Table 4.
Stratified Analysis of Different Covariates for the Risk of POAG
| Variable | POAG in Non-DPP4i User |
POAG in DPP4i User |
Crude |
Adjusted∗ |
||||||
|---|---|---|---|---|---|---|---|---|---|---|
| n | PY | IR | n | PY | IR | HR (95% CI) | P Value | HR (95% CI) | P Value | |
| Sex | ||||||||||
| Female | 2688 | 743 042.61 | 3.62 | 1351 | 799 568.02 | 1.69 | 0.47 (0.44, 0.50)§ | <0.001 | 0.51 (0.47, 0.55)§ | <0.001 |
| Male | 3440 | 885 148.07 | 3.89 | 1808 | 959 562.34 | 1.88 | 0.48 (0.46, 0.51)§ | <0.001 | 0.54 (0.51, 0.58)§ | <0.001 |
| Age | ||||||||||
| 18–39 | 1765 | 532 619.79 | 3.31 | 915 | 564 930.56 | 1.62 | 0.49 (0.45, 0.53)§ | <0.001 | 0.56 (0.51, 0.62)§ | <0.001 |
| 40–64 | 1861 | 493 652.67 | 3.77 | 981 | 535 837.68 | 1.83 | 0.48 (0.45, 0.52)§ | <0.001 | 0.52 (0.47, 0.57)§ | <0.001 |
| ≥65 | 2502 | 601 918.22 | 4.16 | 1263 | 658 362.12 | 1.92 | 0.46 (0.43, 0.49)§ | <0.001 | 0.51 (0.47, 0.56)§ | <0.001 |
| Region of dwelling | ||||||||||
| Northern | 2988 | 744 609.20 | 4.01 | 1616 | 788 241.85 | 2.05 | 0.51 (0.48, 0.54)§ | <0.001 | 0.57 (0.53, 0.62)§ | <0.001 |
| Central | 1409 | 378 788.79 | 3.72 | 671 | 405 615.89 | 1.65 | 0.44 (0.40, 0.48)§ | <0.001 | 0.48 (0.43, 0.53)§ | <0.001 |
| Southern | 1584 | 457 844.23 | 3.46 | 786 | 514 044.62 | 1.53 | 0.44 (0.40, 0.48)§ | <0.001 | 0.49 (0.44, 0.55)§ | <0.001 |
| Eastern | 147 | 46 948.45 | 3.13 | 86 | 51 228.00 | 1.68 | 0.53 (0.41, 0.70)§ | <0.001 | 0.52 (0.38, 0.71)§∗ | <0.001 |
| Degree of urbanization | ||||||||||
| Lowest | 491 | 152 788.39 | 3.21 | 228 | 162 730.07 | 1.40 | 0.43 (0.37, 0.51)§ | <0.001 | 0.50 (0.41, 0.60)§ | <0.001 |
| Median | 2310 | 621 874.46 | 3.71 | 1152 | 680 631.42 | 1.69 | 0.45 (0.42, 0.49)§ | <0.001 | 0.51 (0.47, 0.56)§ | <0.001 |
| Highest | 3327 | 853 527.83 | 3.9 | 1779 | 915 768.87 | 1.94 | 0.50 (0.47, 0.53)§ | <0.001 | 0.54 (0.51, 0.58)§ | <0.001 |
| Insurance premium (NTD per month) | ||||||||||
| <18 000 | 1639 | 409 038.16 | 4.01 | 862 | 441 563.16 | 1.95 | 0.48 (0.45, 0.53)§ | <0.001 | 0.53 (0.48, 0.58)§ | <0.001 |
| 18 000–34999 | 2869 | 789 948.13 | 3.63 | 1393 | 855 933.90 | 1.63 | 0.45 (0.42, 0.48)§ | <0.001 | 0.50 (0.47, 0.54)§ | <0.001 |
| ≥35 000 | 1620 | 429 204.38 | 3.77 | 904 | 461 633.30 | 1.96 | 0.52 (0.48, 0.56)§ | <0.001 | 0.58 (0.53, 0.64)§ | <0.001 |
| Comorbidities | ||||||||||
| Coronary artery disease | ||||||||||
