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12 June 2024 : Database Analysis  

Comparative Cardiovascular Risks of Febuxostat and Allopurinol in Patients with Diabetes Mellitus and Chronic Kidney Disease

Hsin Hsiang Huang1DE, Yun-Yi Chen23BCD, Yu-Wei Fang14ADG, Hung-Hsiang Liou5AD, Jing-Tong Wang1B, Ming-Hsein Tsai14ADE*

DOI: 10.12659/MSM.944314

Med Sci Monit 2024; 30:e944314

Table 6 Sensitivity analysis with an extended index date of 360 days.

OutcomesModel 1Model 2Model 3
HR (95% CI)p valueHR (95% CI)p valueHR (95% CI)p value
All-cause hospitalization1.24 (1.12–1.36)<0.0011.18 (1.06–1.30)0.0021.18 (1.06–1.30)0.002
Hospitalization for heart failure1.58 (1.29–1.94)<0.0011.44 (1.18–1.77)<0.0011.37 (1.11–1.68)0.003
Hospitalization for cardiovascular intervention1.37 (1.09–1.71)0.0061.28 (1.02–1.60)0.0301.24 (0.99–1.55)0.06
Model 1 represents a basic analysis following propensity score matching (sex, age, and Charlson comorbidity index) that pairs the febuxostat group and the allopurinol group in a 1: 1 ratio. Multivariable model 2 comprises model l as well as adjustments for comorbidities, including hypertension, ischemic heart disease, congestive heart failure, atrial fibrillation, peripheral vascular disease, stroke, hyperlipidemia, calculus of kidney, and cirrhosis. Multivariable model 3 comprises model 2 as well as adjustments for medications of angiotensin-converting enzyme inhibitors/angiotensin receptor blockers, beta-blocker, calcium channel blockers, antithrombotic agents, non-steroidal anti-inflammatory drug, fenofibrate, statin, and diuretic. HR – hazard ratio; CI – confidence interval.

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Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750