| Pre-matched | Fully matched | Treatment-naïve matched | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
 | Total (N = 16,040) | Febuxostat (N = 2,015) | Allopurinol (N = 14,025) | P value a | Total (N = 3,864) | Febuxostat (N = 1,932) | Allopurinol (N = 1,932) | P value a | Total (N = 1,746) | Febuxostat (N = 873) | Allopurinol (N = 873) | P value a |
Age, mean (SD) | 55.9 (12.0) | 56.0 (12.3) | 55.9 (12.0) | 0.81 | 55.6 (12.2) | 56.0 (12.3) | 55.2 (12.2) | 0.076 | 55.4 (12.3) | 55.2 (12.0) | 55.6 (12.7) | 0.57 |
Quan-Charlson comorbidity score, mean (SD) | 0.56 (1.12) | 0.78 (1.35) | 0.53 (1.07) | <0.001 | 0.68 (1.23) | 0.75 (1.30) | 0.61 (1.16) | <0.001 | 0.64 (1.16) | 0.69 (1.22) | 0.58 (1.10) | 0.063 |
 | n (%) | n (%) | n (%) |  | n (%) | n (%) | n (%) | P value a | n (%) | n (%) | n (%) | P value a |
Age | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â |
  18-44 | 2,856 (17.8%) | 388 (19.3%) | 2,468 (17.6%) | 0.07 | 742 (19.2%) | 367 (19.0%) | 375 (19.4%) | 0.74 | 348 (19.9) | 178 (20.4) | 170 (19.7) | 0.63 |
  45-64 | 9,402 (58.6%) | 1,123 (55.7%) | 8,279 (59.0%) | 0.005 | 2,196 (56.8%) | 1,086 (56.2%) | 1,110 (57.5%) | 0.44 | 974 (55.8) | 506 (58.0) | 468 (53.6) | 0.07 |
  65-74 | 2,660 (16.6%) | 356 (17.7%) | 2,304 (16.4%) | 0.16 | 661 (17.1%) | 339 (17.6%) | 322 (16.7%) | 0.47 | 298 (17.1) | 131 (15.0) | 167 (19.1) | 0.02 |
  75 and older | 1,122 (7.0%) | 148 (7.3%) | 974 (6.9%) | 0.51 | 265 (6.9%) | 140 (7.3%) | 125 (6.5%) | 0.34 | 126 (7.2) | 58 (6.6) | 68 (7.8) | 0.36 |
Gender | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â |
  Male | 13,607 (84.8%) | 1,682 (83.5%) | 11,925 (85.0%) | 0.07 | 3,247 (84.0%) | 1,610 (83.3%) | 1,637 (84.7%) | 0.24 | 1,457 (83.4) | 740 (84.8) | 717 (82.1) | 0.14 |
  Female | 2,433 (15.2%) | 333 (16.5%) | 2,100 (15.0%) |  | 617 (16.0%) | 322 (16.7%) | 295 (15.3%) |  | 289 (16.5) | 133 (15.2) | 156 (17.9) | 0.14 |
Insurance type | Â | Â | Â | 0.04 | Â | Â | Â | 0.33 | Â | Â | Â | <0.001 |
  Commercial | 13,429 (83.7%) | 1,656 (82.2%) | 11,773 (83.9%) |  | 3,203 (82.9%) | 1,590 (82.3%) | 1,613 (83.5%) |  | 1,433 (82.1) | 746 (85.4) | 687 |  |
Medicare Advantage | 2,611 (16.3%) | 359 (17.8%) | 2,252 (16.1%) | Â | 661 (17.1%) | 342 (17.7%) | 319 (16.5%) | Â | 313 (17.9) | 127 (14.5) | 186 | Â |
Geographic location | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â |
  Northeast | 1,168 (7.3%) | 137 (6.8%) | 1,031 (7.4%) | 0.37 | 280 (7.3%) | 132 (6.8%) | 148 (7.7%) | 0.32 | 137 (7.8) | 74 (8.5) | 63 (7.2) | 0.33 |
  Midwest | 1,450 (9.0%) | 143 (7.1%) | 1,307 (9.3%) | 0.001 | 273 (7.1%) | 140 (7.3%) | 133 (6.9%) | 0.66 | 111 (6.4) | 49 (5.6) | 62 (7.1) | 0.20 |
  South | 11,020 (68.7%) | 1,482 (73.6%) | 9,538 (68.0%) | <0.001 | 2,811 (72.8%) | 1,415 (73.2%) | 1,396 (72.3%) | 0.49 | 1,256 (71.9) | 640 (73.3) | 616 (70.6) | 0.20 |
  West | 2,402 (15.0%) | 253 (12.6%) | 2,149 (15.3%) | 0.001 | 500 (12.9%) | 245 (12.7%) | 255 (13.2%) | 0.63 | 242 (13.9) | 110 (12.6) | 132 (15.1) | 0.13 |
Allopurinol use | 5,543 (34.6%) | 748 (37.1%) | 4,795 (34.2%) | 0.010 | 1,306 (33.8%) | 679 (35.1%) | 627 (32.5%) | 0.08 | Â | Â | Â | Â |
Comorbidities | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â |
Kidney failure | 310 (1.9%) | 77 (3.8%) | 233 (1.7%) | <0.001 | 126 (3.3%) | 61 (3.2%) | 65 (3.4%) | 0.72 | 43 (2.5%) | 23 (2.6%) | 20 (2.3%) | 0.64 |
Heart failure | 772 (4.8%) | 141 (7.0%) | 631 (4.5%) | <0.001 | 256 (6.6%) | 126 (6.5%) | 130 (6.7%) | 0.80 | 106 (6.1%) | 55 (6.3%) | 51 (5.8%) | 0.69 |
Peripheral arterial disease | 200 (1.3%) | 34 (1.7%) | 166 (1.2%) | 0.06 | 65 (1.7%) | 30 (1.6%) | 35 (1.8%) | 0.53 | 24 (1.4%) | 10 (1.1%) | 14 (1.6%) | 0.64 |
Osteoarthritis | 2,686 (16.8%) | 418 (20.7%) | 2,268 (16.2%) | <0.001 | 760 (19.7%) | 388 (20.1%) | 372 (19.3%) | 0.52 | 325 (18.6%) | 155 (17.7%) | 170 (19.5% | 0.36 |
Hypertension | 9,844 (61.4%) | 1,368 (67.9%) | 8,476 (60.4%) | <0.001 | 2,598 (67.2%) | 1,297 (67.1%) | 1,301 (67.3%) | 0.89 | 1,145 (65.6%) | 572 (65.5%) | 573 (65.6%) | 0.96 |
Hyperlipidemia | 8,857 (55.2%) | 1,161 (57.6%) | 7,696 (54.9%) | 0.021 | 2,221 (57.5%) | 1,114 (57.7%) | 1,107 (57.3%) | 0.82 | 984 (56.4%) | 489 (56.0%) | 495 (56.7%) | 0.77 |
 | Mean (SD) | Mean (SD) | Mean (SD) | P value | Mean (SD) | Mean (SD) | Mean (SD) | P value | Mean (SD) | Mean (SD) | Mean (SD) | P value |
Baseline sUA | 8.3 (2.0) | 8.4 (2.2) | 8.2 (2.0) | 0.036 | 8.3 (2.1) | 8.4 (2.2) | 8.3 (2.0) | 0.97 | 8.7 (1.8) | 8.7 (2.0) | 8.7 (1.7) | 0.85 |