| Clinical Practice Research Datalink | The Health Improvement Network | ||||
---|---|---|---|---|---|---|
Characteristic* | Saxagliptin | Other OAD | Standardized difference | Saxagliptin | Other OAD | Standardized difference |
 | (n = 1,962) | (n = 19,484) |  | (n = 2,084) | (n =19,936) |  |
Mean (SD) age, years †| 52.7 (10.6) | 52.2 (10.6) | 0.01 | 64.7 (12.9) | 64.6 (12.9) | 0.01 |
Male sex †| 58.2% | 58.2% | <0.01 | 57.7% | 57.0% | 0.01 |
UK country †|  |  |  |  |  |  |
England | 60.4% | 60.6% | <0.01 | 63.1% | 65.7% | 0.05 |
Northern Ireland | 7.1% | 7.0% | <0.01 | 5.3% | 5.0% | 0.01 |
Scotland | 11.4% | 11.5% | <0.01 | 12.3% | 12.8% | 0.01 |
Wales | 21.0% | 20.9% | <0.01 | 19.2% | 16.5% | 0.07 |
Other OAD initiated at index date | Â | Â | Â | Â | Â | Â |
Alpha-glucosidase inhibitors: Acarbose | 0% | 0.2% | - | 0% | 0.2% | - |
Biguanide: Metformin | 0% | 63.1% | - | 0% | 62.1% | - |
Meglitinides | 0% | 0.4% | - | 0% | 0.4% | - |
  Nateglinide | 0% | 0.1% | - | 0% | 0.0% | - |
  Repaglinide | 0% | 0.3% | - | 0% | 0.3% | - |
Sulfonylureas | 0% | 27.9% | - | 0% | 29.1% | - |
  Glibenclamide (Glyburide in US data sources) | 0% | 0.2% | - | 0% | 0.2% | - |
  Gliclazide | 0% | 24.9% | - | 0% | 26.1% | - |
  Glimepiride | 0% | 2.1% | - | 0% | 1.9% | - |
  Glipizide | 0% | 0.6% | - | 0% | 0.7% | - |
  Tolbutamide | 0% | 0.1% | - | 0% | 0.2% | - |
Thiazolidinediones | 0% | 8.3% | - | 0% | 8.2% | - |
  Pioglitazone | 0% | 8.1% | - | 0% | 8.0% | - |
  Rosiglitazone | 0% | 0.2% | - | 0% | 0.2% | - |
On glucagon-like peptide-1 receptor agonist | 3.1% | 1.9% | 0.08 | 2.4% | 1.9% | 0.03 |
On insulin | 5.4% | 7.3% | 0.08 | 7.7% | 7.2% | 0.02 |
Hemoglobin A1c measurements | Â | Â | Â | Â | Â | Â |
Mean (SD) | 8.7 (1.6) | 8.6 (1.8) | 0.06 | 8.8 (1.6) | 8.6 (1.8) | 0.08 |
Hemoglobin A1c >8% | 57.6% | 39.8% | 0.36 | 56.2% | 40.8% | 0.31 |
Mean body mass index (SD) | 32.4 (6.5) | 31.5 (6.7) | 0.14 | - | - | - |
Missing values | 42.9% | 41.4% | 0.03 | 0.7% | 2.0% | 0.11 |
Underweight (15–18.5 kg/m2) | 0.2% | 0.4% | 0.03 | 0.0% | 0.4% | 0.08 |
Normal (18.5-24.9Â kg/m2) | 4.4% | 6.7% | 0.10 | 7.9% | 11.4% | 0.12 |
Overweight (25.0-29.9Â kg/m2) | 15.9% | 17.8% | 0.05 | 29.0% | 31.5% | 0.05 |
Obese (30–60 kg/m2) | 36.7% | 33.9% | 0.06 | 62.3% | 54.7% | 0.15 |
Smoking | 36.5% | 36.5% | <0.01 | 63.5% | 61.0% | 0.05 |
Severity of type 2 diabetes mellitus (prior 180 d) | Â | Â | Â | Â | Â | Â |
