The use of a large pharmacoepidemiological database to study exposure to oral corticosteroids and risk of fractures: validation of study population and results

Purpose — The objective of this study was an evaluation of the sensitivity of findings of the relationship between oral corticosteroid use and the risk of fracture. We found in earlier work that the risk of fracture was significantly higher during oral corticosteroid treatment, with increases of 61% in hip and 160% in vertebral fractures.

[1]  J. Dequeker,et al.  Low dose corticosteroid associated osteoporosis in rheumatoid arthritis and its prophylaxis and treatment: bones of contention. , 1995, The Journal of rheumatology.

[2]  A Haines,et al.  Accuracy of diagnosis of psychosis on general practice computer system. , 1993, BMJ.

[3]  C. Picado,et al.  Corticosteroid-Induced Bone Loss , 1996, Drug safety.

[4]  H Jick,et al.  Validation of information recorded on general practitioner based computerised data resource in the United Kingdom. , 1991, BMJ.

[5]  Susan S. Jick,et al.  Further validation of information recorded on a general practitioner based computerized data resource in the united kingdom , 1992 .

[6]  G. Hall Pharmacoepidemiology using a UK database of primary care records , 1992 .

[7]  L. Weinrauch,et al.  A population-based study of appetite-suppressant drugs and the risk of cardiac-valve regurgitation. , 1998, The New England journal of medicine.

[8]  Terence W. O'Neill,et al.  The epidemiology of vertebral fractures. European Vertebral Osteoporosis Study Group. , 1993, Bone.

[9]  L. Abenhaim,et al.  The quality of information recorded on a UK database of primary care records: A study of hospitalizations due to hypoglycemia and other conditions , 1994 .

[10]  L. Abenhaim,et al.  A study of the effects of exposure misclassification due to the time-window design in pharmacoepidemiologic studies. , 1994, Journal of clinical epidemiology.

[11]  R. Mann,et al.  The VAMP Research multi-purpose database in the U.K. , 1995, Journal of clinical epidemiology.

[12]  T. Walley,et al.  The UK General Practice Research Database , 1997, The Lancet.

[13]  L. Abenhaim,et al.  Utilization dynamics and risk comparisons in studies that use prescription information , 1994 .

[14]  C. Cooper,et al.  Use of Oral Corticosteroids and Risk of Fractures , 2000 .