Table 5

Association of various risk factors with incident hypersensitivity reactions in patients who received allopurinol

Multivariable adjusted (allopurinol dose)Multivariable adjusted
(duration of allopurinol use)
HR (95% CI)P valueHR (95% CI)P value
Age (years)
 65 to <75RefRef
 75 to <851.09 (0.97 to 1.23)0.161.08 (0.95 to 1.21)0.24
 ≥850.93 (0.78 to 1.12)0.440.90 (0.76 to 1.08)0.26
Sex
 MaleRefRef
 Female 1.32 (1.17 to 1.48) < 0.0001 1.29 (1.15 to 1.45) < 0.0001
Race
 WhiteRefRef
 Black0.95 (0.80 to 1.14)0.590.94 (0.78 to 1.12)0.46
 Other0.95 (0.77 to 1.16)0.600.93 (0.76 to 1.14)0.47
Select Charlson-Romano score comorbidities
 Myocardial infarction1.06 (0.74 to 1.52)0.761.04 (0.72 to 1.50)0.83
 Diabetes 1.21 (1.00 to 1.45) 0.047 1.20 (1.00 to 1.44) 0.05
 Malignancy0.97 (0.83 to 1.14)0.730.97 (0.83 to 1.14)0.74
 Congestive heart failure1.21 (0.95 to 1.54)0.121.21 (0.95 to 1.53)0.12
 Moderate or severe liver diseaseNot estimableN/ANot estimableN/A
 Moderate or severe renal disease0.90 (0.75 to 1.09)0.270.87 (0.72 to 1.05)0.14
Statins1.03 (0.80 to 1.33)0.811.03 (0.80 to 1.32)0.84
Beta-blockers1.09 (0.85 to 1.40)0.501.09 (0.85 to 1.39)0.52
Diuretics1.05 (0.83 to 1.34)0.681.05 (0.82 to 1.33)0.70
ACE inhibitor0.98 (0.73 to 1.31)0.870.98 (0.73 to 1.31)0.87
Allopurinol start dose, mg/day
 Allopurinol <200 Ref N/A
 Allopurinol 200–2991.00 (0.84 to 1.19)1.00
 Allopurinol ≥300 1.27 (1.12 to 1.44) 0.0002
Allopurinol use duration, daysN/A
 1–30 Ref
 31–600.86 (0.53 to 1.40)0.55
 61–901.00 (0.61 to 1.62)0.98
 91–1200.86 (0.53 to 1.40)0.55
 >1200.79 (0.55 to 1.12)0.19
  • Multivariable-adjusted dose and duration models were examined separately using different reference categories, as applicable.

  • Bold font represents statistically significant comparisons with a p-value <0.05.

  • *Based on person day count.

  • N/A, not applicable; Ref, reference category.