Individual tNSAID vs Celecoxib | ||||||
---|---|---|---|---|---|---|
Post-period (2005–07) | Pre-period (2002–04) | |||||
Naproxen | Diclofenac | Ibuprofen | Naproxen | Diclofenac | Ibuprofen | |
No. patients* | 78,802 | 49,484 | 22,257 | 29,117 | 16,491 | 13,578 |
Age ≥ 65 vs < 65 yrs | 0.61 (0.59, 0.63) | 0.82 (0.79, 0.84) | 0.65 (0.62, 0.68) | 0.52 (0.50, 0.54) | 0.73 (0.70, 0.77) | 0.63 (0.60, 0.67) |
Female | 0.73 (0.72, 0.75)0 | 0.79 (0.77, 0.80) | 0.67 (0.65, 0.69) | 0.61 (0.59, 0.63) | 0.65 (0.63, 0.68) | 0.63 (0.61, 0.66) |
Higher vs lower income | 1.10 (1.08, 1.11) | 1.15 (1.12, 1.18) | 0.99 (0.96, 1.03) | 1.01 (0.98, 1.04) | 1.16 (1.12, 1.20) | 1.03 (0.98, 1.07) |
Prescriber specialty | ||||||
Rheumatologist | 1 (reference) | 1 (reference) | 1 (reference) | 1 (reference) | 1 (reference) | 1 (reference) |
General practitioner | 1.76 (1.58, 1.96) | 1.02 (0.92, 1.13) | 2.39 (1.93, 2.94) | 1.80 (1.51, 2.15) | 0.93 (0.80, 1.10) | 2.36 (1.76, 3.13) |
Internal medicine | 2.34 (2.01, 2.73) | 1.22 (1.04, 1.43) | 2.91 (2.22, 3.81) | 2.19 (1.75, 2.74) | 0.99 (0.78, 1.25) | 2.37 (1.67, 3.35) |
Other | 2.57 (2.29, 2.88) | 1.15 (1.03, 1.28) | 5.30 (4.28, 6.56) | 2.52 (2.11, 3.02) | 1.14 (0.96, 1.35) | 4.90 (3.69, 6.52) |
Renewal vs first prescription | 0.39 (0.36, 0.43) | 0.67 (0.62, 0.73) | 0.38 (0.33, 0.43) | 0.75 (0.68, 0.82) | 1.43 (1.31, 1.56) | 0.62 (0.54, 0.71) |
Rheumatoid arthritis | 0.74 (0.65, 0.83) | 0.76 (0.67, 0.86) | 0.64 (0.52, 0.79) | 1.00 (0.82, 1.21) | 1.13 (0.92, 1.40) | 0.79 (0.59, 1.06) |
Osteoarthritis | 0.68 (0.65, 0.71) | 0.91 (0.88, 0.95) | 0.59 (0.55, 0.63) | 0.63 (0.59, 0.67) | 0.91 (0.85, 0.98) | 0.53 (0.48, 0.58) |
Gastrointestinal risk level | ||||||
Low | 1 (reference) | 1 (reference) | 1 (reference) | 1 (reference) | 1 (reference) | 1 (reference) |
Moderate | 0.75 (0.72, 0.77) | 0.77 (0.74, 0.80) | 0.67 (0.64, 0.70) | 0.71 (0.68, 0.74) | 0.74 (0.70, 0.78) | 0.70 (0.66, 0.74) |
High | 0.49 (0.46, 0.51) | 0.56 (0.54, 0.59) | 0.47 (0.44, 0.51) | 0.41 (0.39, 0.44) | 0.52 (0.49, 0.56) | 0.45 (0.41, 0.48) |
Very high | 0.50 (0.43, 0.57) | 0.43 (0.36, 0.51) | 0.49 (0.39, 0.59) | 0.52 (0.42, 0.64) | 0.32 (0.23, 0.44) | 0.57 (0.44, 0.74) |
Cardiovascular risk level | ||||||
Low | 1 (reference) | 1 (reference) | 1 (reference) | 1 (reference) | 1 (reference) | 1 (reference) |
Moderate | 0.87 (0.84, 0.90) | 0.94 (0.90, 0.97) | 0.75 (0.72, 0.79) | 0.88 (0.84, 0.91) | 0.90 (0.86, 0.95) | 0.79 (0.74, 0.84) |
High | 0.91 (0.87, 0.95) | 0.96 (0.91, 1.01) | 0.81 (0.75, 0.86) | 0.83 (0.78, 0.88) | 0.80 (0.76, 0.85) | 0.75 (0.70, 0.81) |
Very high | 1.30 (1.20, 1.40) | 1.06 (0.97, 1.15) | 1.02 (0.91, 1.13) | 0.98 (0.89, 1.08) | 0.88 (0.78, 1.00) | 0.83 (0.73, 0.95) |
Congestive heart failure risk level | ||||||
Low | 1 (reference) | 1 (reference) | 1 (reference) | 1 (reference) | 1 (reference) | 1 (reference) |
Moderate | 0.94 (0.90, 0.97) | 0.99 (0.95, 1.03) | 0.71 (0.68, 0.75) | 0.94 (0.90, 0.98) | 1.02 (0.98, 1.07) | 0.70 (0.66, 0.73) |
High | 0.90 (0.87, 0.94) | 0.97 (0.93, 1.02) | 0.67 (0.64, 0.71) | 0.84 (0.79, 0.89) | 0.96 (0.90, 1.03) | 0.58 (0.54, 0.62) |
Very high | 0.90 (0.81, 1.01) | 0.99 (0.89, 1.11) | 0.68 (0.58, 0.79) | 0.86 (0.75, 0.99) | 0.96 (0.81, 1.14) | 0.52 (0.43, 0.63) |
Renal risk level | ||||||
Low | 1 (reference) | 1 (reference) | 1 (reference) | 1 (reference) | 1 (reference) | 1 (reference) |
Moderate | 1.00 (0.97, 1.04) | 0.95 (0.91, 0.98) | 2.18 (2.08, 2.29) | 0.94 (0.91, 0.98) | 0.87 (0.83, 0.92) | 2.25 (2.12, 2.37) |
High | 1.05 (0.94, 1.16) | 1.02 (0.91, 1.15) | 2.78 (2.41, 3.21) | 0.94 (0.81, 1.08) | 1.10 (0.94, 1.30) | 2.54 (2.12, 3.03) |
Very high | 1.11 (1.01, 1.22) | 0.94 (0.84, 1.05) | 2.77 (2.42, 3.16) | 1.16 (1.02, 1.32) | 0.92 (0.78, 1.09) | 2.94 (2.49, 3.47) |
↵* New users of celecoxib at index date: post-period 77,051 patients, pre-period 86,425 patients. tNSAID: traditional nonsteroidal antiinflammatory drugs.