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. 2019 Feb 20;43(5):640–648. doi: 10.4093/dmj.2018.0137

Table 2. Hazard ratios for aggravation of diabetic retinopathy by type of second-line antidiabetic medication.

Drugs PY No. of cases Event rate, /100,000 PY Adjusted 1a Adjusted 2b
HR (95% CI) P value HR (95% CI) P value
MET+SU 7,087 3,271 46,154 1.00 1.00
MET+DPP4i 7,835 4,217 53,823 0.74 (0.62–0.89) 0.001 0.80 (0.66–0.97) 0.024
MET+TZD 948 399 42,089 0.45 (0.27–0.76) 0.003 0.50 (0.29–0.84) 0.009

PY, person-years; HR, hazard ratio; CI, confidence interval; MET, metformin; SU, sulfonylurea; DPP4i, dipeptidyl peptidase-4 inhibitor; TZD, thiazolidinedione.

aAdjusted for sex and age, bAdjusted for sex, age, duration of metformin therapy, hypertension, dyslipidemia, atrial fibrillation, chronic kidney disease, microvascular complications of diabetes (neuropathy, or nephropathy), the Charlson comorbidity score, intravitreal injections, and calendar index year.