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Table 2 Incidence rates, hazard ratios, and odds ratios of hand OA progression per treatment group following Cox regression analysis and GEE analysis among those with distal interphalangeal osteoarthritis at baseline (N = 1340)

From: Increased radiographic progression of distal hand osteoarthritis occurring during biologic DMARD monotherapy for concomitant rheumatoid arthritis

Exposure

Hand OA progression events

Person-time [years]

IR per 1000 person-years

Crude HR (95% CI)

Adjusted HR (95% CI)a

Crude OR (95% CI)

Adjusted OR (95% CI)a

Analysis using baseline information only

 csDMARD

526

3306.0

159.1

Ref (1.00)

Ref (1.00)

NA

NA

 bDMARD

34

244.7

138.9

0.96 (0.71–1.31)

1.07 (0.78–1.46)

NA

NA

 Combination

132

886.6

148.9

1.03 (0.85–1.24)

1.09 (0.89–1.32)

NA

NA

 Past-use

8

53.8

148.7

1.24 (0.70–2.19)

1.15 (0.60–2.20)

NA

NA

 Never-use

83

629.7

131.8

0.77 (0.61–0.97)

0.81 (0.63–1.02)

NA

NA

Time-varying analysis

 csDMARD

421

2885.7

145.9

Ref (1.00)

Ref (1.00)

Ref (1.00)

Ref (1.00)

 bDMARD

79

391.9

201.6

1.23 (0.98–1.54)

1.34 (1.07–1.69)

1.49 (1.15–1.93)

1.53 (1.17–2.00)

  TNFi

67

357.6

187.4

1.16 (0.91–1.48)

1.26 (0.98–1.62)

1.36 (1.03–1.79)

1.41 (1.06–1.88)

  Non-TNFi

12

34.3

349.9

1.85 (1.18–2.89)

2.07 (1.35–3.20)

2.94 (1.50–5.77)

2.79 (1.41–5.52)

 Combination

236

1378.7

171.2

1.05 (0.90–1.22)

1.12 (0.96–1.31)

1.12 (0.95–1.33)

1.16 (0.97–1.38)

  TNFi

210

1293.7

162.3

1.01 (0.86–1.18)

1.09 (0.92–1.28)

1.07 (0.90–1.28)

1.11 (0.93–1.33)

  Non-TNFi

26

85

305.9

1.54 (1.10–2.15)

1.56 (1.10–2.23)

1.75 (1.13–2.73)

1.77 (1.13–2.77)

 Past-use

24

128.4

186.9

0.96 (0.64–1.42)

0.96 (0.66–1.41)

1.36 (0.87–2.14)

1.30 (0.83–2.05)

 Never-use

23

335.9

68.5

0.51 (0.31–0.83)

0.54 (0.33–0.90)

0.89 (0.57–1.38)

0.91 (0.58–1.42)

  1. bDMARD biologic disease-modifying antirheumatic drug, CI confidence interval, csDMARD conventional synthetic disease-modifying antirheumatic drug, IR incidence rate, HR hazard ratio, OA osteoarthritis, OR odds ratio, TNFi tumor necrosis factor inhibitor
  2. aAdjusted for age, sex (time-invariant), body mass index, rheumatoid arthritis duration, rheumatoid factor (time-invariant), DAS28-esr score, prednisone use, cardiac disorders, hypertension, osteoporosis, hand surgery, large joint osteoarthritis, or hip/knee arthroplasty