| No | 4814 | 1 304 795.78 | 3.69 | 2492 | 1 403 169.67 | 1.78 | 0.48 (0.46, 0.50)§ | <0.001 | 0.53 (0.50, 0.56)§ | <0.001 |
| Yes | 1314 | 323 394.90 | 4.06 | 667 | 355 960.69 | 1.87 | 0.46 (0.42, 0.50)§ | <0.001 | 0.53 (0.47, 0.59)§ | <0.001 |
| Stroke | ||||||||||
| No | 5492 | 1 449 798.52 | 3.79 | 2783 | 1 565 169.94 | 1.78 | 0.47 (0.45, 0.49)§ | <0.001 | 0.52 (0.50, 0.55)§ | <0.001 |
| Yes | 636 | 178 392.16 | 3.57 | 376 | 193 960.42 | 1.94 | 0.54 (0.47, 0.61)§ | <0.001 | 0.57 (0.48, 0.66)§ | <0.001 |
| Peripheral artery disease | ||||||||||
| No | 6054 | 1 605 724.27 | 3.77 | 3123 | 1 736 052.93 | 1.80 | 0.48 (0.46, 0.50)§ | <0.001 | 0.53 (0.50, 0.56)§ | <0.001 |
| Yes | 74 | 22 466.40 | 3.29 | 36 | 23 077.43 | 1.56 | 0.47 (0.32, 0.70)§ | <0.001 | 0.45 (0.27, 0.75)‡ | 0.002 |
| Atrial fibrillation | ||||||||||
| No | 5651 | 1 498 667.50 | 3.77 | 2897 | 1 619 791.00 | 1.79 | 0.47 (0.45, 0.49)§ | <0.001 | 0.52 (0.50, 0.55)§ | <0.001 |
| Yes | 477 | 129 523.18 | 3.68 | 262 | 139 339.36 | 1.88 | 0.51 (0.44, 0.59)§ | <0.001 | 0.58 (0.48, 0.69)§ | <0.001 |
| Heart failure | ||||||||||
| No | 5942 | 1 569 937.63 | 3.78 | 3060 | 1 694 974.17 | 1.81 | 0.48 (0.45, 0.50)§ | <0.001 | 0.53 (0.50, 0.56)§ | <0.001 |
| Yes | 186 | 58 253.04 | 3.19 | 99 | 64 156.19 | 1.54 | 0.48 (0.38, 0.62)§ | <0.001 | 0.43 (0.32, 0.59)§ | <0.001 |
| Hypertension | ||||||||||
| No | 2087 | 560 151.09 | 3.73 | 1039 | 581 923.25 | 1.79 | 0.48 (0.44, 0.51)§ | <0.001 | 0.54 (0.49, 0.59)§ | <0.001 |
| Yes | 4041 | 1 068 039.58 | 3.78 | 2120 | 1 177 207.11 | 1.80 | 0.47 (0.45, 0.50)§ | <0.001 | 0.52 (0.49, 0.56)§ | <0.001 |
| Dyslipidemia | ||||||||||
| No | 2408 | 617 076.68 | 3.9 | 1149 | 652 186.85 | 1.76 | 0.45 (0.42, 0.48)§ | <0.001 | 0.52 (0.47, 0.56)§ | <0.001 |
| Yes | 3720 | 1 011 113.99 | 3.68 | 2010 | 1 106 943.51 | 1.82 | 0.49 (0.46, 0.52)§ | <0.001 | 0.54 (0.50, 0.57)§ | <0.001 |
| CKD | ||||||||||
| No | 5890 | 1 556 670.38 | 3.78 | 3009 | 1 672 600.38 | 1.80 | 0.47 (0.45, 0.50)§ | <0.001 | 0.53 (0.51, 0.56)§ | <0.001 |
| Yes | 238 | 71 520.30 | 3.33 | 150 | 86 529.98 | 1.73 | 0.51 (0.41, 0.62)§ | <0.001 | 0.44 (0.34, 0.57)§ | <0.001 |
| COPD | ||||||||||
| No | 5575 | 1 479 660.70 | 3.77 | 2881 | 1 599 112.69 | 1.80 | 0.48 (0.46, 0.50)§ | <0.001 | 0.53 (0.50, 0.56)§ | <0.001 |
| Yes | 553 | 148 529.98 | 3.72 | 278 | 160 017.67 | 1.74 | 0.46 (0.40, 0.54)§ | <0.001 | 0.52 (0.43, 0.62)§ | <0.001 |
