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Table 2 Factors associated with the persistence of imatinib initial therapy

From: Trends in the treatment changes and medication persistence of chronic myeloid leukemia in Taiwan from 1997 to 2007: a longitudinal population database analysis

Characteristics

Non-persistenta

Persistent

χ2

OR for being persistent (95% CI)

p value

 

(n = 479)

(n = 303)

(p-value)

  

Age at diagnosis, y, n (%)

  

2.08 (0.15)

  

   ≥40,

308 (64.3)

210 (69.3)

 

1.4 (0.9 to 2.1)

0.15

   <40

171 (35.7)

93 (30.7)

 

1 (referent)

 

Gender, n (%)

  

0.44 (0.51)

  

   Male

281 (58.7)

185 (61.1)

 

1.4 (0.9 to 2.1)

0.10

   Female

198 (41.3)

118 (38.9)

 

1 (referent)

 

Charlson comorbidity score, n (%)

  

1.39 (0.24)

  

   >0

215 (44.9)

123 (40.6)

 

0.8 (0.5 to 1.1)

0.16

   =0

264 (55.1)

180 (59.4)

 

1 (referent)

 

CML diagnosis, n (%)

  

11.97(<0.001)

  

   ≥2004

260 (54.3)

126 (41.6)

 

4.1 (2.2 to 7.9)

<.0001

   <2004

219 (45.7)

177 (48.4)

 

1 (referent)

 

CML severity, n (%)

  

7.60 (0.06)

  

   Unknown

28 (5.9)

24 (7.9)

 

0.6 (0.2 to 1.6)

0.20

   Low

2 (0.4)

2 (0.7)

 

1.4 (0.1 to 19.0)

0.77

   Moderate

378 (78.9)

251 (82.8)

 

1.5 (0.8 to 3.0)

0.30

   High

71 (14.8)

26 (8.6)

 

1 (referent)

 

Prior treatment, n (%)

   Hydroxyurea

342 (71.4)

225 (74.3)

0.76 (0.38)

1.8 (1.1 to 2.8)

0.02

   Busulfan

8 (1.7)

9 (3.0)

1.48 (0.22)

0.5 (0.1 to 2.0)

0.34

   IFNα/Ara-C

72 (15.0)

75 (24.8)

11.49(<0.001)

1.9 (1.1 to 3.3)

0.02

Mean time to imatinib initiation, month (SD)

14.1 (19.6)

15.4 (19.4)

0.89 (0.37)d

1.0 (0.99 to 1.02)

0.42

Mean starting daily dose, mg/day (SD)b

362 (141)

375 (108)

1.35 (0.18) d

1.1 (0.97 to 1.34)

0.11

Mean treatment duration, months (SD)

16.5 (16.8)

41.2 (14.2)

21.94 (<.0001) d

1.1 (1.09 to 1.13)

<.0001

HSCT post-index date, n (%)

35 (7.3)

2 (0.7)

18.19(<.0001)

0.1 (0.02 to 0.5)

0.01

  1. a. Patients were considered persistent if they were taking imatinib without interruption (exceeding a 60-day permissible gap) for at least 18 months since the start of therapy.
  2. b. Excluding patients with a single imatinib claim (n = 19).
  3. c. OR = odds ratio, each OR of the variable was adjusted by the other factors in the logistic regression model.
  4. Abbreviations: CML, chronic myeloid leukemia; IFNα, interferon-α; Ara-C, cytarabine; HSCT, hematopoietic stem cell transplantation.
  5. d. t test for numerical outcomes.