Evidence map›Paper›PMID 39636563›Full record

ArticleAdvances in therapy2025

Adherence and Persistence with Single-Inhaler Triple Therapy Among Patients with COPD Using Commercial and Medicare Advantage US Health Plan Claims Data.

Corinne Young, Lydia Y Lee, Kristi K DiRocco, Guillaume Germain, Jacob Klimek, François Laliberté, Dominique Lejeune, Stephen G Noorduyn, Rosirene Paczkowski

Abstract read
In one paragraph

Article in Advances in therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Observational
  5. Article
  6. Article
  7. Article
  8. Economic Analysis of New Single-Inhaler Triple Therapies in Patients with COPD in the UK.International journal of chronic obstructive pulmonary disease · 2025
    Article
  9. Article
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Corinne YoungAssociation of Pulmonary Advanced Practice Providers and Clinical Services, Colorado Springs, CO, USA.
Lydia Y LeeUS Value Evidence and Outcomes, R&D Global Medical, GSK, Collegeville, PA, 19426-0989, USA.ORCID 0000-0002-8114-6508
Kristi K DiRoccoUS Medical Affairs, GSK, Collegeville, PA, USA.ORCID 0009-0006-2988-5684
Guillaume GermainGroupe d'analyse, Ltée, Montréal, QC, Canada.ORCID 0000-0002-4525-7673
Jacob KlimekGroupe d'analyse, Ltée, Montréal, QC, Canada.
François LalibertéGroupe d'analyse, Ltée, Montréal, QC, Canada.ORCID 0000-0003-2601-6214
Dominique LejeuneGroupe d'analyse, Ltée, Montréal, QC, Canada.
Stephen G NoorduynDepartment of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, ON, Canada.ORCID 0000-0002-5936-5579
Rosirene PaczkowskiUS Value Evidence and Outcomes, R&D Global Medical, GSK, Collegeville, PA, 19426-0989, USA. rosirene.x.paczkowski@gsk.com.ORCID 0009-0001-7151-4311

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPreviously, adherence and persistence to treatment have been shown to improve outcomes among patients with chronic obstructive pulmonary disease (COPD). This study aimed to evaluate adherence and persistence to single-inhaler triple therapy with fluticasone furoate/umeclidinium/vilanterol (FF/UMEC/VI; one inhalation, once-daily) compared with budesonide/glycopyrrolate/formoterol fumarate (BUD/GLY/FOR; two inhalations, twice-daily) among patients with COPD in the USA.

methodsThis retrospective weighted cohort study used claims data from the IQVIA PharMetrics

resultsOverall, 8912 and 2685 patients were included in the FF/UMEC/VI and BUD/GLY/FOR cohorts, respectively. After weighting, mean age and proportion of patients with Medicare Advantage insurance was 64.62 years and 40.0% in the FF/UMEC/VI cohort and 63.96 years and 36.1% in the BUD/GLY/FOR cohort. At 6 months post-index, mean PDC was greater in the FF/UMEC/VI versus the BUD/GLY/FOR cohort (0.65 versus 0.59; P < 0.001). A significantly greater proportion of patients in the FF/UMEC/VI versus the BUD/GLY/FOR cohort had PDC ≥ 0.8 (45.6% versus 34.5%; P < 0.001) and PDC ≥ 0.5 (71.8% versus 64.3%; P < 0.001). Results were consistent at 12 months post-index. When a 30-day gap was used to define treatment discontinuation, the FF/UMEC/VI cohort had statistically significantly greater treatment persistence versus the BUD/GLY/FOR cohort at all time points.

conclusionIn this study, patients initiating FF/UMEC/VI had significantly greater adherence and persistence to treatment than patients initiating BUD/GLY/FOR.

Indexed as

Bronchodilator AgentsPulmonary Disease, Chronic ObstructiveAdministration, InhalationAgedAndrostadienesBenzyl AlcoholsBudesonideChlorobenzenesDrug CombinationsDrug Therapy, CombinationFemaleFormoterol FumarateGlycopyrrolateHumansInsurance Claim ReviewMaleAndrostadienesBenzyl AlcoholsBronchodilator AgentsBudesonideChlorobenzenesDrug Combinationsfluticasone furoateFormoterol FumarateGlycopyrrolateGSK573719QuinuclidinesvilanterolAdherenceBUD/GLY/FORCOPDFF/UMEC/VIMedicare AdvantagePersistenceReal-world evidenceSingle-inhaler triple therapy

Identifiers

PMID39636563
PMCPMC11787229

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.