Opioids increase hip fracture risk: a meta-analysis

被引:27
作者
Ping, Fumin [1 ]
Wang, Ying [2 ]
Wang, Jing [3 ]
Chen, Jie [3 ]
Zhang, Wenxian [3 ]
Zhi, Hua [3 ]
Liu, Yugang [3 ]
机构
[1] Hebei Univ Engn, Affiliated Hosp, Dept Operating Room, Handan, Peoples R China
[2] Hebei Univ Engn, Med Coll, Dept Pharm, Handan, Peoples R China
[3] Hebei Univ Engn, Affiliated Hosp, Dept Orthoped, 81 Congtai Rd, Handan 056002, Peoples R China
关键词
Opioid; Hip fracture; Meta-analysis; MEDICATIONS; DRUGS;
D O I
10.1007/s00774-016-0755-x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The relationship between hip fracture risk and opioid use remains controversial. Thus, we performed a meta-analysis to assess the risk of hip fracture among opioid users. PubMed and EMBASE were searched for studies published from the inception of the databases until June 2015. The information was extracted independently by two teams of authors. When the heterogeneity was significant, the random-effects model was used to calculate the overall pooled risk estimates. Ten studies with 697,011 patients were included in the final meta-analysis. The overall combined relative risk for the use of opioids and hip fracture was 1.54 [95 % confidence interval (CI) 1.34-1.77]. Subgroup analyses revealed sources of heterogeneity, and sensitivity analysis indicated stable results, and no publication bias was observed. This meta-analysis demonstrates that opioids significantly increase the risk of hip fracture.
引用
收藏
页码:289 / 297
页数:9
相关论文
共 29 条
[1]   OPERATING CHARACTERISTICS OF A BANK CORRELATION TEST FOR PUBLICATION BIAS [J].
BEGG, CB ;
MAZUMDAR, M .
BIOMETRICS, 1994, 50 (04) :1088-1101
[2]  
Benyamin R, 2008, PAIN PHYSICIAN, V11, pS105
[3]   Hip fractures in patients with inflammatory bowel disease and their relationship to corticosteroid use: a population based cohort study [J].
Card, T ;
West, J ;
Hubbard, R ;
Logan, RFA .
GUT, 2004, 53 (02) :251-255
[4]   Major increases in opioid analgesic abuse in the United States: Concerns and strategies [J].
Compton, WM ;
Volkow, ND .
DRUG AND ALCOHOL DEPENDENCE, 2006, 81 (02) :103-107
[5]   HIP-FRACTURES IN THE ELDERLY - A WORLDWIDE PROJECTION [J].
COOPER, C ;
CAMPION, G ;
MELTON, LJ .
OSTEOPOROSIS INTERNATIONAL, 1992, 2 (06) :285-289
[6]   METAANALYSIS IN CLINICAL-TRIALS [J].
DERSIMONIAN, R ;
LAIRD, N .
CONTROLLED CLINICAL TRIALS, 1986, 7 (03) :177-188
[7]   Bias in meta-analysis detected by a simple, graphical test [J].
Egger, M ;
Smith, GD ;
Schneider, M ;
Minder, C .
BMJ-BRITISH MEDICAL JOURNAL, 1997, 315 (7109) :629-634
[8]   Central nervous system active medications and risk for fractures in older women [J].
Ensrud, KE ;
Blackwell, T ;
Mangione, CM ;
Bowman, PJ ;
Bauer, DC ;
Schwartz, A ;
Hanlon, JT ;
Nevitt, MC ;
Whooley, MA .
ARCHIVES OF INTERNAL MEDICINE, 2003, 163 (08) :949-957
[9]   Vitamin D serum levels are associated with handgrip strength but not with muscle mass or length of hospital stay after hip fracture [J].
Gumieiro, David Nicoletti ;
Murino Rafacho, Bruna Paola ;
Buzati Pereira, Bruna Leticia ;
Cavallari, Rarelin Alvisi ;
Tanni, Suzana Erico ;
Azevedo, Paula Schmidt ;
Polegato, Bertha Furlan ;
Mamede Zornoff, Leonardo Antonio ;
Dinhane, Daniel Innocenti ;
Innocenti Dinhane, Kandir Genesio ;
Cacao Pereira, Gilberto Jose ;
Rupp de Paiva, Sergio Alberto ;
Minicucci, Marcos Ferreira .
NUTRITION, 2015, 31 (7-8) :931-934
[10]  
Guo ZC, 1998, AM J EPIDEMIOL, V148, P887