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Table 3 Subgroup analysis of the hazard ratio for MACE in diabetic patients receiving different add-on ADAs

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

MACE event

Event

PYs

Rate

Crude HR (95% CI)

Adjusted HR (95% CI)

p value

< 45 years

 Met+SU users

320

27,932

115

Ref.

Ref.

–

 Met+AGI users

6

708

84.7

0.94 (0.42–2.12)

0.79 (0.35–1.79)

0.57

 Met+TZD users

5

479

104

1.15 (0.47–2.78)

1.04 (0.43–2.54)

0.93

 Met+glinide users

8

878

91.1

0.91 (0.45–1.84)

0.99 (0.49–2.01)

0.98

 Met+DPP-4I users

0

33

0

–

–

–

45–64 years

 Met+SU users

2150

93,446

230

Ref.

Ref.

–

 Met+AGI users

22

2193

100

0.49 (0.32–0.74)

0.49 (0.32–0.74)

0.0009

 Met+TZD users

22

1703

129

0.63 (0.41–0.95)

0.61 (0.40–0.94)

0.02

 Met+glinide users

45

2890

156

0.73 (0.54–0.98)

0.72 (0.54–0.97)

0.03

 Met+DPP-4I users

0

114

0

–

–

–

≥ 65 years

 Met+SU users

2042

34,081

599

Ref.

Ref.

–

 Met+AGI users

42

833

504

0.96 (0.71–1.31)

1.01 (0.74–1.37)

0.96

 Met+TZD users

23

632

364

0.66 (0.44–1.00)

0.65 (0.43–0.98)

0.04

 Met+glinide users

88

1419

620

1.11 (0.90–1.38)

1.08 (0.87–1.33)

0.51

 Met+DPP-4I users

2

47

426

0.99 (0.25–3.98)

1.04 (0.26–4.19)

0.95

Female

 Met+SU users

1934

75,370

257

Ref.

Ref.

–

 Met+AGI users

35

2073

169

0.75 (0.54–1.05)

0.74 (0.53–1.03)

0.07

 Met+TZD users

22

1295

170

0.74 (0.49–1.13)

0.72 (0.47–1.10)

0.13

 Met+glinide users

58

2473

235

1.00 (0.77–1.30)

0.86 (0.66–1.12)

0.26

 Met+DPP-4I users

2

96

208

1.23 (0.31–4.95)

1.20 (0.30–4.81)

0.80

Male

 Met+SU users

2578

80,089

322

Ref.

Ref.

–

 Met+AGI users

35

1661

211

0.72 (0.52–1.01)

0.74 (0.53–1.04)

0.08

 Met+TZD users

28

1518

184

0.63 (0.43–0.91)

0.61 (0.42–0.89)

0.01

 Met+glinide users

83

2714

306

1.01 (0.81–1.25)

0.91 (0.73–1.14)

0.41

 Met+DPP-4I users

0

97

0

–

–

 

Without COPD

 Met+SU users

2783

106,567

261

Ref.

Ref.

–

 Met+AGI users

34

2394

142

0.61 (0.44–0.86)

0.66 (0.47–0.93)

0.02

 Met+TZD users

27

1885

143

0.61 (0.42–0.89)

0.61 (0.42–0.89)

0.01

 Met+glinide users

75

3535

212

0.87 (0.69–1.09)

0.83 (0.66–1.05)

0.12

 Met+DPP-4I users

1

110

90.8

0.52 (0.07–3.72)

0.50 (0.07–3.59)

0.49

With COPD

 Met+SU users

1729

48,892

354

Ref.

Ref.

–

 Met+AGI users

36

1340

269

0.84 (0.61–1.17)

0.84 (0.60–1.17)

0.29

 Met+TZD users

23

929

248

0.77 (0.51–1.16)

0.75 (0.49–1.13)

0.16

 Met+glinide users

66

1652

400

1.22 (0.96–1.56)

0.97 (0.75–1.24)

0.78

 Met+DPP-4I users

1

83

120

0.48 (0.07–3.39)

0.54 (0.08–3.85)

0.54

Without CKD

 Met+SU users

4425

153,935

287

Ref.

Ref.

