| Losartan | Valsartan | Irbesartan | Candesartan | Telmisartan | Olmesartan |
---|---|---|---|---|---|---|
Number of patients | 127,383 | 183,486 | 80,845 | 39,430 | 35,017 | 26,369 |
Patient characteristics | Â | Â | Â | Â | Â | Â |
Age at ARBs initiation (mean ± SD) | 59.55 ± 14.39 | 60.00 ± 14.41 | 59.20 ± 14.39 | 59.67 ± 14.35 | 58.82 ± 14.12 | 58.45 ± 14.28 |
Male (%) | 52.64 | 52.88 | 54.12 | 52.88 | 52.67 | 54.96 |
Initiation year (%) | Â | Â | Â | Â | Â | Â |
2004 | 21.16 | 23.23 | 25.33 | 7.22 | 21.06 | 0.88 |
2005 | 14.87 | 18.52 | 18.68 | 10.06 | 15.53 | 9.15 |
2006 | 11.54 | 15.59 | 15.97 | 17.58 | 13.72 | 14.77 |
2007 | 12.52 | 14.84 | 14.27 | 21.41 | 16.91 | 20.40 |
2008 | 19.21 | 13.60 | 13.42 | 22.74 | 16.57 | 27.46 |
2009 | 20.71 | 14.23 | 12.33 | 20.99 | 16.20 | 27.34 |
Comorbidities (%) | Â | Â | Â | Â | Â | Â |
Hypertension | 87.05 | 88.36 | 88.68 | 85.87 | 90.72 | 91.20 |
Ischemic heart disease | 19.19 | 20.78 | 19.80 | 27.30 | 19.76 | 18.22 |
Myocardial infarction | 0.91 | 1.03 | 0.90 | 1.24 | 0.76 | 0.53 |
Heart failure | 5.31 | 6.21 | 5.15 | 8.34 | 3.99 | 3.30 |
Atrial fibrillation | 2.37 | 2.19 | 2.18 | 3.06 | 1.35 | 1.21 |
Cerebrovascular disease | 11.01 | 14.17 | 14.68 | 11.32 | 11.91 | 11.08 |
Ischemic stroke | 6.08 | 7.72 | 8.06 | 5.91 | 5.88 | 5.74 |
Intracerebral hemorrhage | 1.13 | 2.30 | 2.16 | 1.36 | 1.53 | 1.39 |
Peripheral vascular disease | 0.05 | 0.04 | 0.03 | 0.03 | 0.06 | 0.04 |
Chronic renal failure | 3.48 | 3.15 | 4.28 | 2.10 | 2.51 | 2.24 |
Chronic liver disease | 10.62 | 10.37 | 10.55 | 10.99 | 10.42 | 10.12 |
Chronic lung disease | 17.12 | 18.04 | 16.80 | 17.22 | 16.22 | 16.43 |
Depression | 4.08 | 4.28 | 4.30 | 4.18 | 4.18 | 4.00 |
Charlson’s index (mean ± SD) | 0.78 ± 1.03 | 0.83 ± 1.05 | 0.84 ± 1.06 | 0.78 ± 1.01 | 0.73 ± 0.99 | 0.68 ± 0.95 |
Number of different ICD-9 diagnoses (mean ± SD) | 13.62 ± 7.69 | 13.74 ± 7.74 | 13.37 ± 7.57 | 13.63 ± 7.70 | 13.21 ± 7.54 | 13.21 ± 7.59 |
Number of cardiovascular-related diagnoses (mean ± SD) | 1.60 ± 1.10 | 1.71 ± 1.15 | 1.70 ± 1.15 | 1.79 ± 1.15 | 1.66 ± 1.07 | 1.59 ± 1.01 |
Medication use (%) | Â | Â | Â | Â | Â | Â |
Aspirin | 28.39 | 31.83 | 29.27 | 31.48 | 27.88 | 27.62 |
Clopidogrel | 2.32 | 2.90 | 3.12 | 3.83 | 2.28 | 1.85 |
Warfarin | 1.36 | 1.33 | 1.25 | 1.66 | 0.92 | 0.86 |
Alpha-blockers | 4.99 | 5.04 | 5.50 | 4.30 | 5.24 | 4.97 |
Beta-blockers | 40.82 | 43.54 | 45.64 | 47.42 | 44.46 | 41.56 |
