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. 2019 Sep 3;59(4):820–827. doi: 10.1093/rheumatology/kez359

Table 2.

Associations between study endpoints and biologic compared with conventional synthetic DMARD

Initial treatment Number of patients Number of events Person- years Rate per 100 person-years Crude matched HR Adjusted a HR (95% CI)
Severe COPD exacerbation
    Biologic DMARD 7424 74 4058 1.8 0.74 0.76 (0.55, 1.06)
    csDMARD 7424 90 3533 2.5 1.00 1.00 (reference)
Bronchitis
    Biologic DMARD 7424 195 4000 4.9 1.00 1.02 (0.82, 1.27)
    csDMARD 7424 175 3483 5.0 1.00 1.00 (reference)
Severe pneumonia/influenza
    Biologic DMARD 7424 130 4042 3.2 1.06 1.21 (0.92, 1.58)
    csDMARD 7424 109 3530 3.1 1.00 1.00 (reference)
Outpatient pneumonia/influenza
    Biologic DMARD 7424 575 3855 14.9 0.96 0.99 (0.87, 1.12)
    csDMARD 7424 537 3335 16.1 1.00 1.00 (reference)
Combined respiratory endpointb
    Biologic DMARD 7424 386 3927 9.8 0.98 1.04 (0.89, 1.21)
    csDMARD 7424 352 3414 10.3 1.00 1.00 (reference)
a

Adjusted for age, injection corticosteroids, other immunosuppressants, prior hospitalization, prior hospitalized infection, prior joint replacement, methotrexate, hydroxychloroquine and leflunomide. bIncludes the first of severe COPD exacerbation, severe pneumonia or influenza, or bronchitis. csDMARD: conventional synthetic DMARD; COPD: chronic obstructive pulmonary disease; HR: hazard ratio.