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Keywords {🔍}

cancer, bladder, exposure, pioglitazone, cumulative, diabetes, data, risk, pubmed, article, study, studies, google, scholar, effects, drug, exposed, analysis, patients, research, bias, time, smoking, centres, association, cases, cas, adjustment, year, models, allocation, manchester, centre, years, rosiglitazone, events, effect, date, drugs, health, results, men, days, university, columbia, finland, incidence, size, excluded, central,

Topics {✒️}

/news/2014–04–07/takeda-actos-jury-awards-6-billion curl=pages/news_and_events/news/2011/07/news_detail_001311 peroxisome proliferator-activated receptors gov/drugs/drugsafety/ucm226214 cancer research consortium nested case-control study recent meta-analysis showed int/classifications/icd/en/ random effects meta-regression randomised controlled trial fixed effects meta-regression diabetes epidemiology unit privacy choices/manage cookies samira bell chronic disease prevention electronic supplementary material epidemiological cancer research author information authors time-dependent cumulative exposure propensity score analyses received research support sensitivity analysis excluding independent research grants adequate sample size sensitivity analyses combining population-based cohort study article levin finnish cancer registry excluding meta-analyses clinical epidemiology time-dependent terms case-control study european economic area increase sample size meta-analytic method mid-term analysis time-related biases related subjects meta-analyses figures 1 tzd introduction onwards expanded neoplasm categories cancer registry data large international analysis aggregate-level analysis nuclear transcription factor undiagnosed tumour leads actual numbers remain activities directly relate groene hart ziekenhuis bladder cancer ranged

Questions {❓}

• Erdmann E, Dormandy JA, Massi-Benedetti M, Spanheimer R (2011) Pioglitazone and bladder cancer?

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         headline:Pioglitazone and bladder cancer risk: a multipopulation pooled, cumulative exposure analysis
         description:The evidence on the association between pioglitazone use and bladder cancer is contradictory, with many studies subject to allocation bias. The aim of our study was to examine the effect of exposure to pioglitazone on bladder cancer risk internationally across several cohorts. The potential for allocation bias was minimised by focusing on the cumulative effect of pioglitazone as the primary endpoint using a time-dependent approach. Prescription, cancer and mortality data from people with type 2 diabetes were obtained from six populations across the world (British Columbia, Finland, Manchester, Rotterdam, Scotland and the UK Clinical Practice Research Datalink). A discrete time failure analysis using Poisson regression was applied separately to data from each centre to model the effect of cumulative drug exposure on bladder cancer incidence, with time-dependent adjustment for ever use of pioglitazone. These were then pooled using fixed and random effects meta-regression. Data were collated on 1.01 million persons over 5.9 million person-years. There were 3,248 cases of incident bladder cancer, with 117 exposed cases and a median follow-up duration of 4.0 to 7.4 years. Overall, there was no evidence for any association between cumulative exposure to pioglitazone and bladder cancer in men (rate ratio [RR] per 100 days of cumulative exposure, 1.01; 95% CI 0.97, 1.06) or women (RR 1.04; 95% CI 0.97, 1.11) after adjustment for age, calendar year, diabetes duration, smoking and any ever use of pioglitazone. No association was observed between rosiglitazone and bladder cancer in men (RR 1.01; 95% CI 0.98, 1.03) or women (RR 1.00; 95% CI 0.94, 1.07). The cumulative use of pioglitazone or rosiglitazone was not associated with the incidence of bladder cancer in this large, pooled multipopulation analysis.
         datePublished:2014-12-07T00:00:00Z
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      headline:Pioglitazone and bladder cancer risk: a multipopulation pooled, cumulative exposure analysis
      description:The evidence on the association between pioglitazone use and bladder cancer is contradictory, with many studies subject to allocation bias. The aim of our study was to examine the effect of exposure to pioglitazone on bladder cancer risk internationally across several cohorts. The potential for allocation bias was minimised by focusing on the cumulative effect of pioglitazone as the primary endpoint using a time-dependent approach. Prescription, cancer and mortality data from people with type 2 diabetes were obtained from six populations across the world (British Columbia, Finland, Manchester, Rotterdam, Scotland and the UK Clinical Practice Research Datalink). A discrete time failure analysis using Poisson regression was applied separately to data from each centre to model the effect of cumulative drug exposure on bladder cancer incidence, with time-dependent adjustment for ever use of pioglitazone. These were then pooled using fixed and random effects meta-regression. Data were collated on 1.01 million persons over 5.9 million person-years. There were 3,248 cases of incident bladder cancer, with 117 exposed cases and a median follow-up duration of 4.0 to 7.4 years. Overall, there was no evidence for any association between cumulative exposure to pioglitazone and bladder cancer in men (rate ratio [RR] per 100 days of cumulative exposure, 1.01; 95% CI 0.97, 1.06) or women (RR 1.04; 95% CI 0.97, 1.11) after adjustment for age, calendar year, diabetes duration, smoking and any ever use of pioglitazone. No association was observed between rosiglitazone and bladder cancer in men (RR 1.01; 95% CI 0.98, 1.03) or women (RR 1.00; 95% CI 0.94, 1.07). The cumulative use of pioglitazone or rosiglitazone was not associated with the incidence of bladder cancer in this large, pooled multipopulation analysis.
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      keywords:
         Bladder cancer
         Epidemiology
         Meta-analysis
         Pioglitazone
         Rosiglitazone
         Thiazeolidinedione
         Internal Medicine
         Metabolic Diseases
         Human Physiology
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      name:School of Pharmacy, University of Eastern Finland, Kuopio, Finland
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