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. 2021 Sep 17;9:711723. doi: 10.3389/fpubh.2021.711723

Table 2.

The risk of hepatocellular carcinoma in patients with type 2 DM and chronic HCV infection.

Case no Per 1,000 person year Crude hazard ratio (95% CI) p-values Adjusted hazard ratio (95% CI) p-values
DPP-4i(–) 130 28.65 Reference Reference
DPP-4i(+) 65 16.34 0.57
(0.42–0.78)
<0.001 0.59
(0.43–0.79)
0.001
Cumulative DDD
   <153 27 21.21 0.75
(0.49–1.14)
0.171 0.78
(0.51–1.19)
0.241
   153–392 25 19.73 0.70
(0.45–1.07)
0.100 0.70
(0.45–1.08)
0.111
   >392 13 9.05 0.32
(0.18–0.56)
<0.001 0.33
(0.18–0.58)
<0.001
Intake duration
(years)
   <1 40 26.70 0.94
(0.66–1.35)
0.744 1.00
(0.70–1.44)
0.996
   1.00–1.49 16 24.46 0.86
(0.51–1.46)
0.578 0.89
(0.53–1.51)
0.670
   ≥1.50 9 4.93 0.17
(0.09–0.34)
<0.001 0.17
(0.09–0.34)
<0.001

DM, diabetes mellitus; HCV, hepatitis C virus; DPP-4i(–), non-dipeptidyl peptidase 4 inhibitor cohort; DPP-4i(+), dipeptidyl peptidase 4 inhibitor cohort; DDD, defined daily dose. Values were expressed as crude hazard ratios with 95% confidence intervals (CIs). After adjusting for age, sex, insurance range, comorbidities, other antidiabetic medications, anti-HCV agents, and duration of diabetes, values were expressed as adjusted hazard ratios with 95% CIs. Hazard ratios and 95% CIs with the DPP-4i(–) group as the reference group for the risk of HCC were calculated for the DPP-4i(+) group, each tertile of cumulative DDD in the DPP-4i(+) group, and each tertile of intake duration in the DPP-4i(+) group.