Table 2. Incidence and risk of acute kidney injury associated with different DPP4 inhibitor use among diabetic participants.
Crude Model† | Fully adjusted Model* | ||||||
---|---|---|---|---|---|---|---|
Variables | Number of event | Duration (person-years) | Incidence density (per 1000 year) | HR | 95% CI | HR | 95% CI |
Incidence of acute kidney injury | |||||||
Non-DPP4i users | 2118 | 299800.0 | 7.1 | 1.00 | - | 1.00 | - |
DPP4i users | 1304 | 309331.9 | 4.2 | 0.59 | 0.55 ∼ 0.63a | 0.57 | 0.53 ∼ 0.61a |
Non-DPP4i users | 1623 | 227513.2 | 7.1 | 1.00 | - | 1.00 | - |
Sitagliptin users | 1191 | 238378.6 | 5.0 | 0.69 | 0.64 ∼ 0.75a | 0.66 | 0.61 ∼ 0.71a |
Non-DPP4i users | 291 | 43454.3 | 6.7 | 1.00 | - | 1.00 | - |
Vildagliptin users | 54 | 42360.3 | 1.3 | 0.19 | 0.14 ∼ 0.25a | 0.19 | 0.14 ∼ 0.25a |
Non-DPP4i users | 204 | 28832.6 | 7.1 | 1.00 | - | 1.00 | - |
Saxagliptin users | 59 | 28593.0 | 2.1 | 0.29 | 0.22 ∼ 0.39a | 0.28 | 0.21 ∼ 0.38a |
Incident dialysis-requiring acute kidney injury | |||||||
Non-DPP4i users | 469 | 302235.0 | 1.6 | 1.00 | - | 1.00 | - |
DPP4i users | 289 | 310358.4 | 0.9 | 0.60 | 0.51 ∼ 0.69a | 0.57 | 0.49 ∼ 0.66a |
Non-DPP4i users | 363 | 229363.8 | 1.6 | 1.00 | - | 1.00 | - |
Sitagliptin users | 265 | 239362.7 | 1.1 | 0.69 | 0.59 ∼ 0.81a | 0.66 | 0.56 ∼ 0.78a |
Non-DPP4i users | 63 | 43807.5 | 1.4 | 1.00 | - | 1.00 | - |
Vildagliptin users | 12 | 42376.9 | 0.3 | 0.20 | 0.11 ∼ 0.37a | 0.20 | 0.10 ∼ 0.37a |
Non-DPP4i users | 43 | 29063.7 | 1.5 | 1.00 | - | 1.00 | - |
Saxagliptin users | 12 | 28618.8 | 0.4 | 0.28 | 0.15 ∼ 0.53b | 0.30 | 0.16 ∼ 0.57b |
a p < 0.0001; b p < 0.01
† Calculated by stratified Cox proportional regression
* Adjusted for age, gender, all comorbidities, and medications
CI, confidence interval; DPP4i, dipeptidyl peptidase 4 inhibitor; HR, hazard ratio.