Table 1.
Characteristics of the GLP-1RA(+)Insulin(−) and Insulin(+)GLP-1RA(−) Cohorts Before and After Propensity Score Matching
| Before propensity score matching |
After propensity score matching |
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|---|---|---|---|---|---|---|
| GLP-1RA(+) insulin(−) | Insulin(+) GLP-1RA(−) | SMD | GLP-1RA(+) Insulin(−) | Insulin(+) GLP-1RA(−) | SMD | |
| Total number | 47,578 | 1,148,166 | 46,470 | 46,470 | ||
|
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| Age at index event, y, mean ± SD | 56.0 ± 11.9 | 62.1 ± 15.8 | 0.44a | 56.1 ± 11.9 | 56.3 ± 14.7 | 0.01 |
|
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| Sex (%) | ||||||
| Female | 54.7 | 46.5 | 0.16a | 54.6 | 56.2 | 0.03 |
| Male | 41.5 | 50.7 | 0.19a | 41.8 | 40.3 | 0.03 |
| Unknown | 3.8 | 2.8 | 0.06 | 3.7 | 3.5 | 0.008 |
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| Ethnicity, % | ||||||
| Hispanic/Latinx | 9.1 | 8.9 | 0.008 | 9.0 | 9.0 | 0.001 |
| Not Hispanic/Latinx | 66.0 | 64.6 | 0.03 | 66.1 | 66.4 | 0.007 |
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| Unknown | 24.8 | 26.5 | 0.04 | 24.9 | 24.6 | 0.006 |
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| Race, % | ||||||
| American Indian or Alaska Native | 0.5 | 0.5 | 0.004 | 0.5 | 0.5 | 0.004 |
| Asian | 2.5 | 3.7 | 0.07 | 2.5 | 2.4 | 0.006 |
| Black | 13.4 | 17.4 | 0.11a | 13.5 | 12.7 | 0.02 |
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| Native Hawaiian or other Pacific Islander | 0.4 | 0.9 | 0.06 | 0.4 | 0.4 | 0.01 |
| White | 66.4 | 61.8 | 0.09 | 66.3 | 67.4 | 0.02 |
| Unknown | 13.9 | 12.6 | 0.04 | 13.9 | 13.8 | 0.001 |
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| Adverse socioeconomic determinants of health, % | 1.7 | 1.3 | 0.03 | 1.7 | 1.6 | 0.005 |
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| Problems related to lifestyle, % | 3.4 | 2.1 | 0.08 | 3.2 | 3.2 | 0.001 |
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| Family history of cancer | 5.1 | 2.6 | 0.13a | 4.9 | 4.8 | 0.005 |
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| Genetic susceptibility to cancer | 0.1 | 0.1 | 0.02 | 0.1 | 0.1 | 0.001 |
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| Obesity categories, % | ||||||
| Morbid (severe) obesity due to excess calories | 18.3 | 7.1 | 0.34a | 17.7 | 17.4 | 0.008 |
| Obesity, unspecified | 30.3 | 12.7 | 0.44a | 29.5 | 29.1 | 0.007 |
| Other obesity due to excess calories | 2.9 | 0.5 | 0.19a | 2.5 | 2.4 | 0.01 |
| BMI 30.0–30.9 | 1.4 | 0.7 | 0.06 | 1.3 | 1.1 | 0.02 |
