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. Author manuscript; available in PMC: 2020 Apr 1.
Published in final edited form as: Am J Epidemiol. 2019 Apr 1;188(4):709–723. doi: 10.1093/aje/kwy265

Table 7.

Empirical Example 2: Results from Disease Risk Scorea-Adjusted Analyses using Different Combinations of Confounding Adjustment Method and Data-Sharing Approach, Non-TNFi vs TNFib

Confounding adjustment method & data-sharing approach Effectiveness outcome Safety outcome
Treatment switchingc Serious infectionsd
OR 95% CI OR 95% CI
Stratification
 Pooled individual-level 0.53 0.35, 0.78 0.88 0.42, 1.64
 Risk-set 0.53 0.36, 0.78 0.88 0.42, 1.64
 Summary-table 0.53 0.35, 0.78 0.88 0.42, 1.64
 Effect-estimate, fixed-effect 0.56 0.38, 0.82 0.97 0.52, 1.82
 Effect-estimate, random-effects 0.51 0.28, 0.96 0.97 0.52, 1.82
 Measure of heterogeneity, Qe 2.67 0.2624 0.24 0.8832
Matching
 Pooled individual-level 0.41 0.26, 0.63 0.86 0.37, 1.93
 Risk-set 0.41 0.26, 0.63 0.86 0.37, 1.93
 Summary-table 0.41 0.26, 0.63 0.86 0.37, 1.93
 Effect-estimate, fixed-effect 0.41 0.27, 0.63 0.89 0.40, 1.98
 Effect-estimate, random-effects 0.41 0.27, 0.63 0.89 0.40, 1.98
 Measure of heterogeneity, Qe 1.77 0.4115 0.00 0.9961
HR 95% CI HR 95% CI
Stratification
 Pooled individual-level 0.59 0.41, 0.84 0.86 0.47, 1.57
 Risk-set 0.59 0.41, 0.84 0.86 0.47, 1.57
 Summary-table 0.58 0.39, 0.83 0.86 0.42, 1.57
 Effect-estimate, fixed-effect 0.63 0.44, 0.91 0.95 0.52, 1.75
 Effect-estimate, random-effects 0.59 0.26, 1.32 0.95 0.52, 1.75
 Measure of heterogeneity, Qe 3.83 0.1466 0.21 0.8989
Matching
 Pooled individual-level 0.46 0.31, 0.68 0.89 0.42, 1.86
 Risk-set 0.46 0.31, 0.68 0.89 0.42, 1.86
 Summary-table 0.45 0.30, 0.68 0.88 0.38, 1.95
 Effect-estimate, fixed-effect 0.47 0.32, 0.70 0.91 0.42, 2.00
 Effect-estimate, random-effects 0.52 0.22, 1.25 0.91 0.42, 2.00
 Measure of heterogeneity, Qe 4.01 0.1345 0.00 1.0000

Note: TNFi= tumor necrosis factor-alpha inhibitor; OR= odds ratio; CI= confidence interval; HR= hazard ratio

a

The disease risk score was estimated using Cox proportional hazards regression on patients receiving tumor necrosis factor-alpha inhibitor biologics.

b

There were 407 (5.2%) patients who initiated non-TNFi, and 7,419 (94.8%) patients who initiated TNFi.

c

The incidences for treatment switching were 7.6% in new users of non-TNFi and 11.2% in new users of TNFi.

d

The incidences for serious infections were 2.9% in new users of non-TNFi and 3.1% in new users of TNFi.

e

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.