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Table 2 Hazard ratios of MACE in patients receiving different 2nd-line anti-diabetic agents

From: Glitazones and alpha-glucosidase inhibitors as the second-line oral anti-diabetic agents added to metformin reduce cardiovascular risk in Type 2 diabetes patients: a nationwide cohort observational study

Variable

Event

PYs

Rate

Crude HR (95% CI)

Adjusted HR (95% CI)

p value

MACE

 Met+SU users

4512

155,459

29.0

Ref.

Ref.

–

 Met+AGI users

70

3735

18.7

0.72 (0.57–0.92)

0.74 (0.59–0.94)

0.01

 Met+TZD users

50

2814

17.8

0.68 (0.51–0.89)

0.66 (0.50–0.88)

0.004

 Met+glinide users

141

5187

27.2

1.01 (0.85–1.19)

0.89 (0.75–1.06)

0.18

 Met+DPP-4I users

2

194

10.3

0.52 (0.13–2.08)

0.52 (0.13–2.10)

0.36

ACS

 Met+SU users

693

163,037

42.5

Ref.

Ref.

–

 Met+AGI users

11

3805

28.9

0.76 (0.42–1.39)

0.74 (0.41–1.34)

0.32

 Met+TZD users

10

2851

35.1

0.91 (0.49–1.71)

0.85 (0.45–1.59)

0.61

 Met+glinide users

14

5364

26.1

0.66 (0.39–1.12)

0.60 (0.35–1.03)

0.06

 Met+DPP-4I users

0

194

0

–

–

–

Stroke

 Met+SU users

2206

157,529

140

Ref.

Ref.

–

 Met+AGI users

35

3750

93.3

0.71 (0.51–1.00)

0.71 (0.51–0.99)

0.04

 Met+TZD users

16

2833

56.5

0.43 (0.26–0.70)

0.41 (0.25–0.67)

0.0004

 Met+glinide users

75

5213

144

1.07 (0.85–1.35)

0.95 (0.75–1.20)

0.66

 Met+DPP-4I users

1

194

51.7

0.46 (0.07–3.30)

0.46 (0.06–3.24)

0.43

Ischemic stroke

 Met+SU users

1850

158,569

117

Ref.

Ref.

–

 Met+AGI users

27

3765

71.7

0.66 (0.45–0.96)

0.65 (0.44–0.95)

0.02

 Met+TZD users

11

2845

38.7

0.35 (0.19–0.64)

0.34 (0.19–0.61)

0.0003

 Met+glinide users

55

5247

105

0.94 (0.72–1.23)

0.83 (0.64–1.09)

0.18

 Met+DPP-4I users

1

194

51.7

0.55 (0.08–3.94)

0.53 (0.07–3.77)

0.52

Hemorrhagic stroke

 Met+SU users

303

164,609

18.4

Ref.

Ref.

–

 Met+AGI users

5

3813

13.1

0.77 (0.32–1.88)

0.82 (0.34–1.99)

0.66

 Met+TZD users

2

2863

6.98

0.41 (0.10–1.64)

0.41 (0.10–1.64)

0.21

 Met+glinide users

11

5378

20.5

1.16 (0.64–2.12)

1.08 (0.59–1.98)

0.80

 Met+DPP-4I users

0

194

0

–

–

–

Mortality

 Met+SU users

2640

165,404

160

Ref.

Ref.

–

 Met+AGI users

37

3824

96.8

0.78 (0.56–1.08)

0.83 (0.60–1.15)

0.26

 Met+TZD users

29

2872

101

0.79 (0.55–1.14)

0.81 (0.56–1.17)

0.27

 Met+glinide users

79

5392

147

1.07 (0.86–1.34)

0.93 (0.74–1.16)

0.51

 Met+DPP-4I users

1

194

51.4

0.75 (0.11–5.34)

0.79 (0.11–5.61)

0.81

  1. Multivariate Cox proportional hazards regression model was used
  2. Model was adjusted for age, sex, diabetes duration, COPD, CKD, hypertension, heart failure, hyperlipidemia, and medications (ACEIs/ARBs, alpha blockers, beta blockers, CCB, diuretics, aspirin, clopidogrel, warfarin, statins and fibrates) used
  3. PYs person-years, per 1000 PYs