Risk of major congenital malformations associated with first‐trimester exposure to propulsives: A health administrative database study in Japan
| العنوان: | Risk of major congenital malformations associated with first‐trimester exposure to propulsives: A health administrative database study in Japan |
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| المؤلفون: | Tomofumi Ishikawa, Gen Oyanagi, Shinichi Kuriyama, Keiko Miyakoda, Nobuo Yaegashi, Taku Obara, Aoi Noda, Nariyasu Mano, Manabu Akazawa, Hidekazu Nishigori, Kei Morishita, Hiroshi Kawame |
| المصدر: | Pharmacoepidemiology and Drug Safety. 31:196-205 |
| بيانات النشر: | Wiley, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | medicine.medical_specialty, Databases, Factual, Epidemiology, Propulsives, Gastrointestinal Agents, Japan, Pregnancy, Administrative database, medicine, Humans, Pharmacology (medical), Medical prescription, business.industry, Obstetrics, Abnormalities, Drug-Induced, Infant, Odds ratio, Pharmacoepidemiology, medicine.disease, Domperidone, Confidence interval, Pregnancy Trimester, First, Female, business, medicine.drug |
| الوصف: | PURPOSE To evaluate the risk of major congenital malformations (MCMs) associated with first-trimester exposure to propulsives with a special focus on domperidone using a large administrative database in Japan. METHODS A large claims database was used from January 2005 to August 2016. The dates of pregnancy onset and delivery were estimated using the developed algorithms. MCMs were defined according to the International Classification of Diseases, 10th revision codes. We compared the infants' risk of overall MCMs between women with or without first-trimester prescriptions of propulsives and estimated the odds ratios (ORs) with unadjusted and adjusted analyses. We also compared the risk of overall MCMs between women with domperidone prescriptions and those with other propulsive prescriptions during the first trimester. RESULTS Among 38 270 women, propulsives were prescribed to 3197 women (8.4%) in the first trimester, including domperidone to 371 women (1.0%). Propulsive prescriptions in the first trimester were not significantly associated with an increased risk of overall MCMs (adjusted OR [aOR] 1.030, 95% confidence interval [CI] 0.843-1.257). Compared to the prescription of other propulsives in the first trimester, the prescription of domperidone in the first trimester was not associated with an increased risk of overall MCMs (aOR 0.724, 95% CI 0.363-1.447). CONCLUSIONS The first-trimester prescription of propulsives, including domperidone, was not associated with an increased risk of overall MCMs. |
| تدمد: | 1099-1557 1053-8569 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::10624e879a603da907bf6c2b7ce0e12e https://doi.org/10.1002/pds.5370 |
| حقوق: | CLOSED |
| رقم الأكسشن: | edsair.doi.dedup.....10624e879a603da907bf6c2b7ce0e12e |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 10991557 10538569 |
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