Table 4.
Risk of atrial fibrillation among patients with Graves’ disease according to cumulative dose and treatment duration of anti-thyroid drug.
| n | AF | PYs | IR per 1,000 PYs | Model 1 | Model 2 | P for interaction | |
|---|---|---|---|---|---|---|---|
| Hazard ratio (95% CI) | Hazard ratio (95% CI) | ||||||
| Controls | 470,300 | 5,209 | 3,299,357 | 1.58 | Reference | Reference | |
| Cumulative dose | < 0.01 | ||||||
| Lowest | 29,995 | 595 | 196,805 | 3.02 | 1.93 (1.77–2.09) | 1.60 (1.47–1.74) | |
| Middle | 29,998 | 835 | 205,483 | 4.06 | 2.58 (2.39–2.77) | 2.42 (2.25–2.61) | |
| Highest | 29,998 | 933 | 223,345 | 4.18 | 2.63 (2.45–2.82) | 2.66 (2.48–2.86) | |
| Treatment duration | < 0.01 | ||||||
| Lowest | 30,045 | 552 | 207,042 | 2.67 | 1.69 (1.55–1.84) | 1.62 (1.48–1.77) | |
| Middle | 29,938 | 693 | 206,628 | 3.35 | 2.13 (1.96–2.30) | 2.10 (1.94–2.27) | |
| Highest | 30,008 | 1,118 | 211,963 | 5.27 | 3.34 (3.13–3.56) | 2.83 (2.65–3.02) | |
AF, atrial fibrillation; PYs, person-years; IR, incidence rate.
Cumulative doses were <5,743 mg (lowest), 5,743–22,055 mg (middle), and >22,055 mg (highest).
Treatment durations were <11.5 months (lowest tertile), 11.5–33.4 months (middle tertile), and >33.4 months (highest tertile).
Model 1: not adjusted.
Model 2: adjusted for household income and comorbidities