Calcium channel blockers | 56.13 | 59.86 | 61.55 | 60.50 | 60.12 | 62.00 |
Diuretics | 26.63 | 27.82 | 27.89 | 26.65 | 24.85 | 23.47 |
Other anti-hypertensive agents | 1.54 | 1.84 | 2.04 | 1.48 | 1.68 | 1.56 |
Nitrates | 10.87 | 12.83 | 11.68 | 15.74 | 10.91 | 9.79 |
Statins | 12.02 | 11.81 | 13.64 | 15.55 | 13.16 | 12.21 |
Fibrates | 4.17 | 4.22 | 4.54 | 4.45 | 4.70 | 4.08 |
Digitalis glycoside | 3.15 | 3.40 | 2.64 | 3.45 | 2.08 | 1.72 |
Antiarrhythmics class I and III | 3.30 | 3.33 | 3.35 | 4.15 | 2.52 | 2.43 |
COX-2 non-selective NSAIDs | 76.74 | 75.97 | 74.47 | 73.31 | 74.47 | 75.58 |
COX-2 selective NSAIDs | 7.49 | 8.24 | 8.47 | 7.32 | 7.12 | 5.94 |
Number of different prescription drugs (mean ± SD) | 24.46 ± 15.72 | 25.41 ± 16.34 | 24.48 ± 15.93 | 23.69 ± 15.46 | 23.62 ± 15.61 | 23.48 ± 15.32 |
Number of cardiovascular-related medications (mean ± SD) | 3.53 ± 2.20 | 3.76 ± 2.32 | 3.79 ± 2.31 | 3.83 ± 2.32 | 3.65 ± 2.23 | 3.58 ± 2.20 |
Resource utilization (mean ± SD) |  |  |  |  |  |  |
Number of A1C measurement | 0.04 ± 0.20 | 0.04 ± 0.19 | 0.05 ± 0.21 | 0.06 ± 0.24 | 0.05 ± 0.21 | 0.04 ± 0.21 |
Number of lipid-related lab test | 1.12 ± 1.47 | 1.20 ± 1.48 | 1.42 ± 1.53 | 1.68 ± 1.59 | 1.47 ± 1.56 | 1.37 ± 1.57 |
Number of cardiac ultrasound examination | 0.15 ± 0.42 | 0.17 ± 0.46 | 0.18 ± 0.49 | 0.34 ± 0.65 | 0.19 ± 0.47 | 0.15 ± 0.44 |
Number of outpatient visits | 25.62 ± 20.22 | 25.40 ± 20.37 | 24.96 ± 19.83 | 25.21 ± 19.99 | 24.32 ± 19.51 | 24.38 ± 20.08 |
Number of emergency department visit | 0.41 ± 1.01 | 0.49 ± 1.20 | 0.47 ± 1.09 | 0.48 ± 1.21 | 0.42 ± 1.00 | 0.43 ± 0.97 |
Number of cardiology outpatient visits | 1.59 ± 3.67 | 1.73 ± 3.70 | 2.15 ± 4.08 | 3.01 ± 4.62 | 2.09 ± 3.96 | 1.69 ± 3.57 |
Number of cardiovascular-related physician visits | 5.82 ± 6.75 | 6.08 ± 6.98 | 6.23 ± 6.85 | 6.35 ± 6.88 | 5.98 ± 6.84 | 5.77 ± 6.68 |
Coronary revascularization % | 0.44 | 0.57 | 0.49 | 1.03 | 0.39 | 0.49 |
Number of hospitalizations | 0.23 ± 0.63 | 0.29 ± 0.69 | 0.28 ± 0.66 | 0.27 ± 0.64 | 0.22 ± 0.61 | 0.25 ± 0.65 |
Number of hospitalizations due to cardiovascular-related diseases | 0.13 ± 0.43 | 0.17 ± 0.48 | 0.16 ± 0.47 | 0.16 ± 0.45 | 0.13 ± 0.43 | 0.14 ± 0.44 |
Number of hospital days | 2.47 ± 16.01 | 3.01 ± 16.33 | 2.79 ± 14.54 | 2.46 ± 13.96 | 2.15 ± 13.53 | 2.57 ± 17.20 |
Number of cardiovascular-related hospital days | 1.23 ± 8.39 | 1.69 ± 9.61 | 1.61 ± 8.82 | 1.34 ± 6.89 | 1.17 ± 7.32 | 1.35 ± 9.37 |