Variables | Rheumatoid arthritis | Compared with no-acupuncture cohort | ||||||
---|---|---|---|---|---|---|---|---|
No acupuncture (n = 9932) | Acupuncture (n = 9932) | Crude HR (95%CI) | Adjusted HR (95%CI) | |||||
Event | Person-years | IR | Event | Person-years | IR | |||
Total | 1223 | 39,930.25 | 30.63 | 909 | 48,742.08 | 18.65 | 0.63(0.58–0.69)*** | 0.60(0.55–0.65)*** |
Sex | ||||||||
 Female | 970 | 33,542.81 | 28.92 | 722 | 40,610.75 | 17.78 | 0.64(0.58–0.7)*** | 0.62(0.56–0.68)*** |
 Male | 253 | 6387.44 | 39.61 | 187 | 8131.32 | 23.00 | 0.60(0.50–0.73)*** | 0.58(0.48–0.70)*** |
Age group | ||||||||
 18–39 | 81 | 10,544.53 | 7.68 | 45 | 10,665.24 | 4.22 | 0.56(0.39–0.81)** | 0.53(0.37–0.77)*** |
 40–59 | 816 | 24,725.99 | 33.00 | 642 | 32,628.29 | 19.68 | 0.61(0.55–0.68)*** | 0.59(0.53–0.66)*** |
 ≥60 | 326 | 4659.72 | 69.96 | 222 | 5448.55 | 40.74 | 0.61(0.51–0.72)*** | 0.62(0.52–0.73)*** |
Baseline Comorbidity | ||||||||
Diabetes mellitus | ||||||||
 No | 969 | 36,055.56 | 26.88 | 720 | 43,658.67 | 16.49 | 0.64(0.58–0.70)*** | 0.60(0.55–0.66)*** |
 Yes | 254 | 3874.69 | 65.55 | 189 | 5083.41 | 37.18 | 0.58(0.48–0.71)*** | 0.59(0.49–0.72)*** |
Hypertension | ||||||||
 No | 717 | 32,065.40 | 22.36 | 538 | 38,485.07 | 13.98 | 0.64(0.57–0.72)*** | 0.62(0.56–0.70)*** |
 Yes | 506 | 7864.85 | 64.34 | 371 | 10,257.00 | 36.17 | 0.59(0.51–0.67)*** | 0.58(0.51–0.67)*** |
Hyperlipidemia | ||||||||
 No | 1000 | 35,475.99 | 28.19 | 741 | 43,080.05 | 17.20 | 0.63(0.58–0.70)*** | 0.61(0.56–0.67)*** |
 Yes | 223 | 4454.26 | 50.06 | 168 | 5662.03 | 29.67 | 0.59(0.49–0.73)*** | 0.57(0.47–0.70)*** |
Congestive heart failure | ||||||||
 No | 1202 | 39,641.02 | 30.32 | 897 | 48,354.94 | 18.55 | 0.63(0.58–0.69)*** | 0.61(0.56–0.66)*** |
 Yes | 21 | 289.23 | 72.61 | 12 | 387.14 | 31.00 | 0.44(0.22–0.90)* | 0.50(0.24–1.07) |
Cerebral vascular diseases | ||||||||
 No | 1069 | 37,549.80 | 28.47 | 796 | 45,604.09 | 17.45 | 0.64(0.58–0.70)*** | 0.60(0.55–0.66)*** |
 Yes | 154 | 2380.45 | 64.69 | 113 | 3137.99 | 36.01 | 0.58(0.45–0.74)*** | 0.59(0.46–0.76)*** |
Depression | ||||||||
 No | 1144 | 38,013.07 | 30.09 | 861 | 46,405.65 | 18.55 | 0.64(0.59–0.70)*** | 0.62(0.56–0.67)*** |
 Yes | 79 | 1917.19 | 41.21 | 48 | 2336.42 | 20.54 | 0.51(0.36–0.73)*** | 0.51(0.35–0.73)*** |
