Date of download: 6/23/2016 From: Relative Effectiveness of Osteoporosis Drugs for Preventing Nonvertebral Fracture Ann Intern Med. 2008;148(9):637-646.

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Healthcare Consequences Associated With Non-Compliance in a Managed Care Population Ethel S. Siris, M.D. 1, Ankita Modi, Ph.D. 2, Jackson Tang, M.Sc. 3,
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Date of download: 6/23/2016 From: Relative Effectiveness of Osteoporosis Drugs for Preventing Nonvertebral Fracture Ann Intern Med. 2008;148(9): doi: / Study flow diagram.Osteoporosis drugs were oral bisphosphonates (alendronate, 10 mg or 70 mg; risedronate, 5 mg or 35 mg), nasal calcitonin, or raloxifene. *May meet >1 exclusion criterion. Figure Legend: Copyright © American College of Physicians. All rights reserved.American College of Physicians

Date of download: 6/23/2016 From: Relative Effectiveness of Osteoporosis Drugs for Preventing Nonvertebral Fracture Ann Intern Med. 2008;148(9): doi: / Cumulative incidence of nonvertebral fractures within 12 months of treatment initiation, by drug. Figure Legend: Copyright © American College of Physicians. All rights reserved.American College of Physicians

Date of download: 6/23/2016 From: Relative Effectiveness of Osteoporosis Drugs for Preventing Nonvertebral Fracture Ann Intern Med. 2008;148(9): doi: / Nonvertebral fracture risk within 12 months of treatment initiation compared with alendronate.Hazard ratios and 95% CIs (error bars) were calculated by using Cox proportional hazard models stratified by state and adjusted for propensity score quintiles, age, race, diagnosis of osteoporosis, and fracture history (previous nonvertebral and vertebral fracture). The intent-to-treat analysis (Primary) was censored on the date of death or end of follow-up (12 months after treatment initiation, 31 December 2003 [New Jersey], or 31 December 2005 [Pennsylvania]). OT 15 = patients receiving treatment who were censored on the first day of switching agents, losing drug plan eligibility, entering a nursing home, or discontinuing use of the drug (last date covered by drug plan plus 15 days, allowing for 30-day gaps between prescriptions) on the date of death or end of follow-up; OT 90 = patients receiving treatment who were censored as for OT 15, except that follow-up was extended to 90 d after drug discontinuation; Fx Hx = patients with a history of any fracture within 12 mo before treatment initiation; No Fx Hx = patients with no known history of fracture within 12 mo before treatment initiation; ≥2 Script = patients who filled ≥2 consecutive prescriptions of their index drug, excluding those who lost drug plan eligibility, entered a nursing home, died, had a nonvertebral fracture, or switched agents within the first 30 d; No Cancer = patients with no diagnosis of malignant neoplasm within 12 months before drug initiation; OP = patients with a medical claim for osteoporosis diagnosis within 12 mo before drug initiation; No OP = patients with no medical claim for osteoporosis diagnosis within 12 mo before treatment initiation; No HT = women with no history of hormone therapy within 12 mo before treatment initiation. Figure Legend: Copyright © American College of Physicians. All rights reserved.American College of Physicians

Date of download: 6/23/2016 From: Relative Effectiveness of Osteoporosis Drugs for Preventing Nonvertebral Fracture Ann Intern Med. 2008;148(9): doi: / Nonvertebral fracture rates within 12 months, by fracture risk group and drug.Age cut-off was determined by the median cohort age (79 y). Fracture history was identified by Medicare claims within 12 months before treatment initiation. 65–79 y, No Fx = patients age 65 to 79 years without fracture history (lowest risk); ≥80 y, No Fx = patients age ≥80 years without fracture history; 65–79 y, Fx = patients age 65 to 79 years with fracture history; ≥80 y, Fx = patients age ≥80 years with fracture history (highest risk). Figure Legend: Copyright © American College of Physicians. All rights reserved.American College of Physicians

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