Evidence map›Paper›PMID 27062307›Full record

ArticleBritish journal of clinical pharmacology2016

Ventricular tachyarrhythmia and sudden cardiac death with domperidone use in Parkinson's disease.

Christel Renoux, Sophie Dell'Aniello, Paul Khairy, Connie Marras, Shawn Bugden, Tanvir Chowdhury Turin, Lucie Blais, Hala Tamim, Charity Evans, Russell Steele and 3 more

Registry-linked trialOpen access · hybridAbstract readMulticenter Study
In one paragraph

Article in British journal of clinical pharmacology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02500108 (Domperidone Use in Parkinson's Disease and Risk of Sudden Cardiac Death), which is not on this map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02500108 completednot on this map

Domperidone Use in Parkinson's Disease and Risk of Sudden Cardiac Death

TypeobservationalSponsorCanadian Network for Observational Drug Effect Studies, CNODESRan2013 to 2015Enrolled214,962ConditionsParkinson's DiseaseArmsDomperidone
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.

  1. Canadian guideline for Parkinson disease.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2019
    Guideline
  2. Trial
  3. Trial
  4. Review
  5. Device aided therapies in Parkinson disease: an expert view on apomorphine.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Review
  6. Article
  7. Review
  8. Article
  9. Review
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  11. Article
  12. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 9 institutions in 1 country.

Christel RenouxCentre for Clinical Epidemiology, Lady Davis Institute for Medical Research, Jewish General Hospital, Montréal, QC, Canada.
Sophie Dell'AnielloCentre for Clinical Epidemiology, Lady Davis Institute for Medical Research, Jewish General Hospital, Montréal, QC, Canada.
Paul KhairyMontreal Heart Institute Adult Congenital Center, Université de Montréal, Montréal, QC, Canada.
Connie MarrasMorton and Gloria Shulman Movement Disorders Centre, Toronto Western Hospital and the Edmond J. Safra Program in Parkinson's Disease Research, University of Toronto, Toronto, ON, Canada.
Shawn BugdenFaculty of Health Sciences, College of Pharmacy, University of Manitoba, Winnipeg, MB, Canada.
Tanvir Chowdhury TurinDepartment of Family Medicine, Cumming School of Medicine, University of Calgary, Health Sciences Centre, Calgary, AB, Canada.
Lucie BlaisFaculty of Pharmacy, University of Montreal, Montreal, QC, Canada.
Hala TamimSchool of Kinesiology and Health Science, York University, Toronto, ON, Canada.
Charity EvansCollege of Pharmacy and Nutrition, University of Saskatchewan, Saskatoon, SK, Canada.
Russell SteeleCentre for Clinical Epidemiology, Lady Davis Institute for Medical Research, Jewish General Hospital, Montréal, QC, Canada.
Colin DormuthAnesthesiology, Pharmacology & Therapeutics, University of British Columbia, Vancouver, BC, Canada.
Pierre ErnstCentre for Clinical Epidemiology, Lady Davis Institute for Medical Research, Jewish General Hospital, Montréal, QC, Canada.
Canadian Network for Observational Drug Effect Studies (CNODES) investigators
Jewish General Hospital · CAUniversité de Montréal · CADalhousie University · CAMcGill University · CAUniversity of British Columbia · CAUniversity of Calgary · CAUniversity of Manitoba · CAUniversity of Saskatchewan · CAUniversity of Toronto · CA

Funding

CIHR DSE-111845
6 · The paper itself

Abstract

aimDomperidone is preferentially used over other antiemetic agents to treat digestive symptoms in Parkinson's disease (PD). Concerns have been raised regarding an increased risk of ventricular tachyarrhythmia and sudden cardiac death (VT/SCD) associated with domperidone in the general population. However, the risk in PD is unknown.

methodsWe conducted a multicentre retrospective cohort study using administrative databases from seven Canadian provinces and the UK Clinical Practice Research Datalink. Using a nested case-control analysis, we estimated the rate ratios (RRs) of VT/SCD associated with domperidone use compared to no use in patients newly-diagnosed with PD. VT/SCD events were identified using administrative medical records and vital statistics with a manual review of all potential cases. Meta-analytic methods were used to estimate overall effects across sites.

resultsAmong 214 962 patients with PD, 2907 cases of VT/SCD were identified during 886 581 person-years of follow-up (incidence rate 3.28 per 1000 persons per year). Current use of domperidone was associated with a non-statistically significant 22% increased risk of VT/SCD (RR 1.22; 95% CI 0.99-1.50) compared with no use. The risk was significantly elevated in those with a history of cardiovascular disease (RR 1.38; 95% CI 1.07-1.78), but not in those without (RR 1.21; 95% CI 0.81-1.81). Dose and duration of use did not affect the magnitude of the risk.

conclusionDomperidone use may increase the risk of VT/SCD in patients with PD, particularly those with a history of cardiovascular disease. This risk may be underestimated because of imprecision in identifying VT/SCD events.

Indexed as

AgedAged, 80 and overAntiemeticsCanadaCohort StudiesDeath, Sudden, CardiacDomperidoneFemaleFollow-Up StudiesHumansMaleMiddle AgedParkinson DiseaseRetrospective StudiesRiskTachycardia, VentricularAntiemeticsDomperidonedomperidoneParkinson's diseasesudden cardiac deathventricular arrhythmia

Identifiers

PMID27062307
PMCPMC4972162
OpenAlexW2337839374

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.