Evidence map›Paper›PMID 29134254›Full record

ArticleEuropean journal of clinical pharmacology2018

Comparison of cardiovascular events among treatments for overactive bladder: a Danish nationwide cohort study.

Andrea V Margulis, Jesper Hallas, Anton Pottegård, Nina Sahlertz Kristiansen, Willem Jan Atsma, Billy Franks, Milbhor D'Silva, Cristina Varas-Lorenzo, Susana Perez-Gutthann, Alejandro Arana

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Article in European journal of clinical pharmacology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.0field-weighted citation impact, top 14% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 15 citations in OpenAlex.

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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

10 authors at 3 institutions in 3 countries.

Andrea V MargulisRTI Health Solutions, Av. Diagonal, 605, 9-1, 08028, Barcelona, Spain.
Jesper HallasUniversity of Southern Denmark, J. B. Winsløws Vej 19, 2., 5000, Odense, Denmark. jhallas@health.sdu.dk.
Anton PottegårdUniversity of Southern Denmark, J. B. Winsløws Vej 19, 2., 5000, Odense, Denmark.
Nina Sahlertz KristiansenUniversity of Southern Denmark, J. B. Winsløws Vej 19, 2., 5000, Odense, Denmark.
Willem Jan AtsmaAstellas Pharma B.V., PO Box 344, 2300 AH, Leiden, The Netherlands.
Billy FranksAstellas Pharma B.V., PO Box 344, 2300 AH, Leiden, The Netherlands.
Milbhor D'SilvaAstellas Pharma Global Development Inc., 1 Astellas Way, Northbrook, IL, 60062, USA.
Cristina Varas-LorenzoRTI Health Solutions, Av. Diagonal, 605, 9-1, 08028, Barcelona, Spain.
Susana Perez-GutthannRTI Health Solutions, Av. Diagonal, 605, 9-1, 08028, Barcelona, Spain.
Alejandro AranaRTI Health Solutions, Av. Diagonal, 605, 9-1, 08028, Barcelona, Spain.
University of Southern Denmark · DKAstellas Pharma (Netherlands) · NLAstellas Pharma (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe purpose of this study is to explore the cardiovascular safety of antimuscarinic drugs to treat overactive bladder (OAB) in Denmark.

methodsThis was a cohort study using data recorded in Danish registries from patients newly exposed to darifenacin, fesoterodine, oxybutynin, solifenacin, tolterodine, or trospium in 2004-2012. We estimated crude and standardized incidence rates (IRs) for acute myocardial infarction (AMI); stroke; cardiovascular mortality; major adverse cardiac events (MACE, a combined endpoint of the previous three outcomes); and all-cause death for the individual and combined drugs. We also estimated crude, standardized, and propensity score-stratified incidence rate ratios (IRRs) comparing individual antimuscarinic drugs to tolterodine as the reference.

resultsAmong 72,917 new users of OAB drugs (mean age, 66 years; 60% women), the standardized IR (95% confidence interval) per 1000 person-years for current use of any OAB drug was 2.7 (2.5-2.9) for AMI, 1.3 (1.2-1.5) for stroke, 7.8 (7.5-8.1) for MACE, 4.8 (4.5-5.0) for cardiovascular mortality, and 15.2 (14.8-15.6) for all-cause mortality. Propensity score-stratified IRRs for current use (reference, tolterodine) were close to the null for all drugs and endpoints.

conclusionsWe did not identify differences in the risk of cardiovascular events or mortality among users of individual antimuscarinic OAB drugs.

Indexed as

AgedCardiovascular DiseasesDenmarkFemaleHumansIncidenceMaleMuscarinic AntagonistsUrinary Bladder, OveractiveMuscarinic AntagonistsCardiovascular diseasesDenmarkMuscarinic antagonistsPharmacoepidemiologyUrinary bladder, overactive

Identifiers

PMID29134254
OpenAlexW2768561913

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Registered trials

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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.