Cerebrovascular disease | 0.5% | 0.7% | 0.02 | 0.9% | 0.7% | 0.02 |
Coronary artery disease, congestive heart failure, ventricular tachycardia/fibrillation | 1.3% | 1.5% | 0.01 | 1.9% | 1.5% | 0.03 |
Diabetic coma | 0% | 0.1% | - | 0% | 0.1% | - |
Nephropathy | 0.3% | 0.2% | 0.02 | 0.6% | 0.2% | 0.06 |
Neuropathy | 0.8% | 0.6% | 0.02 | 0.9% | 0.6% | 0.03 |
Peripheral vascular disease | 1.1% | 0.9% | 0.02 | 1.2% | 0.9% | 0.03 |
Retinopathy | 5.7% | 3.7% | 0.09 | 5.5% | 3.5% | 0.10 |
Unspecified additional diabetic complications | 0% | 0.0% | - | 0% | 0.0% | - |
Medical comorbidities | Â | Â | Â | Â | Â | Â |
Allergic rhinitis/hay fever | 8.8% | 10.0% | 0.04 | 9.1% | 9.4% | 0.01 |
Asthma | 16.0% | 15.8% | <0.01 | 16.4% | 15.9% | 0.01 |
Chronic obstructive pulmonary disease/bronchitis | 12.1% | 10.0% | 0.07 | 13.1% | 10.7% | 0.07 |
Dermatologic disorder | Â | Â | Â | Â | Â | Â |
  Eczema | 17.0% | 15.2% | 0.05 | 16.9% | 14.2% | 0.08 |
  Psoriasis/psoriatic arthritis | 6.4% | 5.1% | 0.06 | 5.8% | 5.3% | 0.02 |
Gastrointestinal disease | Â | Â | Â | Â | Â | Â |
  Cirrhosis | 0.3% | 0.4% | 0.01 | 0.2% | 0.4% | 0.03 |
  Gallbladder disease | 6.2% | 5.6% | 0.02 | 6.3% | 5.9% | 0.02 |
  Hemochromatosis | 0.1% | 0.1% | 0.02 | 0% | 0.2% | 0.04 |
Hyperlipidemia | 16.0% | 12.0% | 0.12 | 15.9% | 12.2% | 0.11 |
Hypertension | 56.7% | 50.9% | 0.12 | 61.0% | 56.1% | 0.10 |
Infectious disease | Â | Â | Â | Â | Â | Â |
  Hepatitis B virus infection | 0.3% | 0.2% | 0.02 | 0.2% | 0.2% | 0.01 |
  Hepatitis C virus infection | 0% | 0.1% | - | 0% | 0.1% | - |
Malignancy | Â | Â | Â | Â | Â | Â |
  Hematologic | 0.8% | 1.0% | 0.03 | 0.9% | 1.0% | <0.01 |
  Solid organ | 23.5% | 22.9% | 0.02 | 22.9% | 23.9% | 0.02 |
Obesity | 17.8% | 14.6% | 0.09 | 17.0% | 13.4% | 0.10 |
Rheumatoid arthritis | 2.7% | 2.4% | 0.02 | 1.3% | 1.7% | 0.03 |
Medications | Â | Â | Â | Â | Â | Â |
Acetaminophen/paracetamol | 31.7% | 28.7% | 0.06 | 32.0% | 30.1% | 0.04 |
Anti-asthmatic agents | 18.6% | 17.7% | 0.02 | 18.8% | 18.1% | 0.02 |
Antibacterials | 35.5% | 33.9% | 0.03 | 32.1% | 30.7% | 0.03 |
Anticonvulsants | 8.8% | 7.8% | 0.04 | 6.2% | 5.1% | 0.05 |
Antifungals | 3.0% | 2.6% | 0.02 | 2.9% | 3.4% | 0.03 |
Antihistamines | 7.2% | 7.1% | <0.01 | 7.5% | 6.9% | 0.02 |
Anti-hyperlipidemic agents | 80.6% | 58.5% | 0.49 | 81.1% | 61.9% | 0.43 |
Antihypertensive agents | Â | Â | Â | Â | Â | Â |