Anxiety | ||||||||
 No | 1042 | 35,170.64 | 29.63 | 778 | 43,056.56 | 18.07 | 0.63(0.58–0.69)*** | 0.60(0.55–0.66)*** |
 Yes | 181 | 4759.61 | 38.03 | 131 | 5685.51 | 23.04 | 0.62(0.50–0.78)*** | 0.62(0.49–0.78)*** |
Alcoholism | ||||||||
 No | 1222 | 39,865.91 | 1222 | 908 | 48,660.02 | 908 | 0.63(0.58–0.69)*** | 0.61(0.56–0.66)*** |
 Yes | 1 | 64.34 | 1 | 1 | 82.05 | 1 | 0.58(0.03–9.89) | – |
Tobacco dependence | ||||||||
 No | 1222 | 39,862.01 | 1222 | 909 | 48,661.38 | 909 | 0.63(0.58–0.69)*** | 0.61(0.56–0.66)*** |
 Yes | 1 | 68.24 | 1 | 0 | 80.70 | 0 | – | – |
Obesity | ||||||||
 No | 1214 | 39,697.39 | 30.58 | 900 | 48,463.26 | 18.57 | 0.63(0.58–0.69)*** | 0.61(0.55–0.66)*** |
 Yes | 9 | 232.86 | 38.65 | 9 | 278.81 | 32.28 | 0.95(0.37–2.42) | 0.74(0.26–2.09) |
Drug use | ||||||||
Methotrexate | ||||||||
 No | 530 | 10,045.02 | 52.76 | 392 | 13,042.58 | 30.06 | 0.60(0.53–0.68)*** | 0.61(0.54–0.7)*** |
 Yes | 693 | 29,885.23 | 23.19 | 517 | 35,699.50 | 14.48 | 0.64(0.57–0.72)*** | 0.60(0.53–0.67)*** |
Hydroxychloroquine | ||||||||
 No | 257 | 5500.43 | 46.72 | 195 | 6736.19 | 28.95 | 0.65(0.54–0.78)*** | 0.62(0.52–0.75)*** |
 Yes | 966 | 34,429.82 | 28.06 | 714 | 42,005.89 | 17 | 0.63(0.57–0.69)*** | 0.60(0.54–0.66)*** |
Sulfasalazine | ||||||||
 No | 410 | 9296.59 | 44.10 | 285 | 11,957.00 | 23.84 | 0.57(0.49–0.66)*** | 0.54(0.47–0.63)*** |
 Yes | 813 | 30,633.66 | 26.54 | 624 | 36,785.07 | 16.96 | 0.66(0.59–0.73)*** | 0.64(0.57–0.71)*** |
TNF-α inhibitors | ||||||||
 No | 1157 | 34,731.45 | 33.31 | 870 | 42,448.62 | 20.50 | 0.64(0.59–0.7)*** | 0.62(0.56–0.67)*** |
 Yes | 66 | 5198.80 | 12.70 | 39 | 6293.45 | 6.20 | 0.48(0.32–0.72)*** | 0.42(0.28–0.62)*** |
NSAIDs | ||||||||
 No | 0 | 42.45 | 0 | 2 | 62.67 | 31.91 | – | – |
 Yes | 1223 | 39,887.80 | 30.66 | 907 | 48,679.41 | 18.63 | 0.63(0.58–0.69)*** | 0.61(0.56–0.66)*** |
Oral steroids | ||||||||
 No | 68 | 1442.40 | 47.14 | 54 | 1799.74 | 30 | 0.69(0.48–1.00)* | 0.74(0.51–1.07) |
 Yes | 1155 | 38,487.85 | 30.01 | 855 | 46,942.34 | 18.21 | 0.63(0.57–0.69)*** | 0.60(0.55–0.65)*** |
Statins | ||||||||
 No | 1020 | 33,516.65 | 30.43 | 762 | 41,308.09 | 18.45 | 0.63(0.58–0.69)*** | 0.61(0.55–0.67)*** |
 Yes | 203 | 6413.60 | 31.65 | 147 | 7433.99 | 19.77 | 0.63(0.51–0.78)*** | 0.59(0.48–0.73)*** |