| BMI 31.0–31.9 | 1.5 | 0.7 | 0.07 | 1.3 | 1.2 | 0.009 |
| BMI 32.0–32.9 | 1.6 | 0.7 | 0.08 | 1.5 | 1.3 | 0.01 |
| BMI 33.0–33.9 | 1.6 | 0.7 | 0.08 | 1.5 | 1.5 | 0.002 |
| BMI 34.0–34.9 | 1.8 | 0.7 | 0.09 | 1.7 | 1.6 | 0.007 |
| BMI 35.0–35.9 | 2.1 | 0.7 | 0.12a | 1.9 | 1.8 | 0.007 |
| BMI 36.0–36.9 | 1.9 | 0.7 | 0.11a | 1.8 | 1.7 | 0.005 |
| BMI 37.0–37.9 | 1.8 | 0.6 | 0.11a | 1.7 | 1.6 | 0.003 |
| BMI 38.0–38.9 | 1.8 | 0.6 | 0.11a | 1.6 | 1.6 | 0.004 |
| BMI 39.0–39.9 | 1.3 | 0.5 | 0.09 | 1.2 | 1.2 | 0.009 |
| BMI 40.0–44.9 | 5.3 | 1.8 | 0.19a | 4.9 | 4.5 | 0.02 |
| BMI 45.0–49.9 | 3.1 | 1.0 | 0.15a | 2.9 | 2.8 | 0.005 |
| BMI 50.0–59.9 | 2.2 | 0.8 | 0.12a | 2.0 | 1.9 | 0.008 |
| BMI 60.0–69.9 | 0.6 | 0.2 | 0.06 | 0.6 | 0.6 | 0.002 |
| BMI ≥70 | 0.2 | 0.1 | 0.03 | 0.2 | 0.2 | 0.01 |
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| T2DM categories, % | ||||||
| Type 2 diabetes mellitus without complications | 75.1 | 58.1 | 0.37a | 74.6 | 74.4 | 0.005 |
| Type 2 diabetes mellitus with hyperglycemia | 29.8 | 17.9 | 0.28a | 29.0 | 28.6 | 0.01 |
| Type 2 diabetes mellitus with hyperosmolarity | 0.9 | 0.5 | 0.04 | 0.9 | 0.8 | 0.01 |
| Type 2 diabetes mellitus with ketoacidosis | 0.2 | 0.5 | 0.05 | 0.2 | 0.1 | 0.02 |
| Type 2 diabetes mellitus with kidney complications | 6.6 | 8.7 | 0.08 | 6.6 | 6.0 | 0.02 |
| Type 2 diabetes mellitus with ophthalmic complications | 4.9 | 5.6 | 0.03 | 4.9 | 4.6 | 0.02 |
| Type 2 diabetes mellitus with neurological complications | 10.4 | 9.6 | 0.03 | 10.3 | 9.8 | 0.02 |
| Type 2 diabetes mellitus with circulatory complications | 2.9 | 2.9 | 0.001 | 2.9 | 2.7 | 0.01 |
| Type 2 diabetes mellitus with other specified complications | 32.4 | 20.4 | 0.28a | 31.7 | 30.9 | 0.02 |
| Type 2 diabetes mellitus with unspecified complications | 7.3 | 4.0 | 0.14a | 7.0 | 6.8 | 0.008 |
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| Pre-existing medical conditions, procedures, medications, % | ||||||
| Alcohol-related disorders | 1.4 | 2.9 | 0.11a | 1.4 | 1.3 | 0.007 |
| Tobacco use disorder | 8.2 | 10.1 | 0.07 | 8.2 | 7.8 | 0.02 |
| Benign neoplasm of liver | 0.1 | 0.1 | 0.008 | 0.1 | 0.1 | 0.002 |
| Chronic viral hepatitis | 0.6 | 1.3 | 0.07 | 0.6 | 0.5 | 0.02 |
| Unspecified viral hepatitis | 0.7 | 1.5 | 0.08 | 0.7 | 0.6 | 0.009 |
| Chronic hepatitis, not elsewhere classified | 0.1 | 0.2 | 0.02 | 0.1 | 0.1 | 0.005 |
| Alcoholic liver disease | 0.2 | 0.7 | 0.09 | 0.2 | 0.2 | 0.002 |
| Fatty (change of) liver, not elsewhere classified (MASLD) | 7.0 | 2.5 | 0.21a | 6.7 | 6.4 | 0.009 |
| Metabolic dysfunction-associated steatohepatitis (MASH) | 1.1 | 0.4 | 0.09 | 1.0 | 1.0 | 0.002 |