| Depression | ||||||||||
| No | 5769 | 1 535 066.40 | 3.76 | 2956 | 1 660 950.91 | 1.78 | 0.47 (0.45, 0.49)§ | <0.001 | 0.53 (0.50, 0.56)§ | <0.001 |
| Yes | 359 | 93 124.27 | 3.86 | 203 | 98 179.45 | 2.07 | 0.53 (0.45, 0.63)§ | <0.001 | 0.53 (0.42, 0.65)§ | <0.001 |
| Schizophrenia | ||||||||||
| No | 6071 | 1 610 741.76 | 3.77 | 3121 | 1 741 836.16 | 1.79 | 0.47 (0.45, 0.49)§ | <0.001 | 0.53 (0.50, 0.55)§ | <0.001 |
| Yes | 57 | 17 448.91 | 3.27 | 38 | 17 294.20 | 2.20 | 0.66 (0.44, 1.00)† | 0.048 | 0.83 (0.50, 1.40) | 0.49 |
| Rheumatoid diseases | ||||||||||
| No | 6019 | 1 602 198.30 | 3.76 | 3117 | 1 731 050.54 | 1.80 | 0.48 (0.46, 0.50)§ | <0.001 | 0.53 (0.50, 0.56)§ | <0.001 |
| Yes | 109 | 25 992.38 | 4.19 | 42 | 28 079.82 | 1.50 | 0.36 (0.25, 0.51)§ | <0.001 | 0.40 (0.26, 0.61)§ | <0.001 |
| Osteoporosis | ||||||||||
| No | 5849 | 1 551 350.18 | 3.77 | 3029 | 1 678 442.37 | 1.80 | 0.48 (0.46, 0.50)§ | <0.001 | 0.53 (0.50, 0.56)§ | <0.001 |
| Yes | 279 | 76 840.49 | 3.63 | 130 | 80 687.99 | 1.61 | 0.44 (0.36, 0.54)§ | <0.001 | 0.47 (0.36, 0.60)§ | <0.001 |
| Alcoholism | ||||||||||
| No | 6055 | 1 601 125.16 | 3.78 | 3118 | 1 730 875.84 | 1.80 | 0.47 (0.45, 0.50)§ | <0.001 | 0.53 (0.50, 0.56)§ | <0.001 |
| Yes | 73 | 27 065.51 | 2.7 | 41 | 28 254.52 | 1.45 | 0.54 (0.37, 0.79)‡ | 0.001 | 0.64 (0.40, 1.02) | 0.063 |
| Nicotine dependence | ||||||||||
| No | 6033 | 1 593 951.21 | 3.78 | 3106 | 1 722 631.05 | 1.80 | 0.47 (0.45, 0.50)§ | <0.001 | 0.53 (0.50, 0.56)§ | <0.001 |
| Yes | 95 | 34 239.47 | 2.77 | 53 | 36 499.31 | 1.45 | 0.52 (0.37, 0.72)§ | <0.001 | 0.54 (0.36, 0.81)‡ | 0.003 |
| Cancer | ||||||||||
| No | 5871 | 1 560 193.10 | 3.76 | 3035 | 1 686 750.18 | 1.80 | 0.48 (0.46, 0.50)§ | <0.001 | 0.53 (0.50, 0.56)§ | <0.001 |
| Yes | 257 | 67 997.57 | 3.78 | 124 | 72 380.18 | 1.71 | 0.45 (0.36, 0.55)§ | <0.001 | 0.51 (0.39, 0.66)§ | <0.001 |
| Retinopathy | ||||||||||
| No | 5343 | 1 504 462.05 | 3.55 | 2740 | 1 601 776.82 | 1.71 | 0.48 (0.46, 0.50)§ | <0.001 | 0.54 (0.51, 0.57)§ | <0.001 |
| Yes | 785 | 123 728.63 | 6.34 | 419 | 157 353.54 | 2.66 | 0.42 (0.37, 0.48)§ | <0.001 | 0.47 (0.41, 0.54)§ | <0.001 |
| Myopia | ||||||||||
| No | 6058 | 1 615 745.16 | 3.75 | 3104 | 1 744 791.36 | 1.78 | 0.47 (0.45, 0.49)§ | <0.001 | 0.53 (0.50, 0.55)§ | <0.001 |
