Table 2.
Data source | Exposure group | Sample Size | Events | Total person years of follow-up | Crude Incidence Rate (95% CI)* | Crude Incidence Rate Difference (95% CI)* | Crude HR (95% CI) |
---|---|---|---|---|---|---|---|
RWE Cohort | |||||||
Optum | TNFI | 24,805 | 143 | 23,458 | 0.61 (0.51 to 0.72) | Ref | Ref |
Tofacitinib | 3,763 | 24 | 3,273 | 0.73 (0.47 to 1.09) | 0.12 (−0.19 to 0.43) | 1.21 (0.78 to 1.86) | |
MarketScan | TNFI | 28,776 | 141 | 27,257 | 0.52 (0.44 to 0.61) | Ref | Ref |
Tofacitinib | 5,307 | 35 | 4,655 | 0.75 (0.52 to 1.05) | 0.23 (−0.03 to 0.50) | 1.44 (0.99 to 2.09) | |
Medicare | TNFI | 35,830 | 562 | 30,277 | 1.86 (1.71 to 2.02) | Ref | Ref |
Tofacitinib | 3,782 | 69 | 3,229 | 2.14 (1.66 to 2.70) | 0.28 (−0.25 to 0.81) | 1.15 (0.89 to 1.48) | |
Pooled | TNFI | 89,411 | 846 | 80,992 | 1.24 (1.16 to 1.33) | Ref | Ref |
Tofacitinib | 12,852 | 128 | 11,157 | 1.31 (1.10 to 1.56) | 0.20 (0.01 to 0.39) | 1.23 (1.02 to 1.48) | |
RCT-Duplicate Cohort | |||||||
Optum | TNFI | 6,077 | 56 | 5,932 | 0.94 (0.71 to 1.23) | Ref | Ref |
Tofacitinib | 801 | 10 | 752 | 1.33 (0.64 to 2.45) | 0.39 (−0.47 to 1.25) | 1.43 (0.73 to 2.81) | |
MarketScan | TNFI | 6,920 | 55 | 6,857 | 0.80 (0.60 to 1.04) | Ref | Ref |
Tofacitinib | 1,151 | 13 | 1,069 | 1.22 (0.65 to 2.08) | 0.41 (−0.28 to 1.11) | 1.50 (0.82 to 2.74) | |
Medicare | TNFI | 18,576 | 289 | 16,241 | 1.78 (1.58 to 2.00) | Ref | Ref |
Tofacitinib | 1,545 | 32 | 1,338 | 2.39 (1.64 to 3.38) | 0.61 (−0.24 to 1.47) | 1.35 (0.93 to 1.94) | |
Pooled | TNFI | 31,573 | 400 | 29,030 | 1.46 (1.32 to 1.61) | Ref | Ref |
Tofacitinib | 3,497 | 55 | 3,159 | 1.83 (1.41 to 2.39) | 0.46 (0.01 to 0.92) | 1.39 (1.05 to 1.85) |
-Abbreviations: CI-Confidence interval, HR-Hazard ratio, RCT-randomized controlled trial, Ref-Reference, RWE-Real world evidence, TNFI-tumor necrosis factor inhibitors
-All estimates were pooled using fixed effects models with inverse variance weighting
Per 100 person-years