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Table 2 Characteristics of new users of DPP-4 inhibitors by study site, 2016-2018

From: Characteristics of new users of recent antidiabetic drugs in Canada and the United Kingdom

 

AB

(n = 12,874)

BC

(n = 24,388)

MB

(n = 5,605)

NS

(n = 1,049)

ON

(n = 67,484)

QC

(n = 64,332)

SK

(n = 13,148)

UK

(n = 5,190)

Age (years)

59.9 ± 12.7

63.0 ± 12.8

58.5 ± 13.5

58.9 ± 11.6

74.9 ± 7.1

66.3 ± 12.0

61.2 ± 13.3

65.1 ± 13.6

 < 18

8 (0.0)

s

0 (0.0)

6 (0.0)

8 (0.1)

s

 18-35

403 (3.1)

487 (2.0)

275 (4.9)

29 (2.8)

942 (1.5)

374 (2.8)

s

 36-45

1,452 (11.3)

1,697 (7.0)

675 (12.0)

87 (8.3)

2,613 (4.1)

1,211 (9.2)

323 (6.2)

 46-55

3,038 (23.6)

4,463 (18.3)

1,325 (23.6)

273 (26.0)

7,082 (11.0)

2,713 (20.6)

919 (17.7)

 56-65

3,854 (29.9)

7,098 (29.1)

1,605 (28.6)

393 (37.5)

18,589 (28.9)

3,830 (29.1)

1,230 (23.7)

 66-75

2,737 (21.3)

6,601 (27.1)

1,126 (20.1)

174 (16.6)

40,155 (59.5)

21,545 (33.5)

3,154 (24.0)

1,370 (26.4)

 76-85

1,090 (8.5)

3,228 (13.2)

480 (8.6)

82 (7.8)

20,901 (31.0)

10,412 (16.2)

1,414 (10.8)

952 8.3)

 > 85

300 (2.3)

806 (3.3)

s

11 (1.1)

6,428 (9.5)

3,143 (4.9)

444 (3.4)

314 (6.1)

Females

5,219 (40.5)

10,315 (42.3)

2,686 (47.9)

471 (44.9)

31,560 (46.8)

27,803 (43.2)

5,679 (43.2)

2,234 (43.0)

Income quintile a

 1st (lowest)

3,321 (25.8)

8,555 (35.1)

1,503 (26.8)

153 (14.6)

16,419 (24.3)

6,871 (10.7)

3,156 (24.0)

1,688 (32.5)

 2nd

2,850 (22.1)

1,265 (22.6)

185 (17.6)

15,175 (22.5)

2,460 (18.7)

1,056 (20.3)

 3rd

2,315 (18.0)

1,066 (19.0)

170 (16.2)

13,589 (20.1)

2,838 (21.6)

950 (18.3)

 4th

2,085 (16.2)

945 (16.9)

188 (17.9)

11,845 (17.6)

2,541 (19.3)

938 (18.1)

 5th (highest)

1,786 (13.9)

781 (13.9)

133 (12.7)

10,311 (15.3)

2,087 (15.9)

558 (10.8)

 Missing

517 (4.0)

45 (0.8)

220 (21.0)

145 (0.2)

66 (0.5)

0 (0.0)

Calendar year at cohort entry

 2016

10,311 (80.1)

9,367 (38.4)

2,566 (45.8)

30,564 (45.3)

25,875 (40.2)

9,793 (74.5)

3,041 (58.6)

 2017

2,563 (19.9)

9,922 (40.7)

2,416 (43.1)

238 (22.7)

29,905 (44.3)

25,399 (39.5)

2,228 (17.0)

2,149 (41.4)

 2018

0 (0.0)

5,099 (20.9)

623 (11.1)

811 (77.3)

7,015 (10.4)

13,058 (20.3)

1,127 (8.6)

0 (0.0)

Diabetes duration (years)

9.4 ± 6.3

11.2 ± 7.6

11.4 ± 7.9

8.6 ± 6.4

13.1 ± 7.6

10.8 ± 6.9

11.3 ± 6.9

10.4 ± 7.2

 < 1 year

992 (7.7)

