دورية أكاديمية
Association between amiodarone use and risk of cataract: a population-based active-comparator study.
| العنوان: | Association between amiodarone use and risk of cataract: a population-based active-comparator study. |
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| المؤلفون: | To SY; Graduate Institute of Life Sciences, National Defense Medical Center, Taipei 114, Taiwan.; School of Pharmacy, National Defense Medical Center, Taipei 114, Taiwan.; School of Public Health, National Defense Medical Center, Taipei 114, Taiwan., Lin HT; Department of Ophthalmology, National Defense Medical Center, Tri-Service General Hospital, Taipei 114, Taiwan.; National Defense Medical Center, Graduate Institute of Medical Sciences, Taipei 114, Taiwan., Liao CC; Department of Family Medicine, Taichung Armed Forces General Hospital, Taichung 411, Taiwan.; Department of Medical Education and Research, Taichung Armed Forces General Hospital, Taichung 411, Taiwan.; School of Medicine, National Defense Medical Center, Taipei 114, Taiwan., Pan KT; Bartlett School, Institute of Environmental Design and Engineering, UCL, London, WC1E 6BT, United Kingdom.; National Defense Medical Centre, Graduate Institute of Aerospace and Undersea Medicine, Taipei 114, Taiwan., Wen YL; Graduate Institute of Life Sciences, National Defense Medical Center, Taipei 114, Taiwan.; School of Pharmacy, National Defense Medical Center, Taipei 114, Taiwan., Kao S; Graduate Institute of Life Sciences, National Defense Medical Center, Taipei 114, Taiwan.; School of Public Health, National Defense Medical Center, Taipei 114, Taiwan., Kao LT; Graduate Institute of Life Sciences, National Defense Medical Center, Taipei 114, Taiwan.; School of Pharmacy, National Defense Medical Center, Taipei 114, Taiwan.; Department of Pharmacy Practice, Tri-Service General Hospital, Taipei 114, Taiwan. |
| المصدر: | Postgraduate medical journal [Postgrad Med J] 2024 Jul 18; Vol. 100 (1186), pp. 584-591. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Oxford University Press Country of Publication: England NLM ID: 0234135 Publication Model: Print Cited Medium: Internet ISSN: 1469-0756 (Electronic) Linking ISSN: 00325473 NLM ISO Abbreviation: Postgrad Med J Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2023- : Oxford : Oxford University Press Original Publication: London, Blackwell. |
| مواضيع طبية MeSH: | Amiodarone*/adverse effects , Cataract*/chemically induced , Cataract*/epidemiology , Anti-Arrhythmia Agents*/adverse effects, Humans ; Male ; Female ; Taiwan/epidemiology ; Middle Aged ; Aged ; Incidence ; Adult ; Risk Factors ; Proportional Hazards Models ; Cohort Studies ; Propafenone/adverse effects |
| مستخلص: | Background: Despite previous concerns about ocular side effects related to amiodarone, the relationship between amiodarone and cataract remains uncertain. Therefore, this study aimed to assess the potential association between amiodarone use and the subsequent risk of cataract, taking into account potential confounders. Methods: This population-based, active comparator-controlled cohort study utilized the data from the Taiwan National Health Insurance program and involved adults over 40 years old between 2001 and 2013. We analyzed 12 055 new amiodarone users and contrasted them with a propafenone user cohort. The primary outcome was the incidence of cataract. Inverse-probability treatment-weighting (IPTW) was further used to eliminate the potential confounding effects, and Cox proportional-hazard regression analyses were performed to calculate the risk of cataract. Serial subgroup analyses were also performed. Results: In the main analysis, amiodarone users did not exhibit a significant causal relationship in both full cohort [adjusted hazard ratio (aHR): 0.994, 95% confidence interval (CI): 0.913-1.082] and IPTW cohort (IPTW-aHR 0.977, 95% CI: 0.900-1.060). Furthermore, it is important to highlight a significantly reduced risk of cataract among patients with heart failure (IPTW-aHR 0.708, 95% CI: 0.554-0.905) and during the 2-year follow-up period (IPTW-aHR 0.889, 95% CI: 0.794-0.996), implying potential advantages linked to the use of amiodarone. Conclusions: The study found no increased risk of cataract with amiodarone, one of the most frequently used antiarrhythmic medications, compared to the use of propafenone. Future research is recommended to explore potential mechanisms and their implications for clinical practice. (© The Author(s) 2024. Published by Oxford University Press on behalf of Fellowship of Postgraduate Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.) |
| فهرسة مساهمة: | Keywords: active comparator; amiodarone; cataract; heart failure; population-based; propafenone |
| المشرفين على المادة: | N3RQ532IUT (Amiodarone) 0 (Anti-Arrhythmia Agents) 68IQX3T69U (Propafenone) |
| تواريخ الأحداث: | Date Created: 20240320 Date Completed: 20240722 Latest Revision: 20240722 |
| رمز التحديث: | 20240722 |
| DOI: | 10.1093/postmj/qgae034 |
| PMID: | 38507113 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1469-0756 |
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| DOI: | 10.1093/postmj/qgae034 |