Table 3

Characteristics of individuals with SLE initiating hydroxychloroquine and disease-modifying drugs after start of follow-up*, incidence rates of serious infections and HR with 95% CI comparing DMARD initiators with hydroxychloroquine initiators

Hydroxychloroquine initiatorsDMARD initiators
N392387
Age, mean (SD)46.7 (17.4)45.9 (18.1)
Female, %87.5%80.1%
Years since SLE index date*, median (IQR)0.10 (0.01, 0.75)0.41 (0.09, 1.06)
History of nephritis15.6%39.5%
History of serious infection <1 year before start7.7%12.4%
Corticosteroid dispensation <6 months before start44.4%74.7%
Intravenous drug procedure code <6 months before start6.9%23.3%
Serious infections/person-years45 cases/1396 person-years94 cases/1665 person-years
Incidence rate (95% CI) per 1000 person-years32.2 (24.1 to 43.2)56.5 (46.1 to 69.1)
HR (95% CI) age-adjusted and sex-adjusted1.0 (reference)1.82 (1.27 to 2.60)
HR (95% CI) adjusted for nephritis, corticosteroids, history of infusion, history of infection1.0 (reference)1.30 (0.86 to 1.95)
  • *Start of follow-up was when inclusion criteria were met (≥2 ICD coded visits with ≥1 ICD code from a specialist).

  • DMARD, disease-modifying antirheumatic drug; ICD, International Classification of Diseases.