–

 Met+AGI users

69

3672

188

0.73 (0.58–0.93)

0.76 (0.60–0.96)

0.02

 Met+TZD users

48

2780

173

0.66 (0.50–0.88)

0.65 (0.49–0.87)

0.003

 Met+glinide users

135

5094

265

0.99 (0.84–1.18)

0.88 (0.74–1.05)

0.16

 Met+DPP-4I users

1

185

54.0

0.28 (0.04–1.96)

0.29 (0.04–2.05)

0.21

With CKD

 Met+SU users

87

1524

571

Ref.

Ref.

–

 Met+AGI users

1

63

160

0.28 (0.04–2.05)

0.31 (0.04–2.31)

0.25

 Met+TZD users

2

34

594

1.28 (0.31–5.27)

1.32 (0.30–5.83)

0.72

 Met+glinide users

6

93

647

1.11 (0.48–2.54)

1.06 (0.44–2.54)

0.90

 Met+DPP-4I users

1

9

1175

2.60 (0.35–19.1)

2.77 (0.35–21.7)

0.33

Without hypertension

 Met+SU users

1333

67,523

197

Ref.

Ref.

–

 Met+AGI users

11

1172

93.8

0.56 (0.31–1.01)

0.63 (0.34–1.14)

0.13

 Met+TZD users

10

918

109

0.64 (0.34–1.19)

0.65 (0.35–1.21)

0.17

 Met+glinide users

33

2106

157

0.87 (0.62–1.23)

0.85 (0.60–1.21)

0.37

 Met+DPP-4I users

0

61

0

–

–

–

With hypertension

 Met+SU users

3179

87,936

362

Ref.

Ref.

–

 Met+AGI users

59

2562

230

0.70 (0.54–0.91)

0.77 (0.59–1.00)

0.04

 Met+TZD users

40

1896

211

0.64 (0.46–0.87)

0.66 (0.48–0.90)

0.009

 Met+glinide users

108

3081

351

1.04 (0.85–1.25)

0.91 (0.75–1.10)

0.33

 Met+DPP-4I users

2

132

151

0.59 (0.15–2.37)

0.63 (0.16–2.54)

0.52

Without hyperlipidemia

 Met+SU users

2321

71,328

325

Ref.

Ref.

–

 Met+AGI users

23

1063

216

0.74 (0.49–1.11)

0.70 (0.46–1.05)

0.09

 Met+TZD users

21

900

233

0.79 (0.51–1.21)

0.70 (0.46–1.08)

0.11

 Met+glinide users

61

2249

271

0.89 (0.69–1.15)

0.83 (0.64–1.07)

0.14

 Met+DPP-4I users

1

52

192

0.83 (0.12–5.87)

0.95 (0.13–6.75)

0.96

With hyperlipidemia

 Met+SU users

2191

84,131

260

Ref.

Ref.

–

 Met+AGI users

47

2671

176

0.76 (0.57–1.01)

0.77 (0.58–1.03)

0.08

 Met+TZD users

29

1914

152

0.64 (0.44–0.92)

0.63 (0.44–0.91)

0.01

 Met+glinide users

80

2938

272

1.12 (0.90–1.40)

0.94 (0.75–1.18)

0.60

 Met+DPP-4I users

1

142

70.7

0.41 (0.06–2.88)

0.37 (0.05–2.63)

0.32

Without HF

 Met+SU users

4196

150,199

279

Ref.

Ref.

–

 Met+AGI users

61

3570

171

0.69 (0.54–0.89)

0.72 (0.56–0.93)

0.01

 Met+TZD users

43

2732

157

0.63 (0.46–0.85)

0.61 (0.45–0.82)

0.001

 Met+glinide users

128

4923

260

1.00 (0.84–1.20)

0.90 (0.75–1.07)

0.22

 Met+DPP-4I users

2

174

115

0.62 (0.16–2.50)

0.67 (0.17–2.68)

0.57

With HF

 Met+SU users

316

5260

601

Ref.

Ref.

–

 Met+AGI users

9

164

548

0.96 (0.50–1.87)

0.91 (0.46–1.79)

0.79

 Met+TZD users

7

82

853

1.53 (0.72–3.24)

1.43 (0.67–3.04)

0.36

 Met+glinide users

13

264

493

0.86 (0.49–1.50)

0.89 (0.51–1.56)

0.69

 Met+DPP-4I users

0

19

0

–

–

 
  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