Table 2.
Multivariate analysis of the odds of abandonment
Characteristic | Odds ratio | 95% CI | P value |
---|---|---|---|
HCProa | 0.57 | [0.40, 0.83] | 0.004 |
Age (years) | 1.01 | [1.01, 1.02] | < 0.001 |
Male | 1.00 | [0.91, 1.09] | 0.953 |
Household income | |||
$0–$29,999 | Ref | – | – |
$30,000–$49,999 | 0.95 | [0.79, 1.15] | 0.597 |
$50,000–$74,999 | 0.92 | [0.77, 1.10] | 0.320 |
$75,000–$74,999 | 0.93 | [0.78, 1.11] | 0.431 |
> $100,000 | 0.97 | [0.82, 1.14] | 0.671 |
Unknown | 1.02 | [0.87, 1.20] | 0.810 |
Expected patient copay | |||
$0–$25 | Ref | – | – |
$26–$100 | 2.13 | [1.92, 2.36] | < 0.001 |
$101–$500 | 2.80 | [2.45, 3.19] | < 0.001 |
$501–$1000 | 5.98 | [5.01, 7.14] | < 0.001 |
$1001–$2000 | 6.33 | [5.04, 7.96] | < 0.001 |
> $2000 | 10.72 | [9.16, 12.54] | < 0.001 |
Calendar year | |||
2012 | Ref | – | – |
2013 | 1.08 | [0.99, 1.19] | 0.082 |
2014 | 0.58 | [0.52, 0.65] | < 0.001 |
2015 | 0.23 | [0.13, 0.41] | < 0.001 |
Primary plan | |||
Commercial | Ref | – | – |
Employer group | 0.75 | [0.57, 0.98] | 0.036 |
Third party administrator | 0.43 | [0.19, 0.98] | 0.044 |
Pharmacy benefit manager | 0.68 | [0.53, 0.87] | 0.002 |
Cash | 1.19 | [0.90, 1.59] | 0.232 |
Processors | 0.96 | [0.67, 1.36] | 0.798 |
Worker’s compensation | 0.00 | [0.00, 99.9] | 0.951 |
Unspecified or missing | 1.29 | [1.02, 1.63] | 0.037 |
PSP enrollment | 0.23 | [0.20, 0.25] | < 0.001 |
Initial claim at a specialty pharmacy | 1.13 | [1.04, 1.23] | 0.004 |
Charlson Comorbidity Index | 0.98 | [0.93, 1.04] | 0.568 |
Indication | |||
Rheumatoid arthritis | 1.27 | [1.12, 1.44] | < 0.001 |
Crohn disease | 0.59 | [0.50, 0.70] | < 0.001 |
Ulcerative colitis | 0.90 | [0.74, 1.08] | 0.248 |
Psoriasis | 1.02 | [0.90, 1.15] | 0.799 |
Psoriatic arthritis | 0.95 | [0.84, 1.06] | 0.328 |
Ankylosing spondylitis | 0.96 | [0.79, 1.16] | 0.654 |
Estimates were produced using a logistic regression with abandonment of the earliest adalimumab claim as the dependent variable
ADA adalimumab, CI confidence interval, HCPro HUMIRA Complete Pro, PSP patient support program, Ref reference
aNon-HCPro cohort was the reference