TABLE 6.
Sensitivity analysis with washout periods of risk of neuropsychiatric events in relation to leukotriene receptor antagonist (LTRA) use in patients with asthma or allergic rhinitis
Total period | Observation period 1 | Observation period 2 | ||||||||||
Events (n) | Person-years | IRR (95% CI) | p-value | Events (n) | Person-years | IRR (95% CI) | p-value | Events (n) | Person-years | IRR (95% CI) | p-value | |
Primary analysis | ||||||||||||
Unexposed | 21 028 | 49 546.89 | 1 | 5294 | 12 519.69 | 1 | 15 734 | 37 027.20 | 1 | |||
Exposed | 571 | 1455.98 | 1.05 (0.96–1.15) | 0.266 | 130 | 371.49 | 0.88 (0.73–1.06) | 0.185 | 441 | 1084.50 | 1.11 (1.00–1.22) | 0.047 |
Secondary analysis | ||||||||||||
Unexposed | 19 827 | 47 394.77 | 1 | 5004 | 11 971.52 | 1 | 14 823 | 35 423.26 | 1 | |||
Exposed | 571 | 1455.98 | 1.17 (1.06–1.27) | <0.001 | 130 | 371.49 | 0.98 (0.81–1.17) | 0.797 | 441 | 1084.50 | 1.23 (1.11–1.36) | <0.001 |
Time since initiation of LTRA (days) | ||||||||||||
1–3 | 115 | 444.70 | 0.73 (0.61–0.88) | <0.001 | 28 | 107.86 | 0.69 (0.46–0.98) | 0.052 | 87 | 336.85 | 0.74 (0.60–0.91) | 0.006 |
4–7 | 180 | 228.38 | 2.25 (1.93–2.60) | <0.001 | 31 | 57.92 | 1.43 (0.98–2.01) | 0.050 | 149 | 170.46 | 2.53 (2.14–2.97) | <0.001 |
8–14 | 133 | 221.99 | 1.71 (1.43–2.03) | <0.001 | 27 | 61.66 | 1.17 (0.78–1.69) | 0.419 | 106 | 160.33 | 1.91 (1.57–2.31) | <0.001 |
15–30 | 66 | 244.77 | 0.76 (0.59–0.97) | 0.016 | 20 | 68.13 | 0.78 (0.48–1.19) | 0.280 | 46 | 176.64 | 0.75 (0.55–0.99) | 0.050 |
31–90 | 51 | 219.15 | 0.66 (0.49–0.86) | <0.001 | 16 | 53.61 | 0.78 (0.45–1.25) | 0.344 | 35 | 165.54 | 0.60 (0.42–0.83) | 0.004 |
>90 | 26 | 96.99 | 0.78 (0.51–1.15) | 0.241 | 8 | 22.30 | 1.01 (0.45–2.00) | 0.970 | 18 | 74.69 | 0.71 (0.42–0.83) | 0.168 |
Washout period (days) | ||||||||||||
1–3 | 198 | 363.44 | 1.54 (1.33–1.77) | <0.001 | 32 | 91.47 | 0.93 (0.64–1.29) | 0.665 | 166 | 271.97 | 1.75 (1.50–2.04) | <0.001 |
4–7 | 331 | 460.87 | 2.03 (1.81–2.26) | <0.001 | 84 | 117.15 | 1.90 (1.51–2.35) | <0.001 | 247 | 343.71 | 2.06 (1.81–2.34) | <0.001 |
8–20 | 672 | 1327.81 | 1.42 (1.31–1.54) | <0.001 | 174 | 339.55 | 1.35 (1.15–1.57) | <0.001 | 498 | 988.26 | 1.44 (1.31–1.58) | <0.001 |
IRR: incidence rate ratio.