  Angiotensin-converting enzyme inhibitors | 46.5% | 36.1% | 0.21 | 46.1% | 38.4% | 0.16 |
  Angiotensin receptor blockers | 19.2% | 13.2% | 0.16 | 22.5% | 15.0% | 0.19 |
  Beta blockers | 24.7% | 20.7% | 0.09 | 28.0% | 23.2% | 0.11 |
  Calcium channel blockers | 28.2% | 23.8% | 0.10 | 29.9% | 26.9% | 0.07 |
  Loop diuretics | 12.4% | 11.0% | 0.04 | 17.3% | 11.4% | 0.17 |
  Other antihypertensive agents | 9.2% | 6.8% | 0.09 | 10.0% | 6.8% | 0.11 |
  Thiazide diuretics | 19.9% | 16.1% | 0.10 | 25.1% | 20.8% | 0.10 |
Antivirals | 0.7% | 0.8% | 0.02 | 0.8% | 0.9% | 0.02 |
Non-aspirin non-steroidal anti-inflammatory | 13.4% | 13.0% | 0.01 | 12.5% | 13.0% | 0.02 |
Other antiplatelet/anticoagulant agents | Â | Â | Â | Â | Â | Â |
  Aspirin | 38.3% | 29.7% | 0.18 | 42.1% | 32.2% | 0.21 |
  Clopidogrel | 4.9% | 3.7% | 0.06 | 5.0% | 3.7% | 0.06 |
  Low-molecular-weight heparin | 0.2% | 0.3% | 0.03 | 0.5% | 0.3% | 0.02 |
  Warfarin | 5.4% | 4.9% | 0.02 | 6.9% | 5.6% | 0.05 |
Other medications | Â | Â | Â | Â | Â | Â |
  Allopurinol | 3.2% | 3.5% | 0.02 | 5.1% | 3.7% | 0.07 |
  Anti-arrhythmics | 3.4% | 2.6% | 0.05 | 3.1% | 3.0% | <0.01 |
  Immune modulators/immunosuppressants | 1.2% | 1.2% | <0.01 | 1.2% | 1.2% | 0.01 |
  Nitroglycerin | 5.6% | 5.1% | 0.02 | 6.3% | 4.9% | 0.06 |
  Urinary anti-spasmodics | 4.3% | 3.3% | 0.05 | 4.7% | 3.6% | 0.06 |
Psychotropic agents | Â | Â | Â | Â | Â | Â |
  Antidepressants | 22.1% | 19.6% | 0.06 | 20.6% | 19.6% | 0.03 |
  Antipsychotics | 4.3% | 4.4% | 0.01 | 4.9% | 4.8% | 0.01 |
Prior OAD Therapy ‡ | 93.7% | 35.8% | 1.53 | 92.1% | 36.8% | 1.41 |
Alpha-glucosidase inhibitors: Acarbose | 0.3% | 0.1% | 0.03 | 0.2% | 0.1% | 0.03 |
Biguanide: Metformin | 83.4% | 73.7% | 0.24 | 77.7% | 73.1% | 0.11 |
Meglitinides | 1.1% | 0.4% | 0.09 | 1.2% | 0.3% | 0.10 |
  Nateglinide | 0.2% | 0.0% | 0.04 | 0.2% | 0.1% | 0.04 |
  Repaglinide | 0.9% | 0.3% | 0.08 | 1.0% | 0.2% | 0.10 |
Sulfonylureas | 47.9% | 12.2% | 0.84 | 46.4% | 12.8% | 0.79 |
  Glibenclamide | 0.4% | 0.5% | 0.01 | 0.5% | 0.6% | 0.01 |
  Gliclazide | 41.4% | 12.6% | 0.69 | 39.3% | 13.4% | 0.61 |
  Glimepiride | 4.5% | 1.5% | 0.18 | 4.1% | 1.4% | 0.17 |
  Glipizide | 1.1% | 0.7% | 0.04 | 1.7% | 0.8% | 0.09 |
  Tolbutamide | 0.7% | 0.1% | 0.09 | 1.1% | 0.2% | 0.11 |
Thiazolidinediones | 16.6% | 5.3% | 0.37 | 17.7% | 5.1% | 0.40 |
  Pioglitazone | 14.1% | 3.5% | 0.38 | 15.4% | 3.4% | 0.42 |
  Rosiglitazone | 2.7% | 2.1% | 0.03 | 2.5% | 2.0% | 0.03 |