Evidence map›Paper›PMID 29971451›Full record

ArticleEuropean journal of clinical pharmacology2018

Use of benzodiazepines and cardiovascular mortality in a cohort of women aged over 50 years.

Sylvie Mesrine, Gaëlle Gusto, Françoise Clavel-Chapelon, Marie-Christine Boutron-Ruault, Agnès Fournier

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In one paragraph

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 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 20% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Dimdazenil for the treatment of insomnia: a systematic review and narrative synthesis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Pooled it
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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

5 authors at 1 institution in 1 country.

Sylvie MesrineCESP, Fac. de médecine-Univ. Paris-Sud, Fac. de médecine-UVSQ, INSERM, Université Paris-Saclay, F-94805, Villejuif, France.
Gaëlle GustoCESP, Fac. de médecine-Univ. Paris-Sud, Fac. de médecine-UVSQ, INSERM, Université Paris-Saclay, F-94805, Villejuif, France.
Françoise Clavel-ChapelonCESP, Fac. de médecine-Univ. Paris-Sud, Fac. de médecine-UVSQ, INSERM, Université Paris-Saclay, F-94805, Villejuif, France.
Marie-Christine Boutron-RuaultCESP, Fac. de médecine-Univ. Paris-Sud, Fac. de médecine-UVSQ, INSERM, Université Paris-Saclay, F-94805, Villejuif, France.
Agnès FournierCESP, Fac. de médecine-Univ. Paris-Sud, Fac. de médecine-UVSQ, INSERM, Université Paris-Saclay, F-94805, Villejuif, France. agnes.fournier@gustaveroussy.fr.ORCID http://orcid.org/0000-0001-8380-3439
Université Paris-Sud · FR

Funding

Agence Nationale de la Recherche ANR-10-COHO-0006Agence Nationale de Sécurité du Médicament et des Produits de Santé AAP-2012-032
6 · The paper itself

Abstract

purposeTo assess the association between use of benzodiazepines (including the Z-drugs zopiclone and zolpidem) and cardiovascular mortality in women aged over 50 years.

methodsWe used data from the E3N cohort. Data self-reported in biennial questionnaires was matched with drug reimbursement and vital status/causes of death data. In Cox models, exposure to benzodiazepines was fitted using time-varying variables, the reference category being women with no benzodiazepine delivery since January 2004.

resultsAmong 85,353 women born 1925-1950 and followed between 2004 and 2011, 506 cardiovascular deaths occurred. Exposure to benzodiazepines was associated with increased cardiovascular mortality when hazard ratios (HRs) were adjusted only for age (HR

conclusionIn our study, adjustment for antidepressant use strongly attenuated any benzodiazepine-cardiovascular mortality association. Whether the modest association observed with hypnotic benzodiazepines is due to residual confounding deserves further investigation.

Indexed as

AgedAnti-Anxiety AgentsBenzodiazepinesCardiovascular DiseasesCohort StudiesConfounding Factors, EpidemiologicDose-Response Relationship, DrugFemaleFollow-Up StudiesHumansHypnotics and SedativesMiddle AgedProportional Hazards ModelsProspective StudiesSurveys and QuestionnairesTime FactorsAnti-Anxiety AgentsBenzodiazepinesHypnotics and SedativesAnxiolyticsBenzodiazepinesCardiovascular mortalityCohortHypnoticsZ-drugs

Identifiers

PMID29971451
OpenAlexW2811196997

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.