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Dement Geriatr Cogn Disord ; 45(5-6): 262-271, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-29953974

RESUMO

INTRODUCTION: This population-based cohort study investigates the association between osteoarthritis (OA) and dementia as well as the connection between NSAIDs and dementia. METHODS: We chose the samples from the Taiwan Longitudinal Health Insurance Database and then divided them into two groups, which were then matched 1: 1 by propensity score. The first group was the OA group that contained patients with newly diagnosed OA and the second group was the non-OA group. We used the χ2 test, Student t test, Kaplan-Meier analysis, and Cox proportional hazard model for different purposes. RESULTS: The prevalence of dementia in the OA group was higher than that in the non-OA group. The adjusted hazard ratio of the former was 1.42 (95% CI, 1.30-1.54). We also found that etoricoxib and diclofenac might reduce the incidence of dementia. CONCLUSION: Patients with OA might have a higher risk of dementia. Both etoricoxib and diclofenac might lower the risk of dementia in patients with OA.


Assuntos
Anti-Inflamatórios não Esteroides/uso terapêutico , Demência/tratamento farmacológico , Diclofenaco , Etoricoxib , Osteoartrite/complicações , Idoso , Estudos de Coortes , Demência/epidemiologia , Diclofenaco/uso terapêutico , Etoricoxib/uso terapêutico , Feminino , Humanos , Incidência , Masculino , Pessoa de Meia-Idade , Modelos de Riscos Proporcionais , Projetos de Pesquisa , Estudos Retrospectivos , Risco , Taiwan/epidemiologia
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