TABLE 6.
Restricted analysis | IBD
|
UC
|
CD
|
---|---|---|---|
HR (95% CI) | HR (95% CI) | HR (95% CI) | |
More stringent IBD definition* | 0.81 (0.69, 0.94) | 0.74 (0.60, 0.91) | 0.88 (0.70, 1.10) |
Age 35-50 only | 0.77 (0.61, 0.99) | 0.71 (0.50, 1.00) | 0.88 (0.62, 1.24) |
Exclude CAD | 0.82 (0.70, 0.95) | 0.77 (0.62, 0.95) | 0.91 (0.72, 1.14) |
Exclude DM | 0.87 (0.74, 1.02) | 0.86 (0.70, 1.07) | 0.89 (0.70, 1.13) |
Exclude Stroke | 0.82 (0.71, 0.95) | 0.74 (0.61, 0.91) | 0.93 (0.76, 1.15) |
Exclude CAD, DM, or stroke† | 0.87 (0.73, 1.04) | 0.86 (0.68, 1.09) | 0.92 (0.71, 1.19) |
Exclude statin ≤30 days | 0.81 (0.70, 0.93) | 0.75 (0.61, 0.91) | 0.88 (0.71, 1.09) |
Exclude pre-exposure steroids | 0.95 (0.77, 1.18) | 0.92 (0.69, 1.24) | 1.03 (0.74, 1.43) |
Exclude pre-exposure hospitalization | 0.80 (0.68, 0.94) | 0.76 (0.61, 0.95) | 0.87 (0.69, 1.10) |
Charlson index <2 | 0.82 (0.70, 0.96) | 0.77 (0.63, 0.96) | 0.87 (0.69, 1.10) |
Definition included at least 4 diagnosis claims for IBD in addition to at least 1 IBD-related prescription
Any subject with a diagnosis claim for coronary artery disease, diabetes, or stroke in the 180 day pre-exposure period was excluded
HRs were determined via Cox proportional hazard models, adjusting for potential confounders including including Charlson comorbidity index, pre-exposure use of aminosalicylates, 6MP or azathioprine, rectal steroids, outpatient contacts and hospitalizations prior to exposure.
HR: Hazard ratio; IBD: Inflammatory bowel disease; CAD: coronary artery disease; DM: diabetes mellitus; UC: Ulcerative colitis; CD: Crohn’s disease