Table 5.
Confounding adjustment method & data-sharing approach | Effectiveness outcome | Safety outcome | ||
---|---|---|---|---|
Treatment switchingb | Serious infectionsc | |||
OR | 95% CI | OR | 95% CI | |
Stratification | ||||
Pooled individual-level | 0.52 | 0.34, 0.76 | 0.97 | 0.46, 1.86 |
Risk-set | 0.52 | 0.34, 0.76 | 0.97 | 0.46, 1.86 |
Summary-table | 0.52 | 0.34, 0.76 | 0.97 | 0.46, 1.86 |
Effect-estimate, fixed-effect | 0.54 | 0.36, 0.79 | 1.06 | 0.56, 2.03 |
Effect-estimate, random-effects | 0.53 | 0.32, 0.86 | 1.03 | 0.56, 2.03 |
Measure of heterogeneity, Qd | 2.23 | 0.3268 | 0.78 | 0.6741 |
Matching | ||||
Pooled individual-level | 0.47 | 0.30, 0.73 | 1.07 | 0.46, 2.37 |
Risk-set | 0.47 | 0.30, 0.73 | 1.07 | 0.46, 2.37 |
Summary-table | 0.47 | 0.30, 0.73 | 1.07 | 0.46, 2.37 |
Effect-estimate, fixed-effect | 0.47 | 0.31, 0.72 | 1.23 | 0.58, 2.64 |
Effect-estimate, random-effects | 0.47 | 0.31, 0.72 | 1.23 | 0.58, 2.64 |
Measure of heterogeneity, Qd | 0.55 | 0.7589 | 0.03 | 0.9820 |
Inverse probability weighting | ||||
Pooled individual-level | 0.36 | 0.23, 0.57 | 2.88 | 1.97, 4.21 |
Risk-set | 0.36 | 0.23, 0.57 | 3.11 | 2.12, 4.55 |
Effect-estimate, fixed-effect | 0.39 | 0.25, 0.61 | 3.17 | 2.16, 4.65 |
Effect-estimate, random-effects | 0.45 | 0.18, 1.09 | 3.17 | 2.16, 4.65 |
Measure of heterogeneity, Qd | 4.62 | 0.0992 | 0.85 | 0.6531 |
Matching weighting | ||||
Pooled individual-level | 0.51 | 0.32, 0.81 | 0.89 | 0.39, 2.04 |
Risk-set | 0.51 | 0.32, 0.81 | 0.95 | 0.41, 2.19 |
Effect-estimate, fixed-effect | 0.51 | 0.32, 0.82 | 0.93 | 0.40, 2.17 |
Effect-estimate, random-effects | 0.51 | 0.32, 0.82 | 0.93 | 0.40, 2.17 |
Measure of heterogeneity, Qd | 1.30 | 0.5213 | 0.42 | 0.8105 |
Note: TNFi=tumor necrosis factor-alpha inhibitor; OR= odds ratio; CI= confidence interval
There were 407 (5.2%) patients who initiated non-TNFi, and 7,419 (94.8%) patients who initiated TNFi.
The incidences for treatment switching were 7.6% in new users of non-TNFi and 11.2% in new users of TNFi.
The incidences for serious infections were 2.9% in new users of non-TNFi and 3.1% in new users of TNFi.
Q is a measure of heterogeneity among the three data-contributing sites. The summary statistic and p-value from Cochran’s Q test are shown here.