Before matching | After matching | |||||||
---|---|---|---|---|---|---|---|---|
GLP-1RA (N = 4738) | Insulin (N = 17,449) | SMD* | p value** | GLP-1RA (N = 4,063) | Insulin (N = 4,063) | SMD* | p value** | |
Demographics | ||||||||
Age at index date (years) | 62.2 (9.4) | 71.9 (11.5) | − 0.88 | < 0.001 | 63.3 (9.1) | 63.1 (11.2) | 0.02 | 0.124 |
Female sex (%) | 39.3 | 42.9 | − 0.07 | < 0.001 | 39.5 | 39.1 | 0.01 | 0.733 |
Claims-based history lengtha (months) | 54.4 (18.6) | 46.6 (19.3) | 0.41 | < 0.001 | 53.0 (18.9) | 52.8 (18.5) | 0.01 | 0.152 |
Claims-based diabetes durationb (months) | 105.3 (59.4) | 123.5 (66.3) | − 0.28 | < 0.001 | 107.5 (60.5) | 108.5 (60.2) | − 0.02 | 0.201 |
Recent outpatient prescription for first endocrinological visit | 17.8 | 24.8 | − 0.17 | < 0.001 | 19.1 | 19.6 | − 0.01 | 0.594 |
Risk factors | ||||||||
Hypertension (%) | 83.7 | 88.4 | − 0.14 | < 0.001 | 83.7 | 82.5 | 0.03 | 0.164 |
Dyslipidaemia (%) | 71.9 | 68.0 | 0.08 | < 0.001 | 71.3 | 70.9 | 0.01 | 0.750 |
Macrovascular complications | ||||||||
Peripheral circulatory complications (%) | 1.0 | 5.0 | − 0.20 | < 0.001 | 1.2 | 1.5 | − 0.03 | 0.282 |
Infarction (%) | 5.4 | 13.7 | − 0.26 | < 0.001 | 5.8 | 6.0 | − 0.01 | 0.778 |
Ischemic heart disease (%) | 9.8 | 19.2 | − 0.25 | < 0.001 | 10.5 | 10.4 | 0.00 | 0.913 |
Stroke or TIA (%) | 3.1 | 8.6 | − 0.21 | < 0.001 | 3.3 | 4.1 | − 0.04 | 0.078 |
Heart failure (%) | 1.9 | 12.4 | − 0.35 | < 0.001 | 2.1 | 2.9 | − 0.05 | 0.019 |
Cardiovascular disease (%) | 13.6 | 32.3 | − 0.42 | < 0.001 | 14.5 | 15.6 | − 0.03 | 0.215 |
Microvascular complications | ||||||||
Neurological complications (%) | 0.1 | 1.1 | − 0.11 | < 0.001 | 0.1 | 0.3 | − 0.04 | 0.099 |
Ocular complications (%) | 0.2 | 0.6 | − 0.06 | < 0.001 | 0.2 | 0.3 | − 0.02 | 0.382 |
Renal complications (%) | 0.2 | 2.0 | − 0.15 | < 0.001 | 0.2 | 0.2 | 0.01 | 1.000 |
Chronic kidney disease (%) | 1.4 | 8.5 | − 0.28 | < 0.001 | 1.5 | 1.7 | − 0.02 | 0.430 |
Severe hypoglycaemia (%) | 0.3 | 2.3 | − 0.15 | < 0.001 | 0.3 | 0.6 | − 0.04 | 0.108 |
Comorbidities | ||||||||
Chronic pulmonary disease (%) | 32.1 | 32.1 | 0.00 | 0.981 | 31.7 | 30.2 | 0.03 | 0.143 |
Systemic inflammatory disease (%) | 2.3 | 1.9 | 0.03 | 0.083 | 2.3 | 2.3 | 0.00 | 0.882 |
Cancer (%) | 10.1 | 17.6 | − 0.20 | < 0.001 | 10.7 | 11.2 | − 0.02 | 0.456 |
Charlson comorbidity index | 0.3 (0.9) | 1.3 (1.9) | − 0.52 | < 0.001 | 0.3 (1.0) | 0.4 (1.0) | − 0.08 | < 0.001 |
0, n (%) | 3902 (82.4) | 9479 (54.3) | 3318 (81.7) | 3171 (78.0) | ||||
1, n (%) | 443 (9.3) | 2466 (14.1) | 391 (9.6) | 440 (10.8) | ||||
2, n (%) | 244 (5.1) | 2276 (13.0) | 221 (5.4) | 284 (7.0) | ||||
3+, n (%) | 149 (3.1) | 3228 (18.5) | 133 (3.3) | 168 (4.1) | ||||
Glucose lowering medications | ||||||||
No. of different A10B therapiesc | 2.5 (1.2) | 2.4 (1.2) | 0.08 | < 0.001 | 2.5 (1.3) | 2.5 (1.3) | − 0.02 | 0.290 |
Metformin (%) | 90.6 | 79.0 | 0.30 | < 0.001 | 89.6 | 89.9 | − 0.01 | 0.742 |
Sulfonylureas (%) | 48.6 | 72.8 | − 0.53 | < 0.001 | 53.1 | 53.8 | − 0.02 | 0.505 |
SGLT2i (%) | 5.5 | 1.8 | 0.23 | < 0.001 | 4.8 | 4.7 | 0.00 | 0.917 |
DPP4i (%) | 43.0 | 27.7 | 0.33 | < 0.001 | 40.7 | 40.6 | 0.00 | 0.982 |
Pioglitazone (%) | 16.4 | 9.1 | 0.24 | < 0.001 | 15.0 | 15.2 | − 0.01 | 0.828 |
Other therapies | ||||||||
ACE inhibitors (%) | 71.9 | 71.8 | 0.00 | 0.912 | 71.4 | 70.8 | 0.01 | 0.590 |
Diuretics (%) | 17.5 | 40.6 | − 0.49 | < 0.001 | 18.9 | 18.1 | 0.02 | 0.361 |
Beta blockers (%) | 33.9 | 43.7 | − 0.20 | < 0.001 | 35.1 | 34.2 | 0.02 | 0.401 |
Other antihypertensives (%) | 8.2 | 10.4 | − 0.07 | < 0.001 | 8.4 | 7.9 | 0.02 | 0.465 |
Statins (%) | 62.8 | 59.5 | 0.07 | < 0.001 | 62.1 | 61.5 | 0.01 | 0.553 |
Fibrates or omega-3 (%) | 11.8 | 9.9 | 0.06 | < 0.001 | 11.6 | 11.7 | − 0.00 | 1.000 |
PCSK9 inhibitors | 0.0 | 0.0 | 0 | 1.000 | 0.0 | 0.0 | 0 | 1.000 |
Ezetimibe (%) | 3.3 | 1.6 | 0.13 | < 0.001 | 2.7 | 2.6 | 0.01 | 0.729 |
Platelet aggregation inhibitors (%) | 33.2 | 47.4 | − 0.29 | < 0.001 | 34.5 | 34.2 | 0.01 | 0.797 |