Table 6.
Confounding adjustment method & data-sharing approach | Effectiveness outcome | Safety outcome | ||
---|---|---|---|---|
Treatment switchingb | Serious infectionsc | |||
HR | 95% CI | HR | 95% CI | |
Stratification | ||||
Pooled individual-level | 0.59 | 0.41, 0.86 | 0.94 | 0.50, 1.77 |
Risk-set | 0.59 | 0.41, 0.86 | 0.94 | 0.50, 1.77 |
Summary-table | 0.59 | 0.39, 0.85 | 0.94 | 0.45, 1.78 |
Effect-estimate, fixed-effect | 0.64 | 0.44, 0.93 | 1.04 | 0.55, 1.96 |
Effect-estimate, random-effects | 0.63 | 0.26, 1.50 | 1.04 | 0.55, 1.96 |
Measure of heterogeneity, Qd | 4.21 | 0.1215 | 0.83 | 0.6599 |
Matching | ||||
Pooled individual-level | 0.55 | 0.37, 0.83 | 1.07 | 0.51, 2.22 |
Risk-set | 0.55 | 0.37, 0.83 | 1.07 | 0.51, 2.22 |
Summary-table | 0.55 | 0.35, 0.82 | 1.07 | 0.47, 2.34 |
Effect-estimate, fixed-effect | 0.57 | 0.38, 0.84 | 1.23 | 0.58, 2.61 |
Effect-estimate, random-effects | 0.58 | 0.34, 1.02 | 1.23 | 0.58, 2.61 |
Measure of heterogeneity, Qd | 2.37 | 0.3053 | 0.03 | 0.9701 |
Inverse probability weighting | ||||
Pooled individual-level | 0.60 | 0.38, 0.93 | 2.67 | 1.86, 3.84 |
Risk-set | 0.60 | 0.35, 1.01 | 2.67 | 0.53, 13.52 |
Effect-estimate, fixed-effect | 0.69 | 0.44, 1.07 | 2.93 | 2.03, 4.22 |
Effect-estimate, random-effects | 0.79 | 0.26, 2.42 | 2.93 | 2.03, 4.22 |
Measure of heterogeneity, Qd | 7.61 | 0.0222 | 0.81 | 0.6656 |
Matching weighting | ||||
Pooled individual-level | 0.60 | 0.39, 0.94 | 0.85 | 0.38, 1.92 |
Risk-set | 0.60 | 0.41, 0.88 | 0.85 | 0.45, 1.63 |
Effect-estimate, fixed-effect | 0.62 | 0.40, 0.96 | 0.89 | 0.39, 2.05 |
Effect-estimate, random-effects | 0.60 | 0.30, 1.23 | 0.89 | 0.39, 2.05 |
Measure of heterogeneity, Qd | 2.62 | 0.2689 | 0.37 | 0.8304 |
Note: TNFi=tumor necrosis factor-alpha inhibitor; HR= hazard 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.