Table 4 Stratified analysis of incident peripheral neuropathy in new-onset diabetes mellitus patients with metformin.
Variables | Incident peripheral neuropathy | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|
Two-year follow-up | Five-year follow-up | |||||||||
aORa | 95% CI | p-value | aORa | 95% CI | p-value | |||||
In female patients | ||||||||||
cDDD of metformin use | ||||||||||
DDD < 300 | 1.99 | 1.85 | – | 2.15 | < 0.001 | 1.74 | 1.67 | – | 1.81 | < 0.001 |
DDD 300–500 | 2.21 | 1.77 | – | 2.77 | < 0.001 | 1.87 | 1.64 | – | 2.13 | < 0.001 |
DDD > 500 | 1.00 | 0.25 | – | 4.03 | 0.996 | 1.28 | 0.68 | – | 2.40 | 0.439 |
Intensity of metformin use | ||||||||||
< 10 | 1.96 | 1.82 | – | 2.12 | < 0.001 | 1.72 | 1.65 | – | 1.79 | < 0.001 |
10–25 | 2.08 | 1.92 | – | 2.26 | < 0.001 | 1.79 | 1.71 | – | 1.88 | < 0.001 |
> 25 | 2.16 | 1.73 | – | 2.71 | < 0.001 | 1.84 | 1.62 | – | 2.10 | < 0.001 |
In male patients | ||||||||||
cDDD of metformin use | ||||||||||
DDD < 300 | 1.57 | 1.48 | – | 1.67 | < 0.001 | 1.51 | 1.46 | – | 1.56 | < 0.001 |
DDD 300–500 | 1.86 | 1.55 | – | 2.23 | < 0.001 | 1.64 | 1.48 | – | 1.83 | < 0.001 |
DDD > 500 | 2.84 | 1.50 | – | 5.38 | < 0.001 | 2.36 | 1.58 | – | 3.52 | < 0.001 |
Intensity of metformin use | ||||||||||
< 10 | 1.01 | 0.53 | – | 1.92 | 0.976 | 1.04 | 0.70 | – | 1.56 | 0.834 |
10–25 | 1.07 | 0.56 | – | 2.03 | 0.842 | 1.06 | 0.71 | – | 1.59 | 0.762 |
> 25 | 0.79 | 0.21 | – | 2.99 | 0.733 | 0.80 | 0.35 | – | 1.83 | 0.591 |
In patients aged 20–49 | ||||||||||
cDDD of metformin use | ||||||||||
DDD < 300 | 1.85 | 1.68 | – | 2.03 | < 0.001 | 1.71 | 1.62 | – | 1.80 | < 0.001 |
DDD 300–500 | 2.45 | 1.92 | – | 3.14 | < 0.001 | 1.89 | 1.64 | – | 2.19 | < 0.001 |
DDD > 500 | 3.29 | 1.34 | – | 8.11 | 0.010 | 2.05 | 1.12 | – | 3.75 | 0.020 |
Intensity of metformin use | ||||||||||
< 10 | 1.83 | 1.66 | – | 2.01 | < 0.001 | 1.71 | 1.62 | – | 1.80 | < 0.001 |
10–25 | 1.88 | 1.69 | – | 2.09 | < 0.001 | 1.72 | 1.62 | – | 1.82 | < 0.001 |
> 25 | 2.47 | 1.94 | – | 3.15 | < 0.001 | 1.90 | 1.64 | – | 2.20 | < 0.001 |
In patients aged 50–54 | ||||||||||
cDDD of metformin use | ||||||||||
DDD < 300 | 1.99 | 1.79 | – | 2.22 | < 0.001 | 1.67 | 1.57 | – | 1.77 | < 0.001 |
DDD 300–500 | 1.76 | 1.20 | – | 2.58 | 0.004 | 1.74 | 1.42 | – | 2.13 | < 0.001 |
DDD > 500 | 2.97 | 0.72 | – | 12.15 | 0.131 | 3.05 | 1.50 | – | 6.19 | 0.002 |
Intensity of metformin use | ||||||||||
< 10 | 1.17 | 0.28 | – | 4.88 | 0.832 | 0.95 | 0.46 | – | 1.94 | 0.882 |
10–25 | 1.21 | 0.29 | – | 5.05 | 0.797 | 0.95 | 0.46 | – | 1.95 | 0.890 |
> 25 | 0.62 | 0.03 | – | 11.84 | 0.747 | 0.56 | 0.13 | – | 2.48 | 0.447 |
In patients aged 55–59 | ||||||||||
cDDD of metformin use | 1.76 | 1.58 | – | 1.96 | < 0.001 | 1.66 | 1.56 | – | 1.76 | < 0.001 |