| Yes | 70 | 12 445.52 | 5.62 | 55 | 14 339.00 | 3.84 | 0.65 (0.46, 0.93)† | 0.019 | 0.74 (0.49, 1.12) | 0.154 |
| Cataract | ||||||||||
| No | 4412 | 1 294 052.01 | 3.41 | 2301 | 1 390 731.87 | 1.65 | 0.48 (0.46, 0.51)§ | <0.001 | 0.54 (0.51, 0.57)§ | <0.001 |
| Yes | 1716 | 334 138.67 | 5.14 | 858 | 368 398.49 | 2.33 | 0.45 (0.42, 0.49)§ | <0.001 | 0.50 (0.45, 0.55)§ | <0.001 |
| Uveitis | ||||||||||
| No | 6081 | 1 619 666.37 | 3.75 | 3138 | 1 750 131.58 | 1.79 | 0.48 (0.46, 0.50)§ | <0.001 | 0.53 (0.50, 0.56)§ | <0.001 |
| Yes | 47 | 8524.30 | 5.51 | 21 | 8998.78 | 2.33 | 0.43 (0.26, 0.72)‡ | 0.001 | 0.70 (0.38, 1.29) | 0.253 |
| DR | ||||||||||
| No | 5728 | 1 572 520.62 | 3.64 | 2934 | 1 674 949.10 | 1.75 | 0.48 (0.46, 0.50)§ | <0.001 | 0.54 (0.51, 0.57)§ | <0.001 |
| Yes | 400 | 55 670.05 | 7.19 | 225 | 84 181.26 | 2.67 | 0.38 (0.32, 0.44)§ | <0.001 | 0.43 (0.35, 0.52)§ | <0.001 |
| DKD | ||||||||||
| No | 5716 | 1 528 295.61 | 3.74 | 2899 | 1 628 602.55 | 1.78 | 0.47 (0.45, 0.50)§ | <0.001 | 0.53 (0.50, 0.56)§ | <0.001 |
| Yes | 412 | 99 895.07 | 4.12 | 260 | 130 527.81 | 1.99 | 0.48 (0.41, 0.56)§ | <0.001 | 0.49 (0.41, 0.59)§ | <0.001 |
| DN | ||||||||||
| No | 5713 | 1 553 963.27 | 3.68 | 2939 | 1 656 300.80 | 1.77 | 0.48 (0.46, 0.50)§ | <0.001 | 0.54 (0.51, 0.57)§ | <0.001 |
| Yes | 415 | 74 227.40 | 5.59 | 220 | 102 829.56 | 2.14 | 0.38 (0.32, 0.45)§ | <0.001 | 0.43 (0.35, 0.52)§ | <0.001 |
| CCI score | ||||||||||
| 0 | 5061 | 1 316 456.12 | 3.84 | 2576 | 1 415 232.20 | 1.82 | 0.47 (0.45, 0.50)§ | <0.001 | 0.53 (0.50, 0.56)§ | <0.001 |
| 1 | 542 | 155 780.52 | 3.48 | 297 | 171 588.48 | 1.73 | 0.49 (0.43, 0.57)§ | <0.001 | 0.55 (0.47, 0.65)§ | <0.001 |
| ≥2 | 525 | 155 954.04 | 3.37 | 286 | 172 309.67 | 1.66 | 0.49 (0.42, 0.56)§ | <0.001 | 0.54 (0.45, 0.64)§ | <0.001 |
CCI = Charlson Comorbidity Index; CI = confidence interval; CKD = chronic kidney disease; COPD = chronic obstructive pulmonary disease; DKD = diabetic kidney disease; DN = diabetic neuropathy; DPP4i = dipeptidyl peptidase-4 inhibitor; DR = diabetic retinopathy; HR = hazard ratio; IR = incidence rate per 1000 person-years; NTD = New Taiwan Dollar; POAG = primary open angle glaucoma; PY = person-years; T2DM = type 2 diabetes mellitus.
Adjusted HR: adjusted by sex, age, region of dwelling, degree of urbanization, insurance premium, comorbidities, CCI score, and medication.
P value <0.05.
P < 0.01.
P < 0.001.