Table 2. Case-series analysis for thiazolidinediones: association between exposure to any thiazolidinedione and fractures.
Fracture Site | Exposure | Patient Years | n Fractures | Age-Adjusted Rate Ratio for Fracture (95% CI |
Fracture at any site | ||||
All patients (n = 1,819) | Unexposed periods | 17,221 | 1,546 | Baseline |
Exposed periods (all) | 4,240 | 720 | 1.43 (1.25–1.62) | |
Thiazolidinedione exposure perioda | 0–1 y (n = 1,819) | 1,600 | 235 | 1.26 (1.07–1.47) |
1–2 y (n = 1,325) | 1,087 | 179 | 1.49 (1.24–1.79) | |
2–3 y (n = 874) | 714 | 127 | 1.70 (1.37–2.12) | |
3–4 y (n = 564) | 446 | 104 | 2.31 (1.80–2.97) | |
4–7 y (n = 342) | 392 | 75 | 2.00 (1.48–2.70) | |
Females (n = 990) | Unexposed periods | 9,103 | 824 | Baseline |
Exposed periods | 2,357 | 446 | 1.42 (1.20–1.69) | |
Males (n = 829) | Unexposed periods | 8,118 | 722 | Baseline |
Exposed periods | 1,883 | 274 | 1.44 (1.18–1.77) | |
Foot, arm, wrist, or hand fracture | ||||
All patients (n = 905) | Unexposed periods | 8,599 | 735 | Baseline |
Exposed periods | 2,102 | 284 | 1.28 (1.05–1.56) | |
Females (n = 519) | Unexposed periods | 4,837 | 411 | Baseline |
Exposed periods | 1,227 | 183 | 1.26 (0.98–1.62) | |
Males (n = 386) | Unexposed periods | 3,762 | 324 | Baseline |
Exposed periods | 876 | 101 | 1.28 (0.93–1.77) | |
Hip fracture | ||||
All patients (n = 150) | Unexposed periods | 1,317 | 71 | Baseline |
Exposed periods | 394 | 87 | 2.09 (1.29–3.40) | |
Females (n = 105) | Unexposed periods | 862 | 45 | Baseline |
Exposed periods | 280 | 66 | 2.09 (1.17–3.72) | |
Males (n = 45) | Unexposed periods | 456 | 26 | Baseline |
Exposed periods | 113 | 21 | 1.90 (0.74–4.91) | |
Spine fracture | ||||
All patients (n = 66) | Unexposed periods | 624 | 41 | Baseline |
Exposed periods | 155 | 29 | 2.72 (1.29–5.73) | |
Females (n = 34) | Unexposed periods | 311 | 21 | Baseline |
Exposed periods | 82 | 15 | 2.34 (0.77–7.13) | |
Males (n = 32) | Unexposed periods | 313 | 20 | Baseline |
Exposed periods | 73 | 14 | 3.53 (1.18–10.58) |
Test for trend (p<0.01).