Case-Control Study Examining the Association between Selective Serotonin Reuptake Inhibitors Use and Hepatocellular Carcinoma

Objectives: The purpose of the study was to assess the relationship between selective serotonin reuptake inhibitors use and hepatocellular carcinoma in Taiwan.Methods: Using the database of the Taiwan National Health Insurance Program, we conducted a case-control study to identify 4901 subjects aged...

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Main Authors: Shih-Wei Lai, Kuan-Fu Liao, Cheng-Li Lin, Hsien-Feng Lin
Format: Article
Language:English
Published: Frontiers Media S.A. 2017-11-01
Series:Frontiers in Pharmacology
Subjects:
Online Access:http://journal.frontiersin.org/article/10.3389/fphar.2017.00861/full
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author Shih-Wei Lai
Shih-Wei Lai
Kuan-Fu Liao
Kuan-Fu Liao
Cheng-Li Lin
Cheng-Li Lin
Hsien-Feng Lin
Hsien-Feng Lin
author_facet Shih-Wei Lai
Shih-Wei Lai
Kuan-Fu Liao
Kuan-Fu Liao
Cheng-Li Lin
Cheng-Li Lin
Hsien-Feng Lin
Hsien-Feng Lin
author_sort Shih-Wei Lai
collection DOAJ
description Objectives: The purpose of the study was to assess the relationship between selective serotonin reuptake inhibitors use and hepatocellular carcinoma in Taiwan.Methods: Using the database of the Taiwan National Health Insurance Program, we conducted a case-control study to identify 4901 subjects aged 20 years and more with newly diagnosed hepatocellular carcinoma in 2000–2013 as the cases. We randomly selected 19604 subjects aged 20 years and more without hepatocellular carcinoma as the controls. Both cases and controls were matched with sex and age. Ever use of selective serotonin reuptake inhibitors was defined as a subject who had at least a prescription for selective serotonin reuptake inhibitors before index date. Never use was defined as a subject who never had a prescription for selective serotonin reuptake inhibitors before index date. The odds ratio (OR) and 95% confidence interval (CI) for hepatocellular carcinoma associated with selective serotonin reuptake inhibitors use was estimated by the multivariable logistic regression model.Results: Among subjects with any one of the comorbid conditions associated with hepatocellular carcinoma, the adjusted OR of hepatocellular carcinoma was 0.89 (95% CI 0.75, 1.06) for subjects with ever use of selective serotonin reuptake inhibitors, comparing with never use.Conclusion: The findings indicate that among subjects with any one of the comorbid conditions associated with hepatocellular carcinoma, no significant association can be detected between selective serotonin reuptake inhibitors use and hepatocellular carcinoma.
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spelling doaj.art-66966de849e7484dbb2a6a9ceb52b85a2022-12-21T18:49:15ZengFrontiers Media S.A.Frontiers in Pharmacology1663-98122017-11-01810.3389/fphar.2017.00861318143Case-Control Study Examining the Association between Selective Serotonin Reuptake Inhibitors Use and Hepatocellular CarcinomaShih-Wei Lai0Shih-Wei Lai1Kuan-Fu Liao2Kuan-Fu Liao3Cheng-Li Lin4Cheng-Li Lin5Hsien-Feng Lin6Hsien-Feng Lin7Department of Medicine, China Medical University, Taichung, TaiwanDepartment of Family Medicine, China Medical University Hospital, Taichung, TaiwanDepartment of Medicine, Tzu Chi University, Hualien, TaiwanDepartment of Internal Medicine, Taichung Tzu Chi General Hospital, Taichung, TaiwanDepartment of Medicine, China Medical University, Taichung, TaiwanManagement Office for Health Data, China Medical University Hospital, Taichung, TaiwanDepartment of Family Medicine, China Medical University Hospital, Taichung, TaiwanDepartment of Chinese Medicine, China Medical University, Taichung, TaiwanObjectives: The purpose of the study was to assess the relationship between selective serotonin reuptake inhibitors use and hepatocellular carcinoma in Taiwan.Methods: Using the database of the Taiwan National Health Insurance Program, we conducted a case-control study to identify 4901 subjects aged 20 years and more with newly diagnosed hepatocellular carcinoma in 2000–2013 as the cases. We randomly selected 19604 subjects aged 20 years and more without hepatocellular carcinoma as the controls. Both cases and controls were matched with sex and age. Ever use of selective serotonin reuptake inhibitors was defined as a subject who had at least a prescription for selective serotonin reuptake inhibitors before index date. Never use was defined as a subject who never had a prescription for selective serotonin reuptake inhibitors before index date. The odds ratio (OR) and 95% confidence interval (CI) for hepatocellular carcinoma associated with selective serotonin reuptake inhibitors use was estimated by the multivariable logistic regression model.Results: Among subjects with any one of the comorbid conditions associated with hepatocellular carcinoma, the adjusted OR of hepatocellular carcinoma was 0.89 (95% CI 0.75, 1.06) for subjects with ever use of selective serotonin reuptake inhibitors, comparing with never use.Conclusion: The findings indicate that among subjects with any one of the comorbid conditions associated with hepatocellular carcinoma, no significant association can be detected between selective serotonin reuptake inhibitors use and hepatocellular carcinoma.http://journal.frontiersin.org/article/10.3389/fphar.2017.00861/fullhepatocellular carcinomaselective serotonin reuptake inhibitorsTaiwanNational Health Insurance Programcase-control study
spellingShingle Shih-Wei Lai
Shih-Wei Lai
Kuan-Fu Liao
Kuan-Fu Liao
Cheng-Li Lin
Cheng-Li Lin
Hsien-Feng Lin
Hsien-Feng Lin
Case-Control Study Examining the Association between Selective Serotonin Reuptake Inhibitors Use and Hepatocellular Carcinoma
Frontiers in Pharmacology
hepatocellular carcinoma
selective serotonin reuptake inhibitors
Taiwan
National Health Insurance Program
case-control study
title Case-Control Study Examining the Association between Selective Serotonin Reuptake Inhibitors Use and Hepatocellular Carcinoma
title_full Case-Control Study Examining the Association between Selective Serotonin Reuptake Inhibitors Use and Hepatocellular Carcinoma
title_fullStr Case-Control Study Examining the Association between Selective Serotonin Reuptake Inhibitors Use and Hepatocellular Carcinoma
title_full_unstemmed Case-Control Study Examining the Association between Selective Serotonin Reuptake Inhibitors Use and Hepatocellular Carcinoma
title_short Case-Control Study Examining the Association between Selective Serotonin Reuptake Inhibitors Use and Hepatocellular Carcinoma
title_sort case control study examining the association between selective serotonin reuptake inhibitors use and hepatocellular carcinoma
topic hepatocellular carcinoma
selective serotonin reuptake inhibitors
Taiwan
National Health Insurance Program
case-control study
url http://journal.frontiersin.org/article/10.3389/fphar.2017.00861/full
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