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2017 ; 12
(4
): e0175335
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Association between different anticholinergic drugs and subsequent dementia risk
in patients with diabetes mellitus
#MMPMID28384267
Yang YW
; Liu HH
; Lin TH
; Chuang HY
; Hsieh T
PLoS One
2017[]; 12
(4
): e0175335
PMID28384267
show ga
BACKGROUND: The effects of oxybutynin, solifenacin and tolterodine on dementia
risk in patients with diabetes mellitus (DM) remain unknown. We investigated the
effects of oxybutynin, solifenacin and tolterodine on dementia risk in patients
with DM. METHODS: We conducted a cohort study by using the diabetes dataset of
the Taiwan National Health Insurance Research Database from 1 January, 2002 to 31
December, 2013. We included 10,938 patients received one type of oxybutynin,
solifenacin, or tolterodine, while 564,733 had not. We included a comparable
number of patients not receiving oxybutynin, solifenacin, or tolterodine as
controls through systematic random sampling matching by age, gender, and the year
of the index date with 1 to 1 ratio. The dementia risk was estimated through
multivariate Cox proportional hazard regression after adjustment for several
confounding factors. RESULTS: The dementia event rates were 3.9% in the
oxybutynin group, 4.3% in the solifenacin group, 2.2% in the tolterodine group
and 1.2% in the control group (P<0.001). The adjusted HRs compared to nonusers of
anticholinergic drugs were 2.35 (95% CI, 1.96 to 2.81), 2.16 (95% CI, 1.81 to
2.58), and 2.24 (95% CI, 1.85 to 2.73), respectively, for patients receiving
oxybutynin, solifenacin, or tolterodine. CONCLUSION: Our study indicates an
association between taking oxybutynin, solifenacin and tolterodine and the
subsequent diagnosis of dementia in DM patients. Moreover, the patients using
oxybutynin had highest risk. The impact of these three drugs on risk of dementia
in non-diabetic populations is warrant.
|*Diabetes Complications
[MESH]
|Aged
[MESH]
|Cholinergic Antagonists/adverse effects/*therapeutic use
[MESH]