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Abstracts P031

Impact of COVID-19 on Oral Oncolytic Adherence

McAuliff Kelly , Cliff W ; Cavers Will ; Shah Dipti ; Pittos Ellias ; Feczko Lucia ; Grover Rashmi , Avalos-Reyes Eliyas and Johnson, Kjel
CVS Health, Lincoln, Rhode Island, USA


Methods:
This retrospective cohort study included adult patients with chronic myelogenous leukemia (CML), ovarian cancer or prostate cancer initiating oral oncolytics between 3/1/19 and 3/1/2021. Patients were divided into two groups: pre-COVID oral oncolytic initiators before 3/1/20 and COVID initiators after 3/1/20 and were followed for 1 year after therapy initiation. The primary outcome was optimal adherence to oral oncolytic agents as defined by a medication possession ratio (MPR) ‚â•‚Äâ0.8. Percent of digital engagement, defined as the number of times a patient interacted with the CVS digital platform, was examined as a secondary endpoint and was considered as a binary and categorical endpoint (none, low (105)). Descriptive statistics and logistic regression modeling were performed; p-values Results:
In total, 15,494 patients were included in the study, with 8,067 (52.07%) in the pre-COVID initiator group. Patient demographics were similar across study groups, with the exception of pre-COVID initiators who were less likely to be male (75.32% vs. 77.34%; pDiscussion:
The onset of the COVID-19 pandemic did not significantly impact optimal adherence for new-to-therapy oral oncology patients. Patients with high digital engagement during the pandemic experienced significantly improved adherence than those not engaged. Additionally, persistence and number of fills were slightly improved in COVID initiators, suggesting that the current pandemic may have influenced adherence behaviors.
Publisher
John Wiley & Sons; Hoboken, USA
Source Journal
American Journal of Hematology
E ISSN 1096-8652 ISSN 0361-8609

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