ArticleMayo Clinic proceedings2012
Relationship of zolpidem and cancer risk: a Taiwanese population-based cohort study.
Article in Mayo Clinic proceedings, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 33 papers, 1 of them a synthesis that pooled it.
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Who cites it
33 citing papers in PubMed, 1 synthesis or guideline pooled it, 64 citations in OpenAlex.
- Hypnotics and Risk of Cancer: A Meta-Analysis of Observational Studies.Medicina (Kaunas, Lithuania) · 2020Pooled it
- A narrative review of sleep and breast cancer: from epidemiology to mechanisms.Cancer causes & control : CCC · 2025Review
- Sleep disturbances in brain tumors: a narrative review.Frontiers in oncology · 2025Review
- Is Systemic Immunosuppression a Risk Factor for Oral Cancer? A Systematic Review and Meta-Analysis.Cancers · 2023Review
- The neural addiction of cancer.Nature reviews. Cancer · 2023Review
- Association of Zolpidem With Increased Mortality in Patients With Brain Cancer: A Retrospective Cohort Study Based on the National Health Insurance Service Database.Journal of clinical neurology (Seoul, Korea) · 2022Article
- Association of Insomnia, Depressive Disorders, and Mood Disorders as Risk Factors With Breast Cancer: A Nationwide Population-Based Cohort Study of 232,108 Women in Taiwan.Frontiers in oncology · 2021Article
- Comedications influence immune infiltration and pathological response to neoadjuvant chemotherapy in breast cancer.Oncoimmunology · 2020Article
- Article
- Association between Sedative-hypnotics and Subsequent Cancer in Patients with and without Insomnia: A 14-year Follow-up Study in Taiwan.Journal of Cancer · 2019Article
- Insomnia in Elderly Patients: Recommendations for Pharmacological Management.Drugs & aging · 2018Review
- Use of Hypnotics and Risk of Cancer: A Meta-Analysis of Observational Studies.Korean journal of family medicine · 2018Article
- Time-dependent risks of cancer clustering among couples: a nationwide population-based cohort study in Taiwan.BMJ open · 2018Article
- Benzodiazepines and Z-Drugs: An Updated Review of Major Adverse Outcomes Reported on in Epidemiologic Research.Drugs in R&D · 2017Review
- External adjustment of unmeasured confounders in a case-control study of benzodiazepine use and cancer risk.British journal of clinical pharmacology · 2017Article
- Article
- Risks and benefits of zolpidem use in Taiwan: a narrative review.BioMedicine · 2016Article
- Cancer risk in East Asian patients associated with acquired haemolytic anaemia: a nationwide population-based cohort study.BMC cancer · 2016Article
- Mortality Risk of Hypnotics: Strengths and Limits of Evidence.Drug safety · 2016Review
- Hypnotic drug risks of mortality, infection, depression, and cancer: but lack of benefit.F1000Research · 2016Review
Corrections and comments
- Commented on by
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- Erratum issued
Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo evaluate the relationship between the use of zolpidem and subsequent cancer risk in Taiwanese patients.
methodsWe used data from the National Health Insurance system of Taiwan to investigate whether use of zolpidem was related to cancer risk. For the study cohort, we identified 14,950 patients who had received a first prescription for zolpidem from January 1, 1998, through December 31, 2000. For each zolpidem user, we selected randomly 4 comparison patients without a history of using zolpidem who were frequency-matched by sex, age, and year of the index date. Incidence rates of all cancers and selected site-specific cancers were measured by the end of 2009, and related hazard ratios (HRs) and 95% confidence intervals (CIs) of the cancer were measured as well.
resultsThe risk of developing any cancer was greater in patients using zolpidem than in nonusers (HR, 1.68; 95% CI, 1.55-1.82). The stratified analysis showed that the overall HR for high-dosage zolpidem (≥300 mg/y) was 2.38. The site-specific cancer risk was the highest for oral cancer (HR, 2.36; 95% CI, 1.57-3.56), followed by kidney cancer, esophageal cancer, breast cancer, liver cancer, lung cancer, and bladder cancer (HR, 1.60; 95% CI, 1.06-2.41). Men were at higher risk than women.
conclusionThis population-based study revealed some unexpected findings, suggesting that the use of zolpidem may be associated with an increased risk of subsequent cancer. Further large-scale and in-depth investigations in this area are warranted.
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