DDD < 300 | 2.58 | 1.84 | – | 3.61 | < 0.001 | 2.11 | 1.72 | – | 2.59 | < 0.001 |
DDD 300–500 | 1.00 | 0.14 | – | 7.33 | 1.000 | 1.77 | 0.72 | – | 4.34 | 0.213 |
DDD > 500 | ||||||||||
Intensity of metformin use | ||||||||||
< 10 | 4.41 | 0.61 | – | 32.05 | 0.143 | 1.96 | 0.80 | – | 4.81 | 0.142 |
10–25 | 4.94 | 0.68 | – | 35.95 | 0.115 | 2.03 | 0.83 | – | 4.98 | 0.123 |
> 25 | 17.19 | 0.31 | – | 951.55 | 0.165 | 3.01 | 0.48 | – | 18.89 | 0.240 |
In patients aged ≥ 65 | ||||||||||
cDDD of metformin use | ||||||||||
DDD < 300 | 1.62 | 1.50 | – | 1.76 | < 0.001 | 1.47 | 1.40 | – | 1.53 | < 0.001 |
DDD 300–500 | 1.82 | 1.29 | – | 2.58 | < 0.001 | 1.72 | 1.41 | – | 2.09 | < 0.001 |
DDD > 500 | 1.40 | 0.34 | – | 5.74 | 0.637 | 1.73 | 0.88 | – | 3.37 | 0.110 |
Intensity of metformin use | ||||||||||
< 10 | 2.05 | 0.49 | – | 8.54 | 0.322 | 1.43 | 0.72 | – | 2.82 | 0.304 |
10–25 | 2.27 | 0.55 | – | 9.46 | 0.259 | 1.56 | 0.79 | – | 3.09 | 0.197 |
> 25 | 3.07 | 0.16 | – | 57.84 | 0.454 | 1.70 | 0.42 | – | 7.01 | 0.460 |
In patients with DCSI score 0 | ||||||||||
cDDD of metformin use | ||||||||||
DDD < 300 | 1.83 | 1.71 | – | 1.96 | < 0.001 | 1.67 | 1.60 | – | 1.73 | < 0.001 |
DDD 300–500 | 2.39 | 1.98 | – | 2.88 | < 0.001 | 1.92 | 1.71 | – | 2.14 | < 0.001 |
DDD > 500 | 3.96 | 1.95 | – | 8.05 | < 0.001 | 2.97 | 1.92 | – | 4.59 | < 0.001 |
Intensity of metformin use | ||||||||||
< 10 | 1.81 | 1.69 | – | 1.94 | < 0.001 | 1.66 | 1.60 | – | 1.72 | < 0.001 |
10–25 | 1.86 | 1.73 | – | 2.00 | < 0.001 | 1.67 | 1.60 | – | 1.74 | < 0.001 |
> 25 | 2.42 | 2.01 | – | 2.92 | < 0.001 | 1.94 | 1.74 | – | 2.17 | < 0.001 |
In patients with DCSI score 1 | ||||||||||
cDDD of metformin use | ||||||||||
DDD < 300 | 2.01 | 1.76 | – | 2.28 | < 0.001 | 1.98 | 1.84 | – | 2.13 | < 0.001 |
DDD 300–500 | 2.65 | 1.87 | – | 3.74 | < 0.001 | 2.59 | 2.11 | – | 3.16 | < 0.001 |
DDD > 500 | 3.13 | 0.97 | – | 10.08 | 0.056 | 2.19 | 0.97 | – | 4.95 | 0.060 |
Intensity of metformin use | ||||||||||
< 10 | 1.68 | 0.52 | – | 5.38 | 0.386 | 2.31 | 1.02 | – | 5.23 | 0.045 |
10–25 | 1.74 | 0.54 | – | 5.60 | 0.353 | 2.42 | 1.07 | – | 5.49 | 0.034 |
> 25 | 1.89 | 0.17 | – | 21.00 | 0.606 | 3.61 | 0.68 | – | 19.26 | 0.133 |
In patients with DCSI score ≥ 2 | ||||||||||
cDDD of metformin use | ||||||||||
DDD < 300 | 2.22 | 1.90 | – | 2.60 | < 0.001 | 1.88 | 1.72 | – | 2.05 | < 0.001 |
DDD 300–500 | 2.58 | 1.73 | – | 3.87 | < 0.001 | 2.30 | 1.83 | – | 2.90 | < 0.001 |
DDD > 500 | 1.16 | 0.16 | – | 8.57 | 0.885 | 2.25 | 1.08 | – | 4.66 | 0.030 |
Intensity of metformin use | ||||||||||
< 10 | 4.72 | 0.65 | – | 34.44 | 0.126 | 1.89 | 0.92 | – | 3.86 | 0.083 |
10–25 | 5.76 | 0.79 | – | 42.07 | 0.084 | 2.08 | 1.01 | – | 4.27 | 0.046 |
> 25 | 13.09 | 0.23 | – | 740.24 | 0.212 | 2.45 | 0.55 | – | 10.84 | 0.238 |