TABLE 1.
Pre-match | Post-match | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Allopurinol (n = 3,534) | Febuxostat (n = 1,613) | P Value | Std Diff | Allopurinol (n = 1,486) | Febuxostat (n = 1,486) | P Value | Std Diff | |||||
Demographics | ||||||||||||
Mean [SD] age, years | 68.5 | [12.8] | 67.4 | [12.7] | < 0.001 | 8.2 | 67.3 | [12.9] | 67.5 | [12.6] | 0.665 | −1.6 |
Male (n, %) | 2,195 | 62.1 | 1,055 | 65.4 | 0.037 | −6.9 | 962 | 64.7 | 958 | 64.5 | 0.878 | 0.6 |
Comorbidities (n, %) | ||||||||||||
CVD, any | 2,951 | 83.5 | 1,337 | 82.9 | 0.929 | 1.6 | 1,231 | 82.8 | 1,233 | 83.0 | 0.922 | −0.4 |
Cerebrovascular | 329 | 9.3 | 119 | 7.4 | 0.022 | 7.0 | 109 | 7.3 | 111 | 7.5 | 0.889 | −0.5 |
Dysrhythmias | 835 | 23.6 | 383 | 23.7 | 0.963 | −0.3 | 344 | 23.1 | 351 | 23.6 | 0.762 | −1.1 |
Heart failure | 817 | 23.1 | 333 | 20.6 | 0.067 | 6.0 | 313 | 21.1 | 308 | 20.7 | 0.822 | 0.8 |
Hypertension | 2,517 | 71.2 | 1,111 | 68.9 | 0.890 | 5.1 | 1,044 | 70.3 | 1,032 | 69.4 | 0.632 | 1.8 |
IH D/athero sclero si s | 1,035 | 29.3 | 462 | 28.6 | 0.336 | 1.4 | 400 | 26.9 | 437 | 29.4 | 0.131 | −5.5 |
Peripheral vascular | 314 | 8.9 | 138 | 8.6 | 0.845 | 1.2 | 114 | 7.7 | 129 | 8.7 | 0.315 | −3.7 |
Chronic liver | 24 | 0.7 | 23 | 1.4 | 0.013 | −7.3 | 15 | 1.0 | 17 | 1.1 | 0.722 | −1.3 |
COPD | 446 | 12.6 | 166 | 10.3 | 0.011 | 7.3 | 155 | 10.4 | 158 | 10.6 | 0.858 | −0.7 |
CKD stage 3a | 2,646 | 74.9 | 1,203 | 74.6 | 0.810 | 0.7 | 1,112 | 74.8 | 1,106 | 74.4 | 0.800 | 0.9 |
CKD stage 4a | 709 | 20.1 | 342 | 21.2 | 0.719 | −2.8 | 317 | 21.3 | 318 | 21.4 | 0.964 | −0.2 |
Diabetes mellitus | 1,483 | 42.0 | 673 | 41.7 | 0.735 | 0.5 | 627 | 42.2 | 624 | 42.0 | 0.911 | 0.4 |
Dyslipidemia | 1,124 | 31.8 | 448 | 27.8 | 0.124 | 8.8 | 412 | 27.7 | 417 | 28.1 | 0.838 | −0.8 |
Renal failure | 763 | 21.6 | 356 | 22.1 | 0.741 | −1.2 | 324 | 21.8 | 323 | 21.7 | 0.965 | 0.2 |
Gout measures (n, %) | ||||||||||||
Presence of tophi | 75 | 2.1 | 92 | 5.7 | < 0.001 | −18.5 | 61 | 4.1 | 52 | 3.5 | 0.388 | 3.2 |
Patients ≥ 1 gout attack | 1,774 | 50.2 | 975 | 60.4 | < 0.001 | −20.7 | 879 | 59.2 | 873 | 58.7 | 0.823 | 0.8 |
Mean [SD] attacks | 0.6 | [0.8] | 0.9 | [1.0] | < 0.001 | −31.5 | 0.8 | [0.9] | 0.8 | [0.9] | 0.510 | −2.4 |
First-line ULT | 3,409 | 96.5 | 799 | 49.5 | < 0.001 | 124.5 | 1,424 | 95.8 | 743 | 50.0 | <0.001 | 120.4 |
Second-line ULT | 125 | 3.5 | 814 | 50.5 | < 0.001 | −124.5 | 62 | 4.2 | 743 | 50.0 | <0.001 | −120.4 |
Colchicine | 1,359 | 38.5 | 852 | 52.8 | < 0.001 | −29.1 | 760 | 51.1 | 762 | 51.3 | 0.942 | −0.3 |
Glucocorticoids | 2,037 | 57.6 | 1,109 | 68.8 | < 0.001 | −23.2 | 994 | 66.9 | 996 | 67.0 | 0.938 | −0.3 |
NSAIDs | 1,209 | 34.2 | 563 | 34.9 | 0.601 | −1.5 | 501 | 33.7 | 510 | 34.3 | 0.728 | −1.3 |
Probenecid | 52 | 1.5 | 41 | 2.5 | 0.009 | −7.6 | 33 | 2.2 | 30 | 2.0 | 0.702 | 1.4 |
Other medications (n, %) | ||||||||||||
Antihyperlipidemics | 2,428 | 68.7 | 1,098 | 68.1 | 0.513 | 1.4 | 1,025 | 69.0 | 1,013 | 68.2 | 0.635 | 1.7 |
ACE inhibitors | 1,563 | 44.2 | 638 | 39.6 | 0.002 | 9.5 | 589 | 39.6 | 595 | 40.0 | 0.822 | −0.8 |
ARBs | 1,245 | 35.2 | 669 | 41.5 | < 0.001 | −12.9 | 589 | 39.6 | 609 | 41.0 | 0.455 | −2.7 |
Antibiotics | 2,285 | 64.7 | 1,098 | 68.1 | 0.047 | −7.2 | 1,001 | 67.4 | 1,007 | 67.8 | 0.814 | −0.9 |
Antidiabetic agents | 1,381 | 39.1 | 655 | 40.6 | 0.542 | −3.1 | 605 | 40.7 | 610 | 41.0 | 0.852 | −0.7 |
Antihyperlipidemics | 2,428 | 68.7 | 1,098 | 68.1 | 0.513 | 1.4 | 1,025 | 69.0 | 1,013 | 68.2 | 0.635 | 1.7 |
Opiate analgesics | 2,122 | 60.0 | 1,028 | 63.7 | 0.044 | −7.6 | 954 | 64.2 | 935 | 62.9 | 0.469 | 2.7 |
Mean [SD] CCI | 3.9 | [1.9] | 3.8 | [1.9] | 0.401 | 2.6 | 3.8 | [1.8] | 3.8 | [1.9] | 0.929 | −0.3 |
Mean [SD] cost ($) | 1,666 | [2,300] | 1,785 | [2,408] | 0.261 | −5.1 | 1,749 | [2,724] | 1,751 | [2,309] | 0.982 | −0.1 |
a CKD stage based on the stage reported nearest the study index date.
ACE inhibitor = angiotensin-converting enzyme inhibitor; ARB = angiotensin II receptor blocker; CCI = Charlson Comorbidity Index; CKD = chronic kidney disease;
COPD = chronic obstructive pulmonary disease; CVD = cardiovascular disease; IHD = ischemic heart disease; NSAID = nonsteroidal anti-inflammatory drug; SD = standard deviation; Std Diff = standard difference; ULT = urate-lowering therapy