Table 5

Diabetes, outcomes of observational studies

Study IDRegistryType of ratioRef categoryExposure definitionAdjustedRoB
Movahedi et al 2016 Arthritis Rheumatol51 CPRD and NDBaHRNo GC use CPRD unclear
Ever GC use 1.35 (1.22; 1.48)
Current GC use 1.30 (1.17; 1.45)
Current GC dosage (5 mg/day) 1.25 (1.19; 1.31)
Current GC dose 0–4.9 mg/day1.06 (0.87; 1.28)
5–9.9 mg/day 1.16 (1.00; 1.34)
10–19.9 mg/day 1.97 (1.61; 2.40)
≥20 mg/day 3.19 (2.22; 4.58)
Cumulative GC dose last year per 1000 mg 1.22 (1.17; 1.28)
Cumulative GC dose since cohort entry per 1000 mg 1.02 (1.01; 1.03)
Cumulative GC dose since cohort entry 0–959.9 mg 1.23 (1.08; 1.40)
960–3054.9 mg 1.41 (1.22; 1.62)
3055–7298.9 mg 1.35 (1.15; 1.57)
≥7299 mg 1.53 (1.30; 1.79)
NDB
Ever GC use 1.42 (1.22; 1.66)
Current GC use 1.61 (1.37; 1.89)
Current GC dosage (5 mg/day) 1.30 (1.21; 1.38)
Current GC dose 0–4.9 mg/day1.07 (0.80; 1.40)
5–9.9 mg/day 1.58 (1.30; 1.93)
10–19.9 mg/day 2.24 (1.72; 2.93)
≥20 mg/day 3.06 (1.90; 4.91)
Cumulative GC dose last year per 1000 mg 1.19 (1.14; 1.24)
Cumulative GC dose since cohort entry per 1000 mg 1.03 (1.02; 1.05)
Cumulative GC dose since cohort entry 0–959.9 mg1.21 (0.97; 1.51)
960–3054.9 mg 1.36 (1.08; 1.70)
3055–7298.9 mg 1.68 (1.35; 2.11)
≥7299 mg 1.67 (1.31; 2.12)
Suda et al 2018 Clin Rheumatol29 Hospital chart reviewN eventsDaily GC dosing2 (2.9%)high
Alternate daily GC dosing1 (1.4%), p=0.54
Wilson et al 2019 Arthritis Care Res27 CPRDaORNo GC useNo GC useRefhigh
GC use 1.33 (1.14; 1.56)
Past GC use1.09 (0.91; 1.29)
Current GC use 2.24 (1.76; 2.83)
Cumulative dose <700 mg 1.14 (1.00; 1.53)
700 to <3500 1.35 (1.08; 1.69)
3500 to <7000 1.39 (1.03; 1.88)
≥7000 1.53 (1.12; 2.10)
Wu et al 2020 BMJ Open Diabetes Res Care52 CPRDaHRNo GC useEver GC use 1.41 (1.29; 1.54)unclear
Current GC use 2.01 (1.84; 2.20)
Current daily dose per 5 mg/day 1.03 (1.02; 1.04)
Current daily dose >0–4.9 mg/day 1.66 (1.37; 2.02)
5.0–14.9 mg/day 1.90 (1.71; 2.12)
15.0–24.9 mg/day 3.07 (2.28; 4.14)
≥25.0 mg/day 4.00 (3.08; 5.21)
Cumulative dose per 1000 mg 1.02 (1.01; 1.02)
Cumulative dose 1.0–959.9 mg 1.17 (1.04; 1.32)
960.0–3054.9 mg 1.44 (1.25; 1.65)
3055.0–7299.9 mg 1.58 (1.8; 1.82)
≥7300 mg 1.61 (1.42; 1.81)
  • Bold indicates statistically significant results at p<0.05.

  • aHR, adjusted HR; aOR, adjusted OR; GC, glucocorticoid; RoB, risk of bias.