80 88 83 70 80 76 65
Wang et al. (2016)64) China; 2011–2014 Chinese AF registry 1,461 Self-reported discontinuation 78 56 43
Liu et al. (2019)61) China: 2011–2017 Chinese AF registry 5,699 Self-reported discontinuation 93 89
Zalesak et al. (2013)71) USA; 2010–2012 USA Department of Defence 5,145 Supply gap>60 days 53 39 72 63
Adherence
Borne et al. (2017)52) USA; 2010–2015 Veterans Affairs Healthcare System 2,882 PDC>0.80 77 75 71
Brown et al. (2017)72) USA; 2012–2014 Truven Health Analytics MarketScan database 15,341 PDC>0.80 71 60 71 59 61 48
Han et al. (2019)65) Korea; 2014 HIRA service-aged patient sample 1,234 MPR≥0.80 92 84 88
Shore et al. (2014)53) USA; 2010–2012 Veterans Affairs Corporate Data Warehouse 5,376 PDC≥0.80 71 71

AF = atrial fibrillation; HIRA = Health Insurance Review and Assessment Service; MPR = medication possession ratio; PBS = pharmaceutical benefits scheme; PDC = proportion of days covered; VKA = vitamin K antagonist.