| Fibrosis and cirrhosis of liver | 1.1 | 2.0 | 0.07 | 1.0 | 1.0 | 0.006 |
| Hepatic fibrosis | 0.7 | 1.0 | 0.04 | 0.6 | 0.6 | 0.002 |
| Liver cirrhosis | 0.9 | 1.9 | 0.09 | 0.9 | 0.8 | 0.003 |
| Hepatic encephalopathy | 0.0 | 0.1 | 0.04 | 0.0 | 0.0 | 0.006 |
| Esophageal varices | 0.2 | 0.6 | 0.06 | 0.2 | 0.2 | <.001 |
| Spontaneous bacterial peritonitis | 0.0 | 0.1 | 0.03 | 0.0 | 0.0 | <.001 |
| Ascites | 0.4 | 1.6 | 0.12a | 0.4 | 0.3 | 0.01 |
| Hypertension | 61.5 | 54.7 | 0.14a | 61.5 | 61.5 | 0.02 |
| Disorders of lipoprotein metabolism and other lipidemias | 59.0 | 40.6 | 0.37a | 58.2 | 58.1 | 0.003 |
| Ischemic heart diseases | 13.1 | 22.4 | 0.25a | 13.3 | 12.1 | 0.03 |
| Other forms of heart disease | 16.5 | 28.0 | 0.28a | 16.7 | 15.2 | 0.04 |
| Cerebrovascular diseases | 4.8 | 10.9 | 0.23a | 4.9 | 4.4 | 0.03 |
| Diseases of arteries, arterioles and capillaries | 6.7 | 11.2 | 0.16a | 6.7 | 6.2 | 0.02 |
| Bariatric surgery | 1.7 | 0.6 | 0.11a | 1.6 | 1.6 | 0.005 |
| Encounter for screening for malignant neoplasms | 26.2 | 11.9 | 0.37a | 25.6 | 25.4 | 0.004 |
| Insulins | 19.0 | 6.7 | 0.38a | 18.2 | 17.0 | 0.03 |
| Metformin | 58.4 | 22.0 | 0.80a | 57.5 | 57.6 | 0.001 |
| DPP-4 inhibitors | 20.0 | 4.9 | 0.47a | 19.0 | 18.9 | 0.003 |
| SGLT2 inhibitors | 9.8 | 0.7 | 0.42a | 8.3 | 7.7 | 0.02 |
| Sulfonylureas | 29.6 | 13.6 | 0.40a | 29.1 | 29.1 | 0.001 |
| Thiazolidinediones | 8.7 | 3.9 | 0.20a | 8.6 | 8.6 | <.001 |
| Aspirin | 24.9 | 22.4 | 0.06 | 24.9 | 24.0 | 0.02 |
| Nonsteroidal anti-inflammatory analgesics | 15.9 | 9.2 | 0.20a | 15.6 | 15.0 | 0.02 |
| Atorvastatin | 27.6 | 15.0 | 0.31a | 27.0 | 26.3 | 0.02 |
| Lovastatin | 2.1 | 1.6 | 0.04 | 2.1 | 2.0 | 0.004 |
| Pravastatin | 7.7 | 4.5 | 0.13a | 7.5 | 7.5 | 0.004 |
| Rosuvastatin | 8.4 | 3.6 | 0.20a | 8.1 | 8.2 | 0.003 |
| Simvastatin | 16.0 | 11.5 | 0.13a | 16.0 | 15.7 | 0.008 |
NOTE. Shown are cohorts before and after propensity score matching for the listed variables. The status of variables was based on the presence of related clinical codes anytime to 1 day before the index event (prescription of GLP-1RAs or insulins in 1/2010–2/2019).
SD, standard deviation; SMD, standardized mean differences.
SMD greater than 0.1, a threshold indicating cohort imbalance. Adverse socioeconomic determinants of health include housing and economic circumstances, upbringing, education, physical environment, and social environment. Problems with lifestyle included tobacco use, lack of physical exercise, inappropriate diet and eating habits and others.