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. 2022 Aug 16;9(1):e000857. doi: 10.1136/bmjgast-2021-000857

Table 2.

Observed crude point prevalence and iSPR of prespecified medications among patients in the PBC population or the PBC-pruritus subpopulation relative to the respective non-case population

Medication PBC population (N=1963) PBC-pruritus subpopulation (N=139) Non-case population (N=10 245 592)*
% iSPR (95% CI)† % iSPR (95% CI)† %
Antidiarrhoeal therapy 1.1 1.42 (0.88 to 2.18) 2.2 3.18 (0.66 to 9.30) 0.5
Antihistamines 15.7 1.66 (1.48 to 1.86) 34.5 3.62 (2.67 to 4.80) 8.5
Antihyperlipidaemic therapy 31.6 1.02 (0.94 to 1.11) 38.1 1.45 (1.08 to 1.89) 20.9
Bile acid sequestrants‡ 5.8 7.86 (6.48 to 9.44) 18.0 28.54 (18.47 to 42.12) 0.4
Colchicine 1.4 3.14 (2.07 to 4.57) 0 0 0.6
Corticoid 29.4 1.47 (1.35 to 1.59) 33.8 1.73 (1.27 to 2.30) 17.1
Cyclosporine 0.7 20.94 (11.15 to 35.81) 0.7 22.29 (0.56 to 124.20) 0.03
Fibrates 1.3 1.10 (0.72 to 1.61) 2.9 2.14 (0.58 to 5.48) 1.4
MMF 3.5 19.64 (15.25 to 24.90) 7.9 44.51 (22.22 to 79.65) 0.2
Metformin 8.0 0.79 (0.67 to 0.92) 3.6 0.39 (0.13 to 0.91) 7.6
Methotrexate 0.8 0.90 (0.51 to 1.46) 0 0 0.5
Naltrexone 0.8 8.63 (4.93 to 14.02) 4.3 34.54 (12.67 to 75.17) 0.1
OCA‡ 6.9 57 510.56 (48 218.86 to 68 070.71) 11.5 105,298.43 (60 187.15 to 170,998.05) 0
Penicillamine 0.1 163.02 (4.13 to 908.31) 0 0 0
Rifampicin‡ 1.5 33.87 (22.68 to 48.65) 10.8 218.08 (122.06 to 359.69) 0.1
Sertraline‡ 5.0 1.16 (0.94 to 1.41) 9.4 2.16 (1.15 to 3.70) 3.6
Sleep medications 12.9 1.22 (1.07 to 1.38) 16.6 1.65 (1.05 to 2.47) 7.7
Statins 24.5 0.84 (0.77 to 0.92) 23.7 0.96 (0.66 to 1.34) 19.6
UDCA§ 87.8 766.60 (730.84 to 803.66) 83.5 796.69 (658.32 to 955.55) 0.1

*N for the non-case population (N=10 245 592), relates to the comparison versus the PBC population not versus the PBC-pruritus population (N=9 984 009).

†Compared with non-cases (comparator) population.

‡Guideline-recommended pruritus treatment (AASLD and EASL).

§PBC treatment.

AASLD, American Association for the Study of Liver Diseases; CI, confidence interval; EASL, European Association for the Study of the Liver; iSPRs, indirect age-sex standardised prevalence ratios; MMF, mycophenolate mofetil; OCA, obeticholic acid; PBC, primary biliary cholangitis; UDCA, ursodeoxycholic acid.