From: Characteristics of patients initiating raloxifene compared to those initiating bisphosphonates
Commercial/Medicare | Medicaid | |||
---|---|---|---|---|
Raloxifene | Bisphosphonates | Raloxifene | Bisphosphonates | |
(N = 17,983) | (N = 79,891) | (N = 11,504) | (N = 59,881) | |
Health status | Mean (STD) | Mean (STD) | Mean (STD) | Mean (STD) |
CCI | 0.5(1.1)* | 0.7 (1.4) | 0.9 (1.5)* | 1.1 (1.6) |
% | % | % | % | |
Any fracture | 10.0* | 14.6 | 9.4* | 14.2 |
Hip | 0.4* | 1.3 | 0.6* | 1.3 |
Vertebral | 1.4* | 2.6 | 1.5* | 2.4 |
Non-vertebral | 9.2* | 13.3 | 8.5* | 12.7 |
Screening | ||||
BMD test | 43.2* | 63.8 | 20.9* | 27.6 |
Mammogram | 8.4* | 10.6 | 8.7 | 9.2 |
Confounding conditions | ||||
Breast cancer | 3.5* | 5.5 | 6.0* | 6.9 |
Endocrine disease | 13.9 | 13.8 | 20.3 | 20.8 |
HIV | 0.0 | 0.0 | 0.1 | 0.1 |
Liver disease | 1.9 | 1.9 | 3.6 | 3.2 |
Bone cancer | 0.0†† | 0.1 | 0.0 | 0.0 |
Other cancer | 20.1 | 21.5 | 10.3 | 10.6 |
Alcoholism | 0.1 | 0.1 | 0.1 | 0.1 |
Osteodystrophy | 0.0 | 0.1 | 0.1 | 0.1 |
Nephritis | 0.8* | 1.1 | 1.9† | 2.4 |
Rheumatoid arthritis | 1.5* | 2.7 | 2.4* | 3.7 |
Any cardiovascular disease | 5.9* | 8.1 | 13.1 | 13.1 |
Thyroid disease | 11.5* | 12.6 | 8.3 | 7.9 |
Metabolic disorders | 30.9† | 29.7 | 25.5* | 23.4 |
Osteoporosis | 2.9* | 6.9 | 5.3* | 8.0 |
DVT/PE | 0.0* | 0.1 | 0.2† | 0.4 |
Gastric ulcer | 0.1 | 0.1 | 0.3 | 0.3 |
Peptic ulcer | 0.1 | 0.0 | 0.6 | 0.5 |
Dysphagia | 0.2 | 0.3 | 0.6 | 0.6 |
Gastroesophageal reflux | 0.9 | 1.0 | 2.4 | 2.1 |
Gastritis | 0.3 | 0.4 | 2.9* | 2.2 |
Medications | ||||
Glucocorticoids | 13.4* | 16.4 | 13.3* | 16.6 |
Estrogen/HRT | 38.4* | 27.9 | 21.9* | 13.7 |
Hormone deprivation therapy | 1.2* | 2.9 | 0.7* | 1.6 |
Anticonvulsants | 2.4* | 3.1 | 5.4 | 5.8 |
Immunosuppressants | 1.4* | 2.6 | 1.1* | 2.2 |
Resource utilization | Mean (STD) | Mean (STD) | Mean (STD) | Mean (STD) |
Inpatient claims | 0.1 (0.4)* | 0.2 (0.5) | 0.1 (0.5)* | 0.1 (0.6) |
ER claims | 0.5 (2.0)* | 0.6 (2.5) | 2.1 (7.1)* | 2.4 (8.4) |
Outpatient claims | 31.1 (32.7)* | 36.4 (41.9) | 49.0 (65.6)* | 51.7 (70.3) |
Rx claims | 24.5 (24.9)* | 26.2 (27.0) | 46.9 (40.8) | 49.9 (40.6) |