Table 3.
Relative risk of hepatotoxicity associated with MMI/CBM compared with PTU
| Number of users | Number of events | Crude HR (95% CI) | Adjusted HR (95% CI)* | |
|---|---|---|---|---|
| Hepatitis | ||||
| PTU | 24 941 | 21 | 1.00 | 1.00 |
| MMI/CBM | 46 438 | 118 | 2.91 (1.83, 4.63) | 2.89 (1.81, 4.60)† |
| Acute liver failure | ||||
| PTU | 24 941 | 12 | 1.00 | 1.00 |
| MMI/CBM | 46 438 | 12 | 0.50 (0.22, 1.10) | 0.54 (0.24, 1.22) |
| Cholestasis | ||||
| PTU | 24 941 | 4 | 1.00 | 1.00 |
| MMI/CBM | 46 438 | 9 | 1.10 (0.34, 3.59) | 1.14 (0.40, 3.72) |
CBM, carbimazole; CI, confidence interval; HR, hazard ratio; MMI, methimazole; PTU, propylthiouracil.
Adjusted for all variables listed in Table 1, with the exceptions of history of hyperthyroidism, hyperlipidaemia and use of neurological drugs for the outcome of acute liver failure as well as presence of pregnancy and chronic kidney diseases for the cholestasis outcome due to small sample size.
P < 0.05.