From: Adherence patterns in naïve and prevalent use of infliximab and its biosimilar
12–month adherence (N = 9,737) | 18–month adherence (N = 8,301) | |||
---|---|---|---|---|
Crude RR | Adjusted RR a | Crude RR | Adjusted RR a | |
[95% CI] | [95% CI] | [95% CI] | [95% CI] | |
Cohorts | ||||
INF biosimilar naïve | 0.83 [0.63–1.10] | 0.84 [0.64–1.11] | 1.16 [0.75–1.79] | 1.21 [0.81–1.82] |
INF biosimilar prevalent | 0.87 [0.73–1.06] | 0.82 [0.68–0.98] * | 0.87 [0.60–1.24] | 0.76 [0.53–1.08] |
INF bio-originator prevalent | 1.41 [1.34–1.48] * | 1.29 [1.22–1.35] * | 1.56 [1.43–1.69] * | 1.39 [1.29–1.51] * |
INF bio-originator naive | Reference | Reference | Reference | Reference |
Age | ||||
35–44 | 1.05 [1.00–1.09] | 1.03 [0.99–1.07] | 1.06 [1.00–1.12] | 1.04 [0.99–1.09] |
45–54 | 1.08 [1.04–1.12] * | 1.04 [1.01–1.08] * | 1.11 [1.06–1.17] * | 1.05 [1.00–1.09] |
55–64 | 1.10 [1.06–1.15] * | 1.08 [1.04–1.13] * | 1.18 [1.13–1.24] * | 1.11 [1.06–1.16] * |
≥ 65 | 1.02 [0.96–1.08] | 0.99 [0.94–1.06] | 1.05 [0.98–1.14] | 1.00 [0.93–1.07] |
< 35 | Reference | Reference | Reference | Reference |
Sex | ||||
Female | 0.96 [0.92–0.97] * | 0.99 [0.96–1.02] | 0.91 [0.88–0.94] * | 0.98 [0.95–1.01] |
Male | Reference | Reference | Reference | Reference |
Region | ||||
Mid-west | 1.02 [0.98–1.05] | 1.00 [0.97–1.04] | 1.04 [1.00–1.08] | 1.03 [1.00–1.07] |
North-east | 1.02 [0.98–1.05] | 1.01 [0.98–1.04] | 0.99 [0.95–1.03] | 0.99 [0.95–1.03] |
West | 0.97 [0.93–1.00] | 0.98 [0.94–1.01] | 0.95 [0.90–0.99] * | 0.96 [0.91–1.00] |
Unknown | 0.55 [0.51–0.59] * | 0.59 [0.54–0.63] * | N/A | N/A |
South | Reference | Reference | Reference | Reference |
Autoimmune disease | ||||
Rheumatoid arthritis (RA) | Reference | Reference | Reference | Reference |
Psoriasis/psoriatic arthritis (PsA) | 1.06 [1.01–1.12] * | 1.03 [0.98–1.08] | 1.06 [0.99–1.13] | 1.01 [0.96–1.07] |
Inflammatory bowel disease (IBD) | 1.07 [1.04–1.11] * | 1.07 [1.04–1.10] * | 1.11 [1.07–1.15] * | 1.09 [1.05–1.13] * |
Others | 0.98 [0.93–1.04] | 0.98 [0.92–1.03] | 0.99 [0.92–1.06] | 0.97 [0.90–1.03] |
Comorbidities | ||||
Cancer | 0.92 [0.84–1.01] | 0.99 [0.90–1.08] | 1.05 [0.96–1.16] | 1.02 [0.94–1.12] |
Chronic kidney disease | 0.89 [0.84–0.94] * | 0.95 [0.90–1.01] | 0.90 [0.84–0.96] * | 0.99 [0.93–1.05] |
Chronic obstructive pulmonary disease | 0.87 [0.81–0.92] * | 0.97 [0.91–1.03] | 0.79 [0.72–0.87] * | 0.94 [0.87–1.01] |
Chronic heart disease | 0.95 [0.88–1.02] | 0.98 [0.92–1.06] | 0.93 [0.84–1.02] | 0.98 [0.89–1.07] |
Depression | 0.84 [0.80–0.88] * | 0.93 [0.89–0.98] * | 0.77 [0.72–0.82] * | 0.93 [0.88–0.98] * |
Diabetes | 0.93 [0.88–0.97] | 0.99 [0.95–1.04] | 0.92 [0.87–0.98] * | 1.01 [0.96–1.07] |
All cause–hospitalization | 0.80 [0.77–0.84] * | 0.90 [0.86–0.94] * | 0.76 [0.72–0.81] * | 0.90 [0.85–0.95] * |
Infections | 0.95 [0.92–0.97] * | 1.02 [0.99–1.04] | 0.93 [0.90–0.96] * | 1.02 [0.99–1.05] |
Used multiple biologics | 0.82 [0.78–0.85] * | 0.90 [0.87–0.94] * | 0.74 [0.69–0.79] * | 0.83 [0.78–0.88] * |
Concurrent medications | ||||
Antibiotics | 0.92 [0.90–0.95] * | 0.97 [0.94–1.00] | 0.89 [0.87–0.93] * | 0.97 [0.94–1.00] |
Betablockers | 0.99 [0.95–1.03] | 1.03 [0.99–1.07] | 0.92 [0.87–0.97] * | 1.00 [0.95–1.05] |
Hormone Therapy | 0.97 [0.94–1.01] | 1.01 [0.973–1.05] | 1.00 [0.95–1.04] | 1.04 [1.00–1.09] |
Narcotic | 0.91 [0.89–0.94] * | 1.02 [0.99–1.04] | 0.84 [0.81–0.87] * | 0.99 [0.96–1.03] |
NSAID | 0.94 [0.91–0.97] * | 1.02 [0.99–1.05] | 0.89 [0.85–0.92] * | 1.03 [0.99–1.07] |
Statin | 0.99 [0.96–1.03] | 1.00 [0.97–1.04] | 0.97 [0.93–1.02] | 0.99 [0.95–1.03] |
Steroids | 0.89 [0.86–0.91] * | 0.99 [0.96–1.01] | 0.85 [0.82–0.88] * | 0.97 [0.94–1.00] |