Table 2.
DMARD use | Sample size |
Events | Follow-up (person- years) |
Incidence rate and 95% CIb (per 1000 person years) |
Unadjusted HR (95% CI) |
Adjustedc HR (95% CI) |
---|---|---|---|---|---|---|
Methotrexate | 7941 | 183 | 6329 | 28.9 (24.9–33.4) | Reference | Reference |
TNF-α inhibitorsa | 1010 | 40 | 1303 | 30.7 (21.9–41.8) | 1.08 (0.76–1.52) | 1.41 (0.99–2.00) |
Hydroxychloroquine | 6130 | 96 | 4770 | 20.1 (16.3–24.6) | 0.70 (0.54–0.89) | 0.81 (0.63–1.04) |
Other non-biologic DMARDsa | 2064 | 45 | 1237 | 36.4 (26.5–48.7) | 1.25 (0.90–1.74) | 1.33 (0.95–1.84) |
Abbreviations: CI- Confidence interval, DMARDs- Disease modifying anti-rheumatic drugs, HR- Hazard ratio, TNF- Tumor necrosis factor.
TNF-α inhibitors include adalimumab, certolizumab, etanercept, infliximab, and golimumab. Other non-biologic DMARDs include auranofin, injectable gold, penicillamine, sulfasalazine, minocycline, azathioprine, leflunamide, cyclophosphamide and cyclosporine.
95% confidence interval derived from Poisson distribution.
Adjusted for age, gender, cardiovascular risk factors and comorbidities, cardiovascular drug use, pain medications and healthcare use in the prior year in a cox proportional hazard regression model.