TABLE 1.
Inverse probability of treatment weighting | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Before | After a , b | |||||||||||
A (n = 10 564) | D (n = 11 418) | A (n = 10 564) | R (n = 17 801) | D (n = 11 418) | R (n = 17 801) | A | D | A | R | D | R | |
Age (years), mean | 73.89 | 72.24 | 73.89 | 73.27 | 72.24 | 73.27 | 73.01 | 73.01 | 73.55 | 73.52 | 72.87 | 72.87 |
Female, % | 48.81 | 43.17 | 48.81 | 45.92 | 43.17 | 45.92 | 45.86 | 45.88 | 47.22 | 47.07 | 44.79 | 44.84 |
Insurance, % | ||||||||||||
National Health Insurance | 93.31 | 92.10 | 93.31 | 92.33 | 92.10 | 92.33 | 92.58 | 92.60 | 92.65 | 92.69 | 92.20 | 92.22 |
Medical aid | 6.69 | 7.90 | 6.69 | 7.67 | 7.90 | 7.67 | 7.42 | 7.40 | 7.35 | 7.31 | 7.80 | 7.78 |
CHA2DS2‐VASc, mean | 4.78 | 4.58 | 4.78 | 4.6 | 4.58 | 4.6 | 4.68 | 4.68 | 4.69 | 4.68 | 4.59 | 4.59 |
HAS‐BLED, mean | 3.65 | 3.58 | 3.65 | 3.58 | 3.58 | 3.58 | 3.62 | 3.62 | 3.61 | 3.61 | 3.58 | 3.58 |
CCI, mean | 4.33 | 4.05 | 4.33 | 4.11 | 4.05 | 4.11 | 4.19 | 4.19 | 4.21 | 4.20 | 4.09 | 4.09 |
Medical history, % | ||||||||||||
Heart failure | 43.81 | 40.95 | 43.81 | 43.91 | 40.95 | 43.91 | 42.31 | 42.33 | 44.06 | 43.95 | 42.86 | 42.81 |
Hypertension | 88.46 | 89.17 | 88.46 | 89.80 | 89.17 | 89.80 | 88.83 | 88.83 | 89.31 | 89.30 | 89.63 | 89.59 |
Diabetes | 56.76 | 54.89 | 56.76 | 54.60 | 54.89 | 54.60 | 55.77 | 55.77 | 55.58 | 55.47 | 54.81 | 54.74 |
Ischemic stroke | 36.77 | 37.69 | 36.77 | 31.37 | 37.69 | 31.37 | 37.43 | 37.37 | 33.79 | 33.56 | 33.79 | 33.81 |
Vascular disease | 29.70 | 29.16 | 29.70 | 30.04 | 29.16 | 30.04 | 29.42 | 29.43 | 29.98 | 29.93 | 29.70 | 29.70 |
Renal disease (CKD3/4) | 2.17 | 0.91 | 2.17 | 1.44 | 0.91 | 1.44 | 1.50 | 1.50 | 1.72 | 1.72 | 1.23 | 1.23 |
Bleeding | 12.80 | 8.73 | 12.80 | 10.27 | 8.73 | 10.27 | 10.68 | 10.68 | 11.30 | 11.25 | 9.68 | 9.68 |
Medication history, % | ||||||||||||
NSAIDs | 80.92 | 81.21 | 80.92 | 82.20 | 81.21 | 82.20 | 81.03 | 81.04 | 81.69 | 81.68 | 81.83 | 81.81 |
Antiplatelets | 75.44 | 75.65 | 75.44 | 76.78 | 75.65 | 76.78 | 75.58 | 75.58 | 76.16 | 76.24 | 76.39 | 76.36 |
Antiarrhythmics | 52.22 | 47.30 | 52.22 | 42.60 | 47.30 | 42.60 | 49.76 | 49.79 | 46.53 | 46.31 | 44.66 | 44.55 |
Statins | 59.78 | 61.46 | 59.78 | 55.73 | 61.46 | 55.73 | 60.69 | 60.65 | 57.28 | 57.24 | 57.89 | 57.93 |
Proton pump inhibitors | 45.08 | 42.89 | 45.08 | 42.51 | 42.89 | 42.51 | 43.96 | 43.98 | 43.55 | 43.49 | 42.79 | 42.72 |
H2‐receptor antagonists | 68.89 | 68.68 | 68.89 | 67.43 | 68.68 | 67.43 | 68.76 | 68.79 | 67.99 | 67.98 | 67.95 | 67.94 |
Digoxin | 23.80 | 25.04 | 23.80 | 26.00 | 25.04 | 26.00 | 24.37 | 24.38 | 25.04 | 25.13 | 25.81 | 25.69 |
Dose, %c | ||||||||||||
Standard dose | 35.60 | 26.20 | 35.60 | 45.70 | 26.20 | 45.70 | 37.64 | 24.84 | 36.63 | 45.31 | 25.09 | 46.54 |
Low dose | 49.80 | 52.90 | 49.80 | 42.77 | 52.90 | 42.77 | 48.66 | 53.86 | 49.48 | 42.96 | 54.43 | 42.20 |
Unapproved dose | 14.63 | 20.95 | 14.63 | 11.58 | 20.95 | 11.58 | 13.73 | 21.35 | 13.92 | 11.78 | 20.53 | 11.31 |
Abbreviations: A, Apixaban; CCI, Charlson Comorbidity Index; CHA2DS2‐VASc, congestive heart failure, hypertension, age ≥75 years, diabetes mellitus, stroke, vascular disease, age 65‐74 years, and sex; CHADS2, congestive heart failure, hypertension, age ≥75 years, diabetes mellitus, prior stroke, or transient ischemic attack; CKD, chronic kidney disease; D, Dabigatran; HAS‐BLED, hypertension, abnormal renal and liver function, stroke, bleeding, labile international normalized ratio, elderly, drugs, or alcohol; R: Rivaroxaban.
P‐values were not significant for all comparisons (apixaban vs dabigatran; apixaban vs rivaroxaban; dabigatran vs rivaroxaban) except for dose variable.
Absolute standardized differences were not above 10% for all comparisons (apixaban vs dabigatran; apixaban vs rivaroxaban; dabigatran vs rivaroxaban) except for dose variable.
Standard dose was defined as the general recommended dose for atrial fibrillation patients as specified in the package insert. Low dose was defined as the recommended dose for patients with renal dysfunction and/or low body weight or old age as specified in the package insert. Unapproved dose was defined as a dose lower than the low dose on label or higher than the standard dose.