2,884 (11.8)

412 (7.4)

138 (13.2)

4,988 (7.4)

5,834 (9.1)

667 (5.1)

306 (5.9)

 1-4.9 years

2,881 (22.4)

3,200 (13.1)

1,004 (17.9)

236 (22.5)

7,044 (10.4)

9,803 (15.2)

2,087 (15.9)

1,010 (19.5)

 5-10 years

3,471 (27.0)

5,156 (21.1)

1,326 (23.7)

268 (25.6)

12,268 (18.2)

14,356 (22.3)

3,372 (25.7)

1,405 (27.1)

 > 10 years

5,530 (43.0)

13,148 (53.9)

2,863 (51.1)

407 (38.8)

43,184 (64.0)

34,339 (53.4)

7,022 (53.4)

2,469 (47.6)

Use of medications

 No. of antidiabetic drugs

1.6 ± 1.0

1.6 ± 1.0

1.9 ± 0.8

1.0 ± 1.0

1.3 ± 0.8

1.4 ± 0.9

2.5 ± 1.0

1.4 ± 0.9

      0

1,405 (10.9)

3,804 (15.6)

338 (6.0)

128 (12.2)

10,676 (15.8)

10,249 (15.9)

431 (3.3)

728 (14.0)

      1

4,589 (35.7)

7,345 (30.1)

1,227 (21.9)

436 (41.6)

31,842 (47.2)

22,625 (35.2)

1,361 (10.4)

2,286 (44.0)

      2

4,877 (37.9)

9,583 (39.3)

2,986 (53.3)

386 (36.8)

20,266 (30.0)

26,583 (41.3)

4,782 (36.4)

1,757 (33.9)

      ≥ 3

2,003 (15.6)

3,656 (15.0)

1,054 (18.8)

99 (9.4)

4,700 (7.0)

4,875 (7.6)

6,574 (50.0)

419 (8.1)

 Prior antidiabetic drugs

  Metformin

10,371 (80.6)

18,155 (74.4)

4,730 (84.4)

811 (77.3)

48,983 (72.6)

48,206 (74.9)

11,448 (87.1)

4,042 (77.9)

     Sulfonylureas

4,796 (37.3)

11,330 (46.5)

3,925 (70.0)

425 (40.5)

20,028 (29.7)

28,757 (44.7)

8,180 (62.2)

1,900 (36.6)

  Thiazolidinediones

444 (3.5)

331 (1.4)

140 (2.5)

7 (0.7)

503 (0.7)

952 (1.5)

390 (3.0)

261 (5.0)

  SGLT2 inhibitors

1,431 (11.1)

3,756 (15.4)

766 (13.7)

112 (10.7)

4,632 (6.9)

2,566 (4.0)

1,769 (13.5)

349 (6.7)

  GLP-1 receptor agonists

369 (2.9)

582 (2.4)

26 (0.5)

33 (3.2)

0 (0.0)

111 (0.2)

92 (0.7)

116 (2.2)

  Alpha-glucosidase inhibitors

43 (0.3)

241 (1.0)

89 (1.6)

s

397 (0.6)

327 (0.5)

68 (0.5)

12 (0.2)

  Meglitinides

984 (7.6)

163 (0.7)

111 (2.0)

s

76 (0.1)

1,577 (2.5)

600 (4.6)

9 (0.2)

  Insulin

2,308 (17.9)

3,487 (14.3)

724 (12.9)

115 (11.0)

12,288 (18.2)

8,369 (13.0)

3,294 (25.1)

429 (8.3)

 Current antidiabetic drugs

  Metformin

7,302 (56.7)

11,749 (48.2)

2,063 (36.8)

456 (43.5)

32,259 (47.8)

40,963 (63.7)

7,017 (53.4)

1,317 (25.4)

  Sulfonylureas

1,463 (11.4)

4,220 (17.3)

1,346 (24.0)

113 (10.8)

5,876 (8.7)

13,349 (20.8)

3,481 (26.5)

604 (11.6)

  Thiazolidinediones

106 (0.8)

117 (0.5)

36 (0.6)

s

38 (0.1)

185 (0.3)

105 (0.8)

40 (0.8)

  SGLT2 inhibitors

787 (6.1)

1,276 (5.2)

248 (4.4)

32 (3.1)

1,881 (2.8)

2,090 (3.2)

833 (6.3)

89 (1.7)

  GLP-1 receptor agonists

44 (0.3)

80 (0.3)

s

s

0 (0.0)

15 (0.0)

13 (0.1)

8 (0.2)

  Alpha-glucosidase inhibitors

14 (0.1)

73 (0.3)

28 (0.5)

0 (0.0)

132 (0.2)

126 (0.2)

35 (0.3)

s

  Meglitinides

215 (1.7)

62 (0.3)

30 (0.5)

s

10 (0.0)

908 (1.4)

261 (2.0)

s

  Insulin

604 (4.7)

992 (4.1)

167 (3.0)

29 (2.8)

3,425 (5.1)

3,096 (4.8)

1,011 (7.7)

154 (3.0)

 No. of non-antidiabetic drugsc

7.1 ± 4.8

7.6 ± 5.0

7.7 ± 5.3

7.0 ± 4.0

9.2 ± 5.6

9.0 ± 5.4

3.8 ± 2.0

11.2 ± 7.7

  0-1

891 (6.9)

2,229 (9.1)

353 (6.3)

64 (6.1)

1,981 (2.9)

2,448 (3.8)

1,667 (12.7)

177 (3.4)

  2-5

4,771 (37.1)

8,155 (33.4)

1,931 (34.5)

414 (39.5)

17,255 (25.6)

16,147 (25.1)

8,941 (68.0)

1,067 (20.6)

  ≥ 6

7,212 (56.0)

14,004 (57.4)

3,321 (59.3)

571 (54.4)

48,248 (71.5)

45,737 (71.1)

2,540 (19.3)

3,946 (76.0)

Health care use b

 Inpatient hospitalizations

  0

11,245 (87.4)

18,514 (75.9)

4,939 (88.1)

959 (91.4)

53,671 (79.5)

47,923 (74.5)

9,616 (73.1)

3,512 (67.7)

  1-2

1,501 (11.7)

5,113 (21.0)

629 (11.2)

80 (7.6)

12,333 (18.3)

14,567 (22.6)

3,051 (23.2)

1,317 (25.4)

  ≥ 3

128 (1.0)

761 (3.1)

37 (0.7)

10 (1.0)

1,480 (2.2)

1,842 (2.9)

481 (3.7)

361 (7.0)

 Physician visits

  0

93 (0.7)

2,097 (8.6)

177 (3.2)

27 (2.6)

1,377 (2.0)

3,732 (5.8)

124 (0.9)

760 (14.6)

  1-2

313 (2.4)

885 (3.6)

408 (7.3)

39 (3.7)

5,278 (7.8)

4,910 (7.6)

245 (1.9)

943 (18.2)

     ≥ 3

12,468 (96.9)

21,406 (87.8)

5,020 (89.6)

983 (93.7)

60,829 (90.1)

55,690 (86.6)

12,779 (97.2)

3,487 (67.2)

  1. Abbreviations: AB Alberta, BC British Columbia, CPRD Clinical Practice Research Datalink, DPP-4 Dipeptidyl peptidase-4, GLP-1 Glucagon-like peptide-1, MB Manitoba, NS Nova Scotia, ON Ontario, QC Quebec, SD Standard deviation, SGLT-2 Sodium-glucose co-transporter 2, SK Saskatchewan, UK United Kingdom
  2. aIncome quintile defined as low income households in BC and recipients of last-resort financial assistance in QC.
  3. bUnless otherwise specified, medication use and healthcare use were assessed in the year prior to study cohort entry.
  4. cMeasured by drug class using site-specific approaches and assessed in the 365 days prior to and including study cohort entry.
  5. *Data are presented as n (%) or mean ± SD. Values suppressed due to privacy restrictions are presented as s