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. 2009 Sep 29;6(9):e1000154. doi: 10.1371/journal.pmed.1000154

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)
a

Test for trend (p<0.01).