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LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00003977naa a2200445 4500
001oai:DiVA.org:uu-296787
003SwePub
008160620s2016 | |||||||||||000 ||eng|
009oai:prod.swepub.kib.ki.se:133327199
024a https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-2967872 URI
024a https://doi.org/10.3109/00365521.2015.10812742 DOI
024a http://kipublications.ki.se/Default.aspx?queryparsed=id:1333271992 URI
040 a (SwePub)uud (SwePub)ki
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
100a Sköldberg, Filipu Uppsala universitet,Kolorektalkirurgi4 aut0 (Swepub:uu)filipsb
2451 0a A population-based case-control study on statin exposure and risk of acute diverticular disease
264 c 2015-09-10
264 1b Informa UK Limited,c 2016
338 a print2 rdacarrier
520 a Objective: A reduced risk of perforated diverticular disease among individuals with current statin exposure has been reported. The aim of the present study was to investigate whether statins reduce the risk of acute diverticular disease. Material and methods: A nation-wide population-based case-control study was performed, including 13,127 cases hospitalised during 2006-2010 with a first-time diagnosis of colonic diverticular disease, and 128,442 control subjects (matched for sex, age, county of residence and calendar year). Emergency surgery, assumed to be a proxy for complicated diverticulitis, was performed on 906 of the cases during the index admission, with 8818 matched controls. Statin exposure was classified as "current" or "former" if a statin prescription was last dispensed <= 125 days or >125 days before index date, respectively. The association between statin exposure and acute diverticular disease was investigated by conditional logistic regression, including models adjusting for country of birth, educational level, marital status, comorbidities, nonsteroidal anti-inflammatory drug/steroid exposure and healthcare utilisation. Results: A total of 1959 cases (14.9%) and 16,456 controls (12.8%) were current statin users (crude OR 1.23 [95% CI 1.17-1.30]; fully adjusted OR 1.00 [0.94-1.06]). One hundred and thirty-two of the cases subjected to surgery (14.6%), and 1441 of the corresponding controls (16.3%) were current statin users (crude OR 0.89 [95% CI 0.73-1.08]; fully adjusted OR 0.70 [0.55-0.89]). Conclusions: The results do not indicate that statins affect the development of symptomatic diverticular disease in general. However, current statin use was associated with a reduced risk of emergency surgery for diverticular disease.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Gastroenterologi0 (SwePub)302132 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Gastroenterology and Hepatology0 (SwePub)302132 hsv//eng
653 a Case-control studies
653 a pharmacoepidemiology
653 a diverticulitis
653 a hydroxymethylglutaryl-CoA reductase inhibitors
700a Svensson, Tobiasu Karolinska Institutet4 aut
700a Olen, Olau Karolinska Institutet4 aut
700a Hjern, Fredriku Karolinska Institutet4 aut
700a Schmidt, Peter T.u Karolinska Institutet4 aut
700a Ljung, Rickardu Karolinska Institutet4 aut
710a Uppsala universitetb Kolorektalkirurgi4 org
773t Scandinavian Journal of Gastroenterologyd : Informa UK Limitedg 51:2, s. 203-210q 51:2<203-210x 0036-5521x 1502-7708
856u https://figshare.com/articles/journal_contribution/A_population_based_case_8211_control_study_on_statin_exposure_and_risk_of_acute_diverticular_disease/1568124/2/files/2387113.pdf
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-296787
8564 8u https://doi.org/10.3109/00365521.2015.1081274
8564 8u http://kipublications.ki.se/Default.aspx?queryparsed=id:133327199

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