Signal of dementia with proton pump inhibitor after minimizing competition bias: an updated disproportionality analysis.

Expert Opin Drug Saf

Department of Pharmacy, West China Hospital, Sichuan University, Chengdu, Sichuan, China.

Published: August 2024

AI Article Synopsis

  • The study examines the controversial link between proton pump inhibitors (PPIs) and dementia by analyzing adverse event reports from the FDA database spanning 2004 to 2023.
  • It found a significant association between the use of PPIs and dementia, particularly with common PPIs like omeprazole, pantoprazole, and esomeprazole, using specific statistical methods to minimize bias.
  • The authors conclude that while there is a noted connection between dementia and PPI use, more thorough and high-quality studies are required for further understanding.

Article Abstract

Objective: The association between proton pump inhibitor (PPI) and dementia was controversial. The aim of the current study was to perform an updated pharmacovigilance analysis of the association between dementia event and PPI treatment after minimizing competition bias.

Methods: We gathered cases reported with PPI treatment based on the United States Food and Drug Administration Adverse Event Reporting System database from 2004 to 2023. We employed disproportionality algorithms, including reporting odds ratio (ROR) and the information component (IC), to detect the association between dementia event and PPI. We investigated the affection of event competition bias on the current disproportionality signal detection.

Results: We finally included a total of 776,191 PPI cases, and 1813 cases in the dementia group. Analyzing primary suspect PPIs, we detected a significant association between dementia and PPI (ROR = 1.38, 95%CI 1.22 to 1.56; IC = 0.46, 95%CI 0.04 to 0.86). After excluding the PPI case with renal injury events, the strength of the dementia signal increased. Omeprazole (589 cases), pantoprazole (514 cases), and esomeprazole (386 cases) were the top three PPI reported with dementia events.

Conclusion: The current pharmacovigilance study identified a significant association between dementia and PPIs, except vonoprazan and tegoprazan, especially taking competition bias into account. Further high-quality prospective study still needed.

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Source
http://dx.doi.org/10.1080/14740338.2024.2387